Pietro Refolo

Corrigendum to “Innovation and sustainability in immune-mediated diseases: An Italian multidisciplinary consensus across gastroenterology, dermatology, and rheumatology” [Digestive and Liver Disease 58 (2026) 1051-1060]

Franco Scaldaferri, Federica Di Vincenzo, Gennaro Marco Falco, Federico Lazzaro et autres

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The Shared Document as a Tool for Shared Care Planning: A Retrospective Analysis of 160 Cases

Salvatore Simone Masilla, Clara Todini, Barbara Corsano, Andrea Ponzio et autres

BACKGROUND/OBJECTIVES: Shared Care Planning (SCP) represents a collaborative decision-making process integrating advance care planning and shared decision-making to support ethically complex clinical pathways. Since 2016, the Clinical Ethics Consultation (CEC) service at the Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS (FPUG) in Rome …

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Informed consent in medically assisted procreation in Italy: medico-legal and ethical challenges shaping physician responsibility

Costanza Raimondi, Pía Ferrari, Pietro Refolo, Antonio Oliva et autres

Background: Informed consent represents a fundamental requirement in healthcare and is a key expression of patient autonomy. In the Italian context, its application in the field of medically assisted procreation (MAP) raises specific medico-legal and ethical questions. Recent developments, including updated MAP …

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Innovation and sustainability in immune-mediated diseases: An Italian multidisciplinary consensus across gastroenterology, dermatology, and rheumatology

Franco Scaldaferri, F Di Vincenzo, Gennaro Marco Falco, Federico Lazzaro et autres

BACKGROUND: Advanced therapies (ADTs) have transformed the management of chronic immune-mediated inflammatory diseases (IMIDs) across gastroenterology, dermatology, and rheumatology. Their growing use pressures universal, regionalized systems such as the Italian National Health System, challenging sustainability, equitable access, and integration of innovation. To …

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Embedding bioethics and anthropological reflection in pediatric nursing education: the experience of the University of Genoa – Istituto Giannina Gaslini

Marco Doldi, Laura Fornoni, Viviana Pompei, Natascia Di Iorgi et autres

Abstract Nursing is characterized by ethical complexity, emotional intensity, and relational asymmetry. While bioethics is often included in nursing curricula, it is frequently taught in a fragmented or purely normative manner, leaving students insufficiently prepared to interpret and inhabit the moral dimensions …

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Bioethics teaching in Italian Medical Degree Programs (MDP): an overview

Pietro Refolo, Costanza Raimondi, Simona Giardina, Simone S. Masilla et autres

Abstract The systematic integration of ethical and humanistic dimensions into medical education in Italy has progressively strengthened since the late 1990s. However, no studies currently provide an up-to-date and comprehensive mapping of the teaching of bioethics within Italian Medical Degree Programs (MDPs). …

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Posthumous assisted reproduction and post-mortem paternity

Costanza Raimondi, Simona Giardina, Simone S. Masilla, Pietro Refolo et autres

Background: The advancement of artificial reproductive technologies (ART) has outpaced many existing legal and ethical frameworks, challenging foundational notions of parenthood, consent, and the temporality of reproductive decisions. Among the most complex developments is posthumous assisted reproduction. While medically feasible, this practice …

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The VALUE Study: Exploring the Value of a Clinical Ethics Consultation Service at the “A. Gemelli” Hospital

Salvatore Simone Masilla, Barbara Corsano, Simona Giardina, Costanza Raimondi et autres

Background: Clinical Ethics Consultation (CEC) helps healthcare professionals, patients, and families address ethically complex situations in clinical practice. Since 2016, requests for CEC at the Fondazione Policlinico Universitario “A. Gemelli” IRCCS (FPG) have been entered into the hospital IT system like other …

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Ethical Decision-Making and Clinical Ethics Support in Italian Neonatal Intensive Care Units: Results from a National Survey

Clara Todini, Barbara Corsano, Simona Giardina, Simone S. Masilla et autres

BACKGROUND/OBJECTIVES: Neonatal Intensive Care Units (NICUs) constitute a highly complex clinical environment characterized by patient fragility and frequent ethically sensitive decisions. To date, systematic studies investigating how Italian NICUs address these challenges and what forms of ethics support are effectively available are …

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Integrating ethical analysis in health technology assessment: opportunities and challenges

Bart Bloemen, Renata Axler, Michael J. DiStefano, Wija Oortwijn et autres

Ethics has been recognized as an integral part of Health Technology Assessment (HTA) since its beginning. However, the integration of ethical analysis in HTA practice has been limited and challenging. Members of the Health Technology Assessment international (HTAi) Interest Group (IG) for …

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Tappe fondamentali nel dibattito sulle questioni di fine vita in Italia: il progetto ELISI

Silvia Ceruti, Francesca Ingravallo, Guido Miccinesi, Costanza Raimondi et autres

Over the past fifty years, the Italian debate on end-of-life issues has steadily intensified, shaped by the continuous interaction of clinical, legal, ethical, and social dimensions. Yet, navigating the complex landscape of laws, guidelines, opinions, and practices remains challenging, and interpreting events …

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PP74 Challenges And Potential Improvements In Policy Strategies For Prevention And Early Diagnosis Of Childhood Melanoma: A Patient Perspective

Sonia Muñoz-López, Paula Closa, Pietro Refolo, Costanza Raimondi et autres

Introduction To design healthcare system strategies to inform policy decisions in prevention and early diagnosis of melanoma in children, adolescents, and young adults (CAYA) in Europe, a patient perspective is needed. The MELCAYA project addresses this issue, since this disease lacks preventive …