Evidence map›Paper›PMID 39394566›Full record

ArticleBMC public health2024

Prevention Lab: a predictive model for estimating the impact of prevention interventions in a simulated Italian cohort.

Leonardo Cianfanelli, Carlo Senore, Giacomo Como, Fabio Fagnani, Costanza Catalano, Mariano Tomatis, Eva Pagano, Stefania Vasselli, Giulia Carreras, Nereo Segnan and 1 more

Abstract read
In one paragraph

Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Leonardo CianfanelliDepartment of Mathematical Sciences, Politecnico Di Torino, Corso Duca Degli Abruzzi 24, 10129, Turin, Italy. leonardo.cianfanelli@polito.it.
Carlo SenoreEpidemiology and Screening Unit, University Hospital "Città Della Salute E Della Scienza Di Torino", Turin, Italy.
Giacomo ComoDepartment of Mathematical Sciences, Politecnico Di Torino, Corso Duca Degli Abruzzi 24, 10129, Turin, Italy.
Fabio FagnaniDepartment of Mathematical Sciences, Politecnico Di Torino, Corso Duca Degli Abruzzi 24, 10129, Turin, Italy.
Costanza CatalanoBank of Italy, Rome, Italy.
Mariano TomatisEpidemiology and Screening Unit, University Hospital "Città Della Salute E Della Scienza Di Torino", Turin, Italy.
Eva PaganoClinical Epidemiology and Evaluation Unit, University Hospital "Città Della Salute E Della Scienza Di Torino", Turin, Italy.
Stefania VasselliMinistry of Health, Rome, Italy.
Giulia CarrerasInstitute for Cancer Research, Prevention and Clinical Network (ISPRO), Florence, Italy.
Nereo SegnanEpidemiology and Screening Unit, University Hospital "Città Della Salute E Della Scienza Di Torino", Turin, Italy.
Cristiano PiccinelliEpidemiology and Screening Unit, University Hospital "Città Della Salute E Della Scienza Di Torino", Turin, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA large fraction of the disease burden in the Italian population is due to behavioral risk factors. The objective of this work is to provide a tool to estimate the impact of preventive interventions that reduce the exposure to smoking and sedentary lifestyle of the Italian population, with the goal of selecting optimal interventions.

methodsWe construct a Markovian model that simulates the state of each subject of the Italian population. The model predicts the distribution of subjects in each health status and risk factor status for every year of the simulation. Based on this distribution, the model provides a rich output summary, such as the number of incident and prevalent cases for each tracing disease and the Disability Adjusted Life Years (DALY), used to assess the impact of preventive interventions, and how this impact is shaped in time.

resultsThis paper focuses on the methodological aspects of the model. The proposed model is flexible and can be applied to estimate the impact of complex interventions on the two risk factors and adapted to consider different cohorts. We validate the model by simulating the evolution of the Italian population from 2009 to 2017 and comparing the output with historical data. Furthermore, as a case-study, we simulate a counterfactual scenario where both tobacco and sedentary lifestyle are eradicated from the Italian population in 2019 and estimate the impact of such intervention over the following 20 years.

conclusionsWe propose a Markovian model to estimate how interventions on smoking and sedentary lifestyle can affect the reduction of the disease burden, and validate the model on historical data. The model is flexible and allows to extend the analysis to consider more risk factors in future research. However, we are aware that, given the ever-increasing availability of data, it is necessary in the future to increase the complexity of the model, to be closer to reality and to provide decision-making support to the policy-makers.

Indexed as

Sedentary BehaviorAdultAgedCohort StudiesFemaleHumansItalyMaleMarkov ChainsMiddle AgedRisk FactorsSmoking PreventionBehavioral risk factorsBurden of diseaseDALYMarkov modelsPolicy makers

Identifiers

PMID39394566
PMCPMC11475107

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.