Cancer Clinical Trial
Official title:
An Epidemiological Study of Risk Factors for Cardiovascular Disease and Tumors in an Adult Population of the Molise Region
Cardiovascular disease and malignancies account for more than 70% of all causes of mortality
and morbidity in Italy. There is a subtle balance between genetic determinants and lifestyle,
that often defines the line between health and sickness. So far studies aiming at identifying
risk factors have mainly come from Northern Europe and the USA. It was to understand this
balance between genetics and environmental determinants better, and to tailor appropriate
preventive strategies for Italian and other Southern European populations, that the Moli-sani
study was launched, transforming a small Italian region into a large scientific laboratory:
the "Molise lab".
Each participant received a thorough medical check-up at no cost to either him/her or the
national health service, resulting in thousands of hours of free public health care. With a
completely computerized system, Moli-sani is a "paperless" study, in which researchers and
participants communicate using recently developed technologies such as mobile phone text
messages (SMS). The biological data bank (the "MoliBank") is one of the largest in Europe.
Paying particular attention towards innovation and new technologies, the Moli-sani study has
placed itself at the cutting edge of a new paradigm crossing research and prevention
The cohort of the Moli-sani study has recruited 24,325 persons, aged >35 years, resident in the Molise region.The latter covers an area of 4,438 Km2, including 136 towns. Participants are recruited from city-hall registries by a multistage sampling. Firstly townships were sampled in three major areas of Molise region, starting from the main cities (Campobasso, Termoli, Isernia) by cluster sampling, then, within each township, participants are selected by simple random sampling, using electronically generated numbers.Exclusion criteria are pregnancy at the time of recruitment, disturbances in understanding or willingness, current poly-traumas or coma, refusal to sign the Informed Consent form. All subjects identified are sent a letter inviting them to participate in the project, followed a few days later by a phone call. The recruitment started in the area of Campobasso, then it moved to the areas of Termoli. ;
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