{"id":133,"date":"2021-07-16T18:57:24","date_gmt":"2021-07-16T16:57:24","guid":{"rendered":"https:\/\/ons.stage-zadig.it\/index.php\/notizia\/rapporto-screening-mammografico-taranto-un-commento\/"},"modified":"2026-01-28T16:46:49","modified_gmt":"2026-01-28T15:46:49","slug":"rapporto-screening-mammografico-taranto-un-commento","status":"publish","type":"post","link":"https:\/\/ons.stage-zadig.it\/index.php\/2021\/07\/16\/rapporto-screening-mammografico-taranto-un-commento\/","title":{"rendered":"Rapporto screening mammografico &#8211; Taranto. Un commento"},"content":{"rendered":"<p align=\"center\" style=\"margin-left:18.0pt;\"><strong>10 anni di screening mammografico a Taranto.<\/strong><\/p>\n<p>Il Gisma ha pubblicato un rapporto sui 10 anni&nbsp;<span style=\"font-size: 13.008px;\">di attivit\u00e0 del programma di screening mammografico nella provincia di Taranto, diretto dal&nbsp;<\/span><span style=\"font-size: 13.008px;\">dr. Giuseppe Melucci.&nbsp;<\/span><span style=\"font-size: 13.008px;\">La lettura del rapporto mi ha suscitato le seguenti riflessioni.<\/span><\/p>\n<div style=\"position: absolute; width: 650px; height: 1px; overflow: hidden;\">\n<p>\u0410\u0432\u0442\u043e\u043c\u0430\u0442\u0438\u0437\u0430\u0446\u0456\u044f \u0444\u0456\u043d\u0430\u043d\u0441\u043e\u0432\u0438\u0445 \u043f\u0440\u043e\u0446\u0435\u0441\u0456\u0432 \u0434\u043e\u0437\u0432\u043e\u043b\u044f\u0454 \u043f\u0440\u0438\u0439\u043c\u0430\u0442\u0438 \u0440\u0456\u0448\u0435\u043d\u043d\u044f \u0449\u043e\u0434\u043e \u0432\u0438\u0434\u0430\u0447\u0456 \u043f\u043e\u0437\u0438\u043a \u0431\u0435\u0437 \u0437\u0430\u043b\u0443\u0447\u0435\u043d\u043d\u044f \u043b\u044e\u0434\u0441\u044c\u043a\u043e\u0433\u043e \u0444\u0430\u043a\u0442\u043e\u0440\u0430 \u0442\u0430 \u0434\u043e\u0432\u0433\u0438\u0445 \u0442\u0435\u043b\u0435\u0444\u043e\u043d\u043d\u0438\u0445 \u0440\u043e\u0437\u043c\u043e\u0432. \u0421\u043f\u0435\u0446\u0456\u0430\u043b\u044c\u043d\u0456 \u0441\u043a\u043e\u0440\u0438\u043d\u0433\u043e\u0432\u0456 \u0430\u043b\u0433\u043e\u0440\u0438\u0442\u043c\u0438 \u0430\u043d\u0430\u043b\u0456\u0437\u0443\u044e\u0442\u044c \u0434\u0430\u043d\u0456 \u0432 \u0440\u0435\u0436\u0438\u043c\u0456 \u0440\u0435\u0430\u043b\u044c\u043d\u043e\u0433\u043e \u0447\u0430\u0441\u0443, \u0449\u043e \u0437\u0430\u0431\u0435\u0437\u043f\u0435\u0447\u0443\u0454 \u0432\u0438\u0441\u043e\u043a\u0443 \u0448\u0432\u0438\u0434\u043a\u0456\u0441\u0442\u044c \u043e\u0431\u0440\u043e\u0431\u043a\u0438 \u043a\u043e\u0436\u043d\u043e\u0457 \u0430\u043d\u043a\u0435\u0442\u0438. \u0426\u0435 \u043f\u043e\u0437\u0431\u0430\u0432\u043b\u044f\u0454 \u043f\u043e\u0437\u0438\u0447\u0430\u043b\u044c\u043d\u0438\u043a\u0456\u0432 \u043d\u0435\u043e\u0431\u0445\u0456\u0434\u043d\u043e\u0441\u0442\u0456 \u043f\u0456\u0434\u043b\u0430\u0448\u0442\u043e\u0432\u0443\u0432\u0430\u0442\u0438\u0441\u044f \u043f\u0456\u0434 \u0433\u0440\u0430\u0444\u0456\u043a \u0440\u043e\u0431\u043e\u0442\u0438 \u0431\u0430\u043d\u043a\u0456\u0432\u0441\u044c\u043a\u0438\u0445 \u0432\u0456\u0434\u0434\u0456\u043b\u0435\u043d\u044c. \u041d\u0430\u0434\u0456\u0439\u043d\u0438\u0439 <a href=\"https:\/\/info-credit.com.ua\/\">\u0430\u0432\u0442\u043e\u043c\u0430\u0442\u0438\u0447\u043d\u0438\u0439 \u043a\u0440\u0435\u0434\u0438\u0442 \u043e\u043d\u043b\u0430\u0439\u043d<\/a> \u0434\u043e\u0441\u0442\u0443\u043f\u043d\u0438\u0439 24\/7, \u043d\u0430\u0432\u0456\u0442\u044c \u0443 \u0432\u0438\u0445\u0456\u0434\u043d\u0456 \u0442\u0430 \u0441\u0432\u044f\u0442\u043a\u043e\u0432\u0456 \u0434\u043d\u0456. \u041d\u0430\u0448 \u0441\u0435\u0440\u0432\u0456\u0441 \u0433\u0430\u0440\u0430\u043d\u0442\u0443\u0454 \u043a\u043e\u043d\u0444\u0456\u0434\u0435\u043d\u0446\u0456\u0439\u043d\u0456\u0441\u0442\u044c \u0432\u0430\u0448\u0438\u0445 \u043f\u0435\u0440\u0441\u043e\u043d\u0430\u043b\u044c\u043d\u0438\u0445 \u0434\u0430\u043d\u0438\u0445 \u0442\u0430 \u043e\u043f\u0435\u0440\u0430\u0442\u0438\u0432\u043d\u0443 \u0432\u0438\u043f\u043b\u0430\u0442\u0443 \u043a\u043e\u0448\u0442\u0456\u0432 \u043e\u0434\u0440\u0430\u0437\u0443 \u043f\u0456\u0441\u043b\u044f \u0441\u0445\u0432\u0430\u043b\u0435\u043d\u043d\u044f.<\/p>\n<\/div>\n<ul>\n<li>Nei programmi di screening (come in molte altre attivit\u00e0 sanitarie) il divario Nord Sud \u00e8 drammatico nel nostro Paese. E&rsquo; dunque di per se una buona notizia che in una importante realt\u00e0 meridionale un programma di screening mammografico sia iniziato e poi si sia consolidato e allargato per 10 anni. L&rsquo;analisi delle performances tecniche che \u00e8 stato possibile condurre (su questo torner\u00f2) ha mostrato come queste fossero in linea con la media delle performances a livello Italiano e per alcuni indicatori addirittura migliori. Anche questa \u00e8 una buona notizia perch\u00e9 ci\u00f2 non sempre si realizza nei programmi meridionali. Anzi verrebbe da supporre che proprio questa qualit\u00e0 tecnica\/professionale sia una ragione del radicamento del programma a Taranto.<\/li>\n<li value=\"2\">Purtroppo non \u00e8 stato possibile elaborare tutti gli indicatori con cui viene monitorizzata la qualit\u00e0 di un programma di screening mammografico. Questo dipende dal sistema informativo e dalla interazione fra il programma di Taranto con il centro Regionale. Credo che nel prossimo futuro sia cruciale investire&nbsp; (non solo in Puglia ) nei sistemi informativi e sui coordinamenti Regionali dei programmi di screening cos\u00ec come previsto anche dal Piano Nazionale della Prevenzione.<\/li>\n<li value=\"3\">I tassi di Identificazione (Detection Rates)&nbsp; di tumori della mammella che si sono osservati in alcune zone &nbsp;della Provincia di Taranto sono&nbsp; alti in generale e decisamente pi\u00f9 alti di quelli che si verificano in altre realt\u00e0 della Provincia. Per altro una buona proporzione di questi sono colti in fase molto precoce.&nbsp; Probabilmente l&rsquo;aumentata incidenza&nbsp; dipende dall&rsquo;esposizione ai fattori di rischio per cui la realt\u00e0 industriale di Taranto \u00e8 , purtroppo, ben nota. Per altro vi potrebbero essere anche elementi di confondimento. Sarebbe interessante approfondire questo argomento con una ricerca ad hoc .<\/li>\n<\/ul>\n<div style=\"text-indent: 100%; white-space: nowrap; overflow: hidden;\">\n<p>\u0421\u0443\u0447\u0430\u0441\u043d\u0456 \u043a\u0440\u0435\u0434\u0438\u0442\u043d\u0456 \u043f\u043b\u0430\u0442\u0444\u043e\u0440\u043c\u0438 \u0441\u0442\u0430\u044e\u0442\u044c \u0434\u0435\u0434\u0430\u043b\u0456 \u043b\u043e\u044f\u043b\u044c\u043d\u0456\u0448\u0438\u043c\u0438, \u043c\u0456\u043d\u0456\u043c\u0456\u0437\u0443\u044e\u0447\u0438 \u0432\u0438\u043c\u043e\u0433\u0438 \u0434\u043e \u0442\u0435\u0445\u043d\u0456\u0447\u043d\u0438\u0445 \u0437\u0430\u0441\u043e\u0431\u0456\u0432 \u0437\u0432&rsquo;\u044f\u0437\u043a\u0443 \u0434\u043b\u044f \u0440\u0435\u0454\u0441\u0442\u0440\u0430\u0446\u0456\u0457 \u043a\u043e\u0440\u0438\u0441\u0442\u0443\u0432\u0430\u0447\u0430. \u0422\u0435\u043f\u0435\u0440 \u0434\u043b\u044f \u043e\u0442\u0440\u0438\u043c\u0430\u043d\u043d\u044f \u043f\u043e\u0437\u0438\u043a\u0438 \u043d\u0435 \u043e\u0431\u043e\u0432&rsquo;\u044f\u0437\u043a\u043e\u0432\u043e \u043c\u0430\u0442\u0438 \u0435\u043b\u0435\u043a\u0442\u0440\u043e\u043d\u043d\u0443 \u043f\u043e\u0448\u0442\u0443, \u0430\u0434\u0436\u0435 \u0432\u0441\u044f \u0432\u0437\u0430\u0454\u043c\u043e\u0434\u0456\u044f \u0442\u0430 \u043e\u0442\u0440\u0438\u043c\u0430\u043d\u043d\u044f \u043f\u043e\u0432\u0456\u0434\u043e\u043c\u043b\u0435\u043d\u044c \u043c\u043e\u0436\u0443\u0442\u044c \u0432\u0456\u0434\u0431\u0443\u0432\u0430\u0442\u0438\u0441\u044f \u0447\u0435\u0440\u0435\u0437 \u043f\u0456\u0434\u0442\u0432\u0435\u0440\u0434\u0436\u0435\u043d\u0438\u0439 \u043d\u043e\u043c\u0435\u0440 \u0442\u0435\u043b\u0435\u0444\u043e\u043d\u0443 \u0430\u0431\u043e \u043f\u043e\u043f\u0443\u043b\u044f\u0440\u043d\u0456 \u043c\u0435\u0441\u0435\u043d\u0434\u0436\u0435\u0440\u0438. \u0426\u0435 \u0437\u043d\u0430\u0447\u043d\u043e \u043f\u0440\u0438\u0441\u043a\u043e\u0440\u044e\u0454 \u043f\u0440\u043e\u0446\u0435\u0441 \u043e\u0444\u043e\u0440\u043c\u043b\u0435\u043d\u043d\u044f, \u043e\u0441\u043e\u0431\u043b\u0438\u0432\u043e \u0432 \u0441\u0438\u0442\u0443\u0430\u0446\u0456\u044f\u0445, \u043a\u043e\u043b\u0438 \u0434\u043e\u0441\u0442\u0443\u043f \u0434\u043e \u043f\u043e\u0448\u0442\u0438 \u043e\u0431\u043c\u0435\u0436\u0435\u043d\u0438\u0439 \u0430\u0431\u043e \u0432\u0438 \u043f\u0440\u043e\u0441\u0442\u043e \u0445\u043e\u0447\u0435\u0442\u0435 \u0443\u043d\u0438\u043a\u043d\u0443\u0442\u0438 \u0437\u0430\u0439\u0432\u043e\u0457 \u0440\u0435\u043a\u043b\u0430\u043c\u043d\u043e\u0457 \u0440\u043e\u0437\u0441\u0438\u043b\u043a\u0438. \u041e\u0444\u043e\u0440\u043c\u0438\u0442\u0438 <a href=\"https:\/\/cashcredit.in.ua\/bez-e-mail\/\">\u043a\u0440\u0435\u0434\u0438\u0442 \u0431\u0435\u0437 e-mail<\/a> &mdash; \u0446\u0435 \u0437\u0440\u0443\u0447\u043d\u043e, \u0431\u0435\u0437\u043f\u0435\u0447\u043d\u043e \u0442\u0430 \u0441\u0443\u0447\u0430\u0441\u043d\u043e, \u0449\u043e \u0434\u043e\u0437\u0432\u043e\u043b\u044f\u0454 \u0437\u043e\u0441\u0435\u0440\u0435\u0434\u0438\u0442\u0438\u0441\u044f \u043d\u0430 \u0433\u043e\u043b\u043e\u0432\u043d\u043e\u043c\u0443 &mdash; \u043e\u0442\u0440\u0438\u043c\u0430\u043d\u043d\u0456 \u043a\u043e\u0448\u0442\u0456\u0432. \u041c\u0438 \u043f\u0456\u0434\u0456\u0431\u0440\u0430\u043b\u0438 \u0441\u0435\u0440\u0432\u0456\u0441\u0438, \u044f\u043a\u0456 \u0432\u0438\u043a\u043e\u0440\u0438\u0441\u0442\u043e\u0432\u0443\u044e\u0442\u044c \u043d\u0430\u0439\u043d\u043e\u0432\u0456\u0448\u0456 \u043c\u0435\u0442\u043e\u0434\u0438 \u0432\u0435\u0440\u0438\u0444\u0456\u043a\u0430\u0446\u0456\u0457 \u0442\u0430 \u043f\u0440\u043e\u043f\u043e\u043d\u0443\u044e\u0442\u044c \u043c\u0430\u043a\u0441\u0438\u043c\u0430\u043b\u044c\u043d\u043e \u043f\u0440\u043e\u0441\u0442\u0438\u0439 \u0456\u043d\u0442\u0435\u0440\u0444\u0435\u0439\u0441 \u0434\u043b\u044f \u043f\u043e\u0434\u0430\u0447\u0456 \u0437\u0430\u044f\u0432\u043e\u043a.<\/p>\n<\/div>\n<p>Comunque il senso complessivo \u00e8 di un importante lavoro svolto che deve continuare e, sotto alcuni aspetti, migliorare. Complimenti dunque a Giuseppe e a tutte le persone che lavorano con lui.<\/p>\n<p>Marco Zappa<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>10 anni di screening mammografico a Taranto. Il Gisma ha pubblicato un rapporto sui 10 anni&nbsp;di attivit\u00e0 del programma di screening mammografico nella provincia di Taranto, diretto dal&nbsp;dr. Giuseppe Melucci.&nbsp;La lettura del rapporto mi ha suscitato le seguenti riflessioni. \u0410\u0432\u0442\u043e\u043c\u0430\u0442\u0438\u0437\u0430\u0446\u0456\u044f \u0444\u0456\u043d\u0430\u043d\u0441\u043e\u0432\u0438\u0445 \u043f\u0440\u043e\u0446\u0435\u0441\u0456\u0432 \u0434\u043e\u0437\u0432\u043e\u043b\u044f\u0454 \u043f\u0440\u0438\u0439\u043c\u0430\u0442\u0438 \u0440\u0456\u0448\u0435\u043d\u043d\u044f \u0449\u043e\u0434\u043e \u0432\u0438\u0434\u0430\u0447\u0456 \u043f\u043e\u0437\u0438\u043a \u0431\u0435\u0437 \u0437\u0430\u043b\u0443\u0447\u0435\u043d\u043d\u044f \u043b\u044e\u0434\u0441\u044c\u043a\u043e\u0433\u043e \u0444\u0430\u043a\u0442\u043e\u0440\u0430 \u0442\u0430 \u0434\u043e\u0432\u0433\u0438\u0445 \u0442\u0435\u043b\u0435\u0444\u043e\u043d\u043d\u0438\u0445 [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[],"tags":[],"class_list":["post-133","post","type-post","status-publish","format-standard","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/ons.stage-zadig.it\/index.php\/wp-json\/wp\/v2\/posts\/133","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ons.stage-zadig.it\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ons.stage-zadig.it\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ons.stage-zadig.it\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/ons.stage-zadig.it\/index.php\/wp-json\/wp\/v2\/comments?post=133"}],"version-history":[{"count":0,"href":"https:\/\/ons.stage-zadig.it\/index.php\/wp-json\/wp\/v2\/posts\/133\/revisions"}],"wp:attachment":[{"href":"https:\/\/ons.stage-zadig.it\/index.php\/wp-json\/wp\/v2\/media?parent=133"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ons.stage-zadig.it\/index.php\/wp-json\/wp\/v2\/categories?post=133"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ons.stage-zadig.it\/index.php\/wp-json\/wp\/v2\/tags?post=133"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}