Graziano Onder
Biographic Data
| ID | 5499628 |
|---|---|
| NAME | Graziano Onder |
| GIVEN NAMES | Graziano |
| FAMILY NAME | Onder |
| SIGNATURE | ONDER G |
| AFFILIATIONS | Istituto Superiore di Sanità |
| ORCID | 0000-0003-3400-4491 |
| VERIFIED | Yes |
| TOTAL WORKS | 24 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 24 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2000 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
Comprehensive geriatric assessment and management in primary care
Introduction Comprehensive Geriatric Assessment and Management (CGAM) is a multidimensional, interdisciplinary diagnostic process to create a coordinated care plan for vulnerable older adults by addressing their medical, psychological, and functional needs. This systematic review examines randomized trials comparing CGAM with standard care or alternative interventions for older individuals in primary care focusing on how CGAM is operationalized t…
Icare4OLD - development and evaluation of an AI electronic tool to serve as decision support for complex care decisions
Introduction: Providing complex care for older adults poses significant challenges, especially when systems are not integrated and information is lacking or is not being shared. To address this gap, the iCAREtool - an IT-platform based on machine learning models - was developed. This research aims at providing decision support for better prognostication of health trajectories and treatment impact in older care dependent persons, using real world …
Embedding equity and diversity principles in a complex multinational setting
With increasing population cultural and ethnic diversity, it is essential to embed principles of equity, diversity and inclusion from the outset of programmes and policy development, thereby reducing the need for costly corrective measures. This practice paper outlines the design and first-year experiences of embedding equity and diversity principles in the European Union co-funded Joint Action on Cardiovascular Diseases and Diabetes (JACARDI). J…
Resilience, Self-Efficacy, and Psychological Burden in Palliative Care
Aims: This study explores the relationship between resilience and self-efficacy in palliative care patients and caregivers, focusing on gender differences in emotional expression and the impact of patient-caregiver dynamics on distress and coping. Methods: A cross-sectional study involved 160 palliative patients and 123 caregivers. Validated tools assessed resilience (Resilience Scale-14), self-efficacy (General Self-Efficacy Scale), distress (In…
Developing a decision-tool to help organizations design care patterns for people with complex care facilitating integrated care
Introduction: Older adults receiving home care (HC) services or living in long-term care facilities (LTCF) often experience multimorbidity. Identifying subgroups of older people sharing the same types of chronic diseases and having similar levels of impairment can help organizations target interventions effectively. Decision-support tools can foster tailored care and integrated care for these persons, as they are based on the comprehensive assess…
Adolescents with Persistent Symptoms Following Acute Sars-CoV-2 Infection (Long-Covid)
Long-COVID manifestations in adolescents may differ from those observed in adults. Polisymptomaticity may predict long-term persistence
Italian good practice recommendations on management of persons with Long-Covid
A significant number of people, following acute SARS-CoV-2 infection, report persistent symptoms or new symptoms that are sustained over time, often affecting different body systems. This condition, commonly referred to as Long-COVID, requires a complex clinical management. In Italy new health facilities specifically dedicated to the diagnosis and care of Long-COVID were implemented. However, the activity of these clinical centers is highly heter…
Efficacy of Covid-19 control measures on post-vaccination outbreak in Italian Long Term Care Facilities
Background Numerous individual and organizational factors can influence the spread of SARS-CoV-2 infection in Long Term Care Facilities (LTCFs). A range of outbreak control measures are still implemented in most facilities involving administrations, staff, residents and their families. This study aims to evaluate which measure could influence the transmission of SARS-CoV-2 infection among residents during the period March 2021-June 2022. Methods …
Managing Non-Cancer Chronic Pain in Frail Older Adults
Considering the multidimensionality of chronic pain, it is crucial to develop comprehensive strategies for its effective management. However, establishing well-defined, evidence-based guidelines for such approaches remains challenging. To overcome this, we present the finding from a 4-month intervention to enhance the management of non-cancer chronic pain in older adults with pre-frailty and frailty. The intervention's core elements comprised a m…
Characteristics of Long-Covid care centers in Italy. A national survey of 124 clinical sites
Background: Despite the growing clinical relevance of Long-COVID, there is minimal information available on the organizational response of health services to this condition. Methods: A national online survey of centers providing assistance for Long-COVID was implemented. Information collected included date of start of activity, target population, mode of assistance and of referral, type and number of specialists available, diagnostic and instrume…
Decarbonization of the Italian healthcare system and European funds. A lost opportunity
OPINION article Front. Public Health, 14 December 2022Sec. Public Health Policy Volume 10 - 2022 | https://doi.org/10.3389/fpubh.2022.1037122
Variation in Cause-Specific Mortality Rates in Italy during the First Wave of the Covid-19 Pandemic
Italy was a country severely hit by the first coronavirus disease 2019 (COVID-19) pandemic wave in early 2020. Mortality studies have focused on the overall excess mortality observed during the pandemic. This paper investigates the cause-specific mortality in Italy from March 2020 to April 2020 and the variation in mortality rates compared with those in 2015-2019 regarding sex, age, and epidemic area. Causes of death were derived from the nationa…
Excess Mortality in Italy During the Covid-19 Pandemic
COVID-19 dramatically influenced mortality worldwide, in Italy as well, the first European country to experience the Sars-Cov2 epidemic. Many countries reported a two-wave pattern of COVID-19 deaths; however, studies comparing the two waves are limited. The objective of the study was to compare all-cause excess mortality between the two waves that occurred during the year 2020 using nationwide data. All-cause excess mortalities were estimated usi…
The potential long-term impact of the Covid-19 outbreak on patients with non-communicable diseases in Europe
The early stages of the COVID-19 pandemic have focused on containing SARS-CoV-2 infection and identifying treatment strategies. While controlling this communicable disease is of utmost importance, the long-term effect on individuals with non-communicable diseases (NCD) is significant. Although certain NCDs appear to increase the severity of COVID-19 and mortality risk, SARS-CoV-2 infection in survivors with NCDs may also affect the progression of…
Case-Fatality Rate and Characteristics of Patients Dying in Relation to Covid-19 in Italy
This Viewpoint from physicians with the Italian National Institute of Health confirms a higher case-fatality rate from coronavirus disease 2019 (COVID-19) in Italy compared with China and explains possible reasons, including age, cause of death definitions, and testing strategy.
Adverse Events in Italian Nursing Homes During the Covid-19 Epidemic
Older people living in nursing homes (NHs) are particularly vulnerable in the ongoing COVID-19 pandemic, due to the high prevalence of chronic diseases and disabilities (e.g., dementia). The phenomenon of adverse events (AEs), intended as any harm or injury resulting from medical care or to the failure to provide care, has not yet been investigated in NHs during the pandemic. We performed a national survey on 3,292 NHs, either public or providing…
Impact of Covid-19-Related Lockdown on Psychosocial, Cognitive, and Functional Well-Being in Adults With Down Syndrome
People with Down Syndrome (DS) have a high prevalence of physical and psychiatric comorbidities and experience early-onset dementia. With the outbreak of CoVID-19 pandemic, strict social isolation measures have been necessary to prevent the spreading of the disease. Effects of this lockdown period on behavior, mood and cognition in people with DS have not been assessed so far. In the present clinical study, we investigated the impact of CoVID-19-…
The Perceived Health Status from Young Adults to Elderly
Improving healthy life years requires an effective understanding and management of the process of healthy ageing. Assessing the perceived health status and its determinants is a relevant step in this process. This study explored the potentialities of the Minimum European Health Module (MEHM) to cope with this critical issue. Investigation was conducted on 4798 Italian residents (49.7% women, aged 35-79 years), participating in the CUORE Project H…
Assessing the Pilot Implementation of the Integrated Multimorbidity Care Model in Five European Settings
Multimorbidity, the coexistence of several chronic conditions in a patient, represents a great challenge for healthcare systems and society. The Integrated Multimorbidity Care Model (IMCM) was recently designed within the Joint Action on chronic diseases and promoting healthy ageing across the life cycle (CHRODIS) to ensure the continuity of care for patients with multimorbidity. The IMCM was implemented in five European pilot sites in Spain, Ita…
Frailty
A Methodological Approach for Implementing an Integrated Multimorbidity Care Model
Patients with multimorbidity (defined as the co-occurrence of multiple chronic diseases) frequently experience fragmented care, which increases the risk of negative outcomes. A recently proposed Integrated Multimorbidity Care Model aims to overcome many issues related to fragmented care. In the context of Joint Action CHRODIS-PLUS, an implementation methodology was developed for the care model, which is being piloted in five sites. We aim to (1) …
Interventions targeting loneliness and social isolation among the older people
Gait speed at usual pace as a predictor of adverse outcomes in community-dwelling older people an International Academy on Nutrition and Aging (Iana) Task Force
Minimum Data Set for Home Care
BACKGROUND: Optimal care for frail elderly patients depends on comprehensive assessment. This is especially true in the complex setting of interdisciplinary home care programs. To facilitate comprehensive assessment, as well as to generate a useful, policy-relevant patient database, standardized, multidimensional, and validated instruments are very helpful. OBJECTIVES: The aim of the present study was to demonstrate that the Minimum Data Set asse…
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Minimum Data Set for Home Care
BACKGROUND: Optimal care for frail elderly patients depends on comprehensive assessment. This is especially true in the complex setting of interdisciplinary home care programs. To facilitate comprehensive assessment, as well as to generate a useful, policy-relevant patient database, standardized, multidimensional, and validated instruments are very helpful. OBJECTIVES: The aim of the present study was to demonstrate that the Minimum Data Set asse…
Gait speed at usual pace as a predictor of adverse outcomes in community-dwelling older people an International Academy on Nutrition and Aging (Iana) Task Force
Interventions targeting loneliness and social isolation among the older people
Frailty
A Methodological Approach for Implementing an Integrated Multimorbidity Care Model
Patients with multimorbidity (defined as the co-occurrence of multiple chronic diseases) frequently experience fragmented care, which increases the risk of negative outcomes. A recently proposed Integrated Multimorbidity Care Model aims to overcome many issues related to fragmented care. In the context of Joint Action CHRODIS-PLUS, an implementation methodology was developed for the care model, which is being piloted in five sites. We aim to (1) …
The potential long-term impact of the Covid-19 outbreak on patients with non-communicable diseases in Europe
The early stages of the COVID-19 pandemic have focused on containing SARS-CoV-2 infection and identifying treatment strategies. While controlling this communicable disease is of utmost importance, the long-term effect on individuals with non-communicable diseases (NCD) is significant. Although certain NCDs appear to increase the severity of COVID-19 and mortality risk, SARS-CoV-2 infection in survivors with NCDs may also affect the progression of…
Case-Fatality Rate and Characteristics of Patients Dying in Relation to Covid-19 in Italy
This Viewpoint from physicians with the Italian National Institute of Health confirms a higher case-fatality rate from coronavirus disease 2019 (COVID-19) in Italy compared with China and explains possible reasons, including age, cause of death definitions, and testing strategy.
Adverse Events in Italian Nursing Homes During the Covid-19 Epidemic
Older people living in nursing homes (NHs) are particularly vulnerable in the ongoing COVID-19 pandemic, due to the high prevalence of chronic diseases and disabilities (e.g., dementia). The phenomenon of adverse events (AEs), intended as any harm or injury resulting from medical care or to the failure to provide care, has not yet been investigated in NHs during the pandemic. We performed a national survey on 3,292 NHs, either public or providing…
Impact of Covid-19-Related Lockdown on Psychosocial, Cognitive, and Functional Well-Being in Adults With Down Syndrome
People with Down Syndrome (DS) have a high prevalence of physical and psychiatric comorbidities and experience early-onset dementia. With the outbreak of CoVID-19 pandemic, strict social isolation measures have been necessary to prevent the spreading of the disease. Effects of this lockdown period on behavior, mood and cognition in people with DS have not been assessed so far. In the present clinical study, we investigated the impact of CoVID-19-…
The Perceived Health Status from Young Adults to Elderly
Improving healthy life years requires an effective understanding and management of the process of healthy ageing. Assessing the perceived health status and its determinants is a relevant step in this process. This study explored the potentialities of the Minimum European Health Module (MEHM) to cope with this critical issue. Investigation was conducted on 4798 Italian residents (49.7% women, aged 35-79 years), participating in the CUORE Project H…
Assessing the Pilot Implementation of the Integrated Multimorbidity Care Model in Five European Settings
Multimorbidity, the coexistence of several chronic conditions in a patient, represents a great challenge for healthcare systems and society. The Integrated Multimorbidity Care Model (IMCM) was recently designed within the Joint Action on chronic diseases and promoting healthy ageing across the life cycle (CHRODIS) to ensure the continuity of care for patients with multimorbidity. The IMCM was implemented in five European pilot sites in Spain, Ita…
Excess Mortality in Italy During the Covid-19 Pandemic
COVID-19 dramatically influenced mortality worldwide, in Italy as well, the first European country to experience the Sars-Cov2 epidemic. Many countries reported a two-wave pattern of COVID-19 deaths; however, studies comparing the two waves are limited. The objective of the study was to compare all-cause excess mortality between the two waves that occurred during the year 2020 using nationwide data. All-cause excess mortalities were estimated usi…
Characteristics of Long-Covid care centers in Italy. A national survey of 124 clinical sites
Background: Despite the growing clinical relevance of Long-COVID, there is minimal information available on the organizational response of health services to this condition. Methods: A national online survey of centers providing assistance for Long-COVID was implemented. Information collected included date of start of activity, target population, mode of assistance and of referral, type and number of specialists available, diagnostic and instrume…
Decarbonization of the Italian healthcare system and European funds. A lost opportunity
OPINION article Front. Public Health, 14 December 2022Sec. Public Health Policy Volume 10 - 2022 | https://doi.org/10.3389/fpubh.2022.1037122
Variation in Cause-Specific Mortality Rates in Italy during the First Wave of the Covid-19 Pandemic
Italy was a country severely hit by the first coronavirus disease 2019 (COVID-19) pandemic wave in early 2020. Mortality studies have focused on the overall excess mortality observed during the pandemic. This paper investigates the cause-specific mortality in Italy from March 2020 to April 2020 and the variation in mortality rates compared with those in 2015-2019 regarding sex, age, and epidemic area. Causes of death were derived from the nationa…
Italian good practice recommendations on management of persons with Long-Covid
A significant number of people, following acute SARS-CoV-2 infection, report persistent symptoms or new symptoms that are sustained over time, often affecting different body systems. This condition, commonly referred to as Long-COVID, requires a complex clinical management. In Italy new health facilities specifically dedicated to the diagnosis and care of Long-COVID were implemented. However, the activity of these clinical centers is highly heter…
Efficacy of Covid-19 control measures on post-vaccination outbreak in Italian Long Term Care Facilities
Background Numerous individual and organizational factors can influence the spread of SARS-CoV-2 infection in Long Term Care Facilities (LTCFs). A range of outbreak control measures are still implemented in most facilities involving administrations, staff, residents and their families. This study aims to evaluate which measure could influence the transmission of SARS-CoV-2 infection among residents during the period March 2021-June 2022. Methods …
Managing Non-Cancer Chronic Pain in Frail Older Adults
Considering the multidimensionality of chronic pain, it is crucial to develop comprehensive strategies for its effective management. However, establishing well-defined, evidence-based guidelines for such approaches remains challenging. To overcome this, we present the finding from a 4-month intervention to enhance the management of non-cancer chronic pain in older adults with pre-frailty and frailty. The intervention's core elements comprised a m…
Adolescents with Persistent Symptoms Following Acute Sars-CoV-2 Infection (Long-Covid)
Long-COVID manifestations in adolescents may differ from those observed in adults. Polisymptomaticity may predict long-term persistence
Embedding equity and diversity principles in a complex multinational setting
With increasing population cultural and ethnic diversity, it is essential to embed principles of equity, diversity and inclusion from the outset of programmes and policy development, thereby reducing the need for costly corrective measures. This practice paper outlines the design and first-year experiences of embedding equity and diversity principles in the European Union co-funded Joint Action on Cardiovascular Diseases and Diabetes (JACARDI). J…
Resilience, Self-Efficacy, and Psychological Burden in Palliative Care
Aims: This study explores the relationship between resilience and self-efficacy in palliative care patients and caregivers, focusing on gender differences in emotional expression and the impact of patient-caregiver dynamics on distress and coping. Methods: A cross-sectional study involved 160 palliative patients and 123 caregivers. Validated tools assessed resilience (Resilience Scale-14), self-efficacy (General Self-Efficacy Scale), distress (In…
Developing a decision-tool to help organizations design care patterns for people with complex care facilitating integrated care
Introduction: Older adults receiving home care (HC) services or living in long-term care facilities (LTCF) often experience multimorbidity. Identifying subgroups of older people sharing the same types of chronic diseases and having similar levels of impairment can help organizations target interventions effectively. Decision-support tools can foster tailored care and integrated care for these persons, as they are based on the comprehensive assess…
Comprehensive geriatric assessment and management in primary care
Introduction Comprehensive Geriatric Assessment and Management (CGAM) is a multidimensional, interdisciplinary diagnostic process to create a coordinated care plan for vulnerable older adults by addressing their medical, psychological, and functional needs. This systematic review examines randomized trials comparing CGAM with standard care or alternative interventions for older individuals in primary care focusing on how CGAM is operationalized t…
Icare4OLD - development and evaluation of an AI electronic tool to serve as decision support for complex care decisions
Introduction: Providing complex care for older adults poses significant challenges, especially when systems are not integrated and information is lacking or is not being shared. To address this gap, the iCAREtool - an IT-platform based on machine learning models - was developed. This research aims at providing decision support for better prognostication of health trajectories and treatment impact in older care dependent persons, using real world …
Medicine (20 works) · Disease (10 works) · Nursing (10 works) · Frailty in Older Adults (7 works) · Health care (7 works) · Internal Medicine (6 works) · Pandemic (6 works) · Chronic Disease Management Strategies (5 works) · Computer Science (5 works) · Demography (5 works)