Daniela Pacella studies the effectiveness and accuracy of health guidance provided by AI chatbots. She has developed a reporting guideline called the CHART statement, which standardizes how studies on chatbot health advice should be documented. By collaborating with over 500 experts, her work ensures that critical details about these studies are communicated clearly, benefiting patients, doctors, and researchers who depend on trustworthy health information from these AI tools.
Key findings
The CHART statement includes 12 main items and 39 sub-items to improve clarity in reporting chatbot health advice studies.
Over 500 experts contributed to the development of the CHART guideline, ensuring a comprehensive approach.
The standardized checklist aims to enhance trust in health advice given by AI chatbots, ultimately benefiting patient care.
Frequently asked questions
Does Dr. Pacella study AI chatbots for health advice?
Yes, Dr. Pacella specifically focuses on how health advice provided by AI chatbots is researched and reported.
What improvements has Dr. Pacella made in chatbot health advice?
She developed the CHART statement, which standardizes reporting guidelines for studies on chatbot health advice to ensure clearer and more reliable information.
Who benefits from Dr. Pacella's research?
Her research benefits patients, doctors, and researchers by providing clearer and more accurate information on AI-driven health advice.
Publications in plain English
Reverse septal curvature in hypertrophic cardiomyopathy: Implications for function, structure and arrhythmic risk.
2026
International journal of cardiology
Polizzi R, Canciello G, Ordine L, di Napoli S, Pacella D +6 more
Plain English This study looked at a specific heart condition called hypertrophic cardiomyopathy (HCM) and focused on a feature known as reverse septal curvature (RSC) in 107 patients. They found that 46% of the patients had RSC, which was linked to more serious health issues: these patients had a higher rate of certain genetic mutations (57% vs. 33%), more episodes of a dangerous heart rhythm (61% vs. 21%), thicker heart walls, and worse heart function. This is important because it shows that RSC is not just a normal variation; it indicates a more severe form of the disease that could lead to serious complications.
Who this helps: Patients with hypertrophic cardiomyopathy and their doctors.
Long-term prognostic value of cardiopulmonary exercise testing in patients with hypertrophic cardiomyopathy.
2026
ESC heart failure
Ordine L, Canciello G, Di Napoli S, Polizzi R, Pacella D +3 more
Plain English This study looked at how well cardiopulmonary exercise testing (CPET) can predict serious heart problems in patients with hypertrophic cardiomyopathy (HCM) over the long term. Researchers followed 154 patients for an average of 12 years and found that 38 patients experienced major heart issues, like sudden cardiac death or needing a heart transplant. Specifically, patients with a peak exercise capacity (PVO2%) below 60% were four times more likely to face these risks, even if they reported no symptoms at the start.
Who this helps: This research benefits doctors and patients by providing a reliable way to identify those at higher risk for complications in HCM.
Adenomyosis: A potential cause of surgical failure in treating dyspareunia in rectovaginal septum endometriosis.
2025
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
Mercorio A, Della Corte L, Dell'Aquila M, Pacella D, Bifulco G +1 more
Plain English This study looked at how adenomyosis might affect the success of surgery to relieve painful intercourse (dyspareunia) in women with a form of endometriosis called rectovaginal septum endometriosis. Researchers analyzed the medical records of 94 patients who had surgery, finding that pain levels decreased in both groups, but those without adenomyosis had much better improvement—pain scores dropped from 7.34 to 3.31 in that group, compared to a drop from 7.11 to 5.40 for those with adenomyosis. This matters because it highlights the need for doctors to check for adenomyosis before surgery to better predict outcomes and help patients get the most effective treatment.
Who this helps: Patients suffering from endometriosis and related painful conditions.
Current approach to loop ileostomy closure: a nationwide survey on behalf of the Italian Society of ColoRectal Surgery (SICCR).
2025
Updates in surgery
Peltrini R, Ferrara F, Parini D, Pacella D, Vitiello A +5 more
Plain English This study explored how doctors in Italy are currently closing loop ileostomies after rectal cancer surgery. Researchers surveyed 219 colorectal surgeons and found a variety of techniques being used; for instance, 54.8% of surgeons used stapled anastomoses, while 36% preferred side-to-side techniques. The study emphasizes that following the Enhanced Recovery After Surgery (ERAS) guidelines is important for better patient outcomes, especially noting that colorectal surgeons are more likely to adhere to these protocols compared to general surgeons.
Who this helps: This research benefits patients undergoing rectal cancer surgery and their healthcare providers.
The prevalence of constipation in children with new diagnosis of inflammatory bowel disease: A retrospective study.
2025
Journal of pediatric gastroenterology and nutrition
Cenni S, Colucci A, Salomone S, Pacella D, Casertano M +5 more
Plain English This study looked at how common constipation is in children who are newly diagnosed with inflammatory bowel disease (IBD). Researchers found that about 20% of the children had a history of constipation before being diagnosed with IBD, and those with constipation took longer to be diagnosed—5 months on average, compared to just 2 months for those without constipation. Understanding this connection is important because recognizing constipation early can help doctors diagnose IBD more quickly and provide better care.
Who this helps: This helps doctors and pediatric patients with inflammatory bowel disease.
Machine learning for the rElapse risk eValuation in acute biliary pancreatitis: The deep learning MINERVA study protocol.
2025
World journal of emergency surgery : WJES
Podda M, Pisanu A, Pellino G, De Simone A, Selvaggi L +32 more
Plain English This study focuses on improving the prediction of relapse in patients with mild acute biliary pancreatitis (MABP) using machine learning. Researchers aim to create a tool that can accurately assess the risk of patients experiencing another episode of pancreatitis within 30 days, 60 days, 90 days, and 1 year after the initial treatment. By developing this predictive model, they hope to enhance decision-making for doctors, making it easier to prevent future health issues and lower related healthcare costs.
Who this helps: This benefits patients recovering from mild acute biliary pancreatitis and their doctors.
Plain English In this study, researchers examined how low LDL cholesterol levels affect the risk of bleeding in patients taking aspirin over nearly 15 years. They found that among almost 40,000 participants, those with LDL cholesterol below 70 mg/dL experienced bleeding events at a rate of 9.9%, compared to 8.4% in those with higher levels. This is important because it shows that keeping LDL cholesterol above this threshold could help reduce bleeding risks for patients on aspirin therapy.
Who this helps: This benefits patients who take aspirin for heart protection, especially those with low LDL cholesterol levels.
Quantitative evaluation of neuroradiological and morphometric alteration of inferior Fronto-Occipital Fascicle across different brain tumor histotype: an Italian multicentric study.
2025
Acta neurochirurgica
Altieri R, Bianconi A, Caneva S, Cirillo G, Cofano F +24 more
Plain English This study looked at a specific brain structure called the inferior fronto-occipital fascicle (IFOF) in patients with different types of brain tumors, including Glioblastoma (GBM), Low Grade Glioma (LGG), brain metastasis, and meningiomas. They examined brain scans from 156 patients and found that the IFOF in the side of the brain affected by the tumor was often shorter and had a lower volume compared to the healthy side, with significant differences especially in GBM and LGG patients (p-values less than 0.001). Understanding these changes helps doctors plan safer and more effective surgeries tailored to each patient's tumor type.
Who this helps: This helps patients facing brain tumors and their doctors.
Systematic review on the use of artificial intelligence to identify anatomical structures during laparoscopic cholecystectomy: a tool towards the future.
2025
Langenbeck's archives of surgery
Corallino D, Balla A, Coletta D, Pacella D, Podda M +6 more
Plain English This research looked at how artificial intelligence (AI) can help surgeons find important anatomical structures during laparoscopic cholecystectomy, a surgery to remove the gallbladder. The findings showed that AI was highly accurate, detecting biliary structures with an average precision of 98%. The study highlights that using AI can make surgeries safer by guiding surgeons better and potentially reducing injuries to the bile duct, which is a serious complication.
Who this helps: This helps patients undergoing gallbladder surgery by making the procedure safer.
A systematic review of the predictive factors for the recurrence of acute pancreatitis.
2025
World journal of emergency surgery : WJES
Pacella D, De Simone A, Pisanu A, Pellino G, Selvaggi L +40 more
Plain English This study examined what factors may cause acute pancreatitis (AP) to come back in patients, especially those whose condition is linked to alcohol or gallstones. Out of over 11,000 patients reviewed, about 39% experienced a recurrence. The findings suggest that understanding different lifestyle choices and treatment options is crucial for preventing future episodes, indicating a need for better strategies and possibly using advanced technology in research.
Who this helps: This helps patients with acute pancreatitis and their doctors in managing their condition effectively.
The Role of Blood Inflammatory Biomarkers and Perineural and Lympho-Vascular Invasion to Detect Occult Neck Lymph Node Metastases in Early-Stage (T1-T2/N0) Oral Cavity Carcinomas.
2025
Cancers
Troise S, Di Blasi F, Esposito M, Togo G, Pacella D +9 more
Plain English This study focused on how certain blood markers and the presence of nerve and blood vessel invasion can help detect hidden neck lymph node spread in early-stage oral cavity cancers. Out of 81 patients, 23 had hidden neck cancer spread, and the study identified specific blood marker cut-off levels that could predict this spread: for instance, a Platelet-to-Lymphocyte Ratio (PLR) of 249.30 had a detection accuracy of 75%. This is important because it offers doctors new tools for better diagnosing and deciding on treatment for patients at risk of undiscovered lymph node cancer spread.
Who this helps: This helps patients with early-stage oral cancers and their doctors.
Statin-induced risk of diabetes does not reduce cardiovascular benefits in primary prevention: a 6-year propensity-score matched study in a large population.
2025
Cardiovascular diabetology
Lembo M, Trimarco V, Izzo R, Pacella D, Jankauskas SS +12 more
Plain English This study looked at the long-term effects of statin medications on heart health and the risk of developing type 2 diabetes in nearly 120,000 people who didn't have diabetes or heart disease at the start. It found that while people taking statins had a higher chance of developing type 2 diabetes—2.2% for statin users versus 0.3% for non-users—the overall heart-related health benefits of taking statins remained strong, with just 1.9% experiencing heart events compared to 0.7% in the non-statin group. This is important because it shows that even with an increased risk of diabetes, the protective effects of statins on heart health outweigh the downsides.
Who this helps: This helps patients at risk for heart disease by reassuring them about the heart health benefits of statins despite potential diabetes risk.
Triphasic Dose-Response of Hematological Parameters in Healthcare Workers Exposed to Ionizing Radiations.
2025
Dose-response : a publication of International Hormesis Society
Leso V, Fontana L, Pacella D, Barbato G, Della Puca V +2 more
Plain English This study looked at how long-term exposure to low levels of ionizing radiation affects the blood of healthcare workers. They found that workers exposed to radiation showed lower levels of red blood cells, hemoglobin, and hematocrit compared to their unexposed colleagues, with significant drops noted at the lowest radiation dose range (for example, red blood cell counts dropped from 4.90 to 4.72 million cells per liter). Understanding these effects is important for creating better safety measures to protect healthcare workers from potential health risks related to radiation exposure.
Who this helps: This helps healthcare workers and occupational health managers.
Daily low dose aspirin halves incident type 2 diabetes in elderly subjects with prediabetes: a five-year longitudinal cohort study in a real-word population.
2025
Cardiovascular diabetology
Lembo M, Trimarco V, Pacella D, Izzo R, Manzi MV +11 more
Plain English This study looked at older adults with prediabetes in Naples, Italy, to see how daily low-dose aspirin affected the development of type 2 diabetes over five years. The researchers found that those taking aspirin had about half the risk of developing diabetes compared to those who did not take aspirin—22 new cases per 1,000 people taking aspirin versus 40 per 1,000 in the control group. However, while aspirin helps lower diabetes risk, it also increases the chance of gastrointestinal bleeding, from 3.1% to 4.9%.
Who this helps: This research benefits elderly patients at risk for type 2 diabetes.
Testing for Faecal Gluten Immunogenic Peptides: Is It Useful to Evaluate Adherence to Gluten-Free Diet?
2025
Acta paediatrica (Oslo, Norway : 1992)
Cenni S, Casertano M, D'Addio E, Pacella D, Tolone C +4 more
Plain English This study looked at a new way to check if children with celiac disease are sticking to a gluten-free diet by measuring gluten compounds in their stool. Researchers found that those newly diagnosed had much higher levels of these compounds (average of 185.7 ng/mL) compared to those who had been following the diet (average of 16.6 ng/mL). This method of testing appears to be a more accurate and less invasive way to see if patients are accidentally eating gluten, which is important for their health.
Who this helps: This helps patients with celiac disease and their doctors.
Neuroradiological Evaluation of Anatomo-Morphometric Arcuate Fascicle Modifications According to Different Brain Tumor Histotypes: An Italian Multicentric Study.
2025
Brain sciences
Altieri R, Bianconi A, Caneva S, Cirillo G, Cofano F +24 more
Plain English This study looked at a brain structure called the arcuate fasciculus, which is important for language, in patients with different types of brain tumors. Researchers found that in patients with glioblastoma (a type of aggressive brain tumor), there were significant changes in the structure of the arcuate fasciculus, such as a shorter length and smaller volume compared to the healthy side of the brain. In contrast, patients with low-grade gliomas showed no significant changes, while those with brain metastases experienced some disruption, but meningoma patients showed no differences at all.
Who this helps: This research helps doctors understand how different brain tumors affect language-related brain areas, improving surgical planning for patients.
The COVID-19 pandemic increased the incidence of newly diagnosed cancers: evidence from a large cohort study in Southern Italy.
2025
BMC medicine
Trimarco V, Izzo R, Pacella D, Manzi MV, Varzideh F +12 more
Plain English This study looked at cancer diagnoses in Southern Italy before and during the COVID-19 pandemic, analyzing data from over 212,000 people from 2017 to 2022. It found that new cancer diagnoses increased from 14.3 to 23.1 cases per 1,000 people during the pandemic years, with brain and skin cancers seeing a dramatic increase of 300% in 2022 compared to 2017. This matters because it indicates that, contrary to earlier reports of declining diagnoses due to halted screenings, more people were actually being diagnosed with cancer during the pandemic, likely due to factors such as stress and healthcare disruptions.
Who this helps: This helps patients and healthcare providers understand the rising cancer trends and adjust care accordingly.
Aspirin reduces the risk of type 2 diabetes associated with COVID-19.
2025
npj metabolic health and disease
Trimarco V, Izzo R, Pacella D, Manzi MV, Jankauskas SS +11 more
Plain English This study looked at whether taking low-dose aspirin daily can lower the risk of developing type 2 diabetes linked to COVID-19. Researchers followed 200,000 adults from 2018 to 2022 and found that those who took aspirin had a 52% lower chance of getting diabetes compared to those who did not. This is important because it shows that aspirin may help reduce the risk of diabetes caused or worsened by COVID-19.
Who this helps: This benefits patients, especially those at risk of diabetes after COVID-19.
Left atrial size trajectories and outcome over a 35-year follow-up in patients with hypertrophic cardiomyopathy.
2025
Progress in cardiovascular diseases
Di Napoli S, Pacella D, Ordine L, Canciello G, Borrelli F +8 more
Plain English This study looked at changes in the size of the left atrium (a part of the heart) over time in patients with hypertrophic cardiomyopathy (HCM), a condition where the heart muscle thickens. Over 35 years, researchers followed 210 patients and found that those with significant left atrial enlargement had a much higher risk of heart-related issues: for example, those with severe enlargement were 9.3 times more likely to develop atrial fibrillation and 3.61 times more likely to experience sudden cardiac death compared to those with normal left atrial size. Understanding these size changes helps doctors better predict and manage potential serious heart problems in HCM patients.
Who this helps: Patients with hypertrophic cardiomyopathy.
Correction: Statin-induced risk of diabetes does not reduce cardiovascular benefits in primary prevention: a 6-year propensity-score matched study in a large population.
2025
Cardiovascular diabetology
Lembo M, Trimarco V, Izzo R, Pacella D, Jankauskas SS +12 more
Parallel Neurological and Cardiac Progression in Hereditary Transthyretin Amyloidosis: An Integrated Clinical and Imaging Study.
2025
Diagnostics (Basel, Switzerland)
Canciello G, Tozza S, Ordine L, Napolitano B, Palumbo G +6 more
Plain English This study looked at how neurological and heart problems occur together in patients with hereditary transthyretin amyloidosis (ATTRv), a rare genetic disease. Researchers assessed 58 patients and found that heart issues worsen as neurological symptoms progress; for instance, a specific measure of heart function (global longitudinal strain) decreased from -19% in asymptomatic patients to -13% in those needing walking support. This is important because it shows that even people without noticeable symptoms can have heart problems, indicating a need for regular monitoring of both neurological and cardiac health in all ATTRv patients.
Who this helps: This helps patients with hereditary transthyretin amyloidosis and their doctors.
The Chelsea Research Festival Model: Disseminating Research, Bridging Community and Academia, and Centering Youth.
2025
Progress in community health partnerships : research, education, and action
Neville SE, Pacella DP, Alcantra R, Chandra RM, Faris R +7 more
Plain English The study focused on the Chelsea Research Festival, an annual event where students and researchers present posters about their work in the community of Chelsea, Massachusetts, which has a large Latinx population. Researchers found that local youth participating in the festival found it to be a valuable experience, and the involvement of local organizations was crucial for the festival’s success. This event helps strengthen relationships between researchers and the community, making it easier for young people from marginalized backgrounds to engage in research and scientific inquiry.
Who this helps: This benefits local youth and communities seeking greater involvement in research.
Dual modulation of lipid and glucose metabolism by a nutraceutical combination in patients at cardiometabolic risk: results from a multicenter randomized controlled trial.
2025
Cardiovascular diabetology
Pacella D, Lembo M, Trimarco V, Izzo A, Manzi MV +13 more
Plain English This study focused on how a combination of nutritional supplements (nutraceuticals) affected cholesterol and blood sugar levels in patients who are at risk for heart-related issues. The research involved 359 patients, and after 3 months, those taking the supplement with Morus alba saw a greater drop in blood sugar levels compared to those taking the supplement without it. Specifically, the group using Morus alba had a 16% greater reduction in glucose levels, which suggests that this combination may be beneficial for managing both cholesterol and blood sugar.
Who this helps: This benefits patients at risk for cardiometabolic conditions, especially those managing cholesterol and diabetes.
A six-year longitudinal study identifies a statin-independent association between low LDL-cholesterol and risk of type 2 diabetes.
2025
Cardiovascular diabetology
Lembo M, Trimarco V, Pacella D, Izzo R, Jankauskas SS +11 more
Plain English This study looked at the relationship between low levels of LDL cholesterol and the risk of developing type 2 diabetes (T2D) in a large group of people over six years. Out of 13,674 participants, 1,819 (about 13%) developed T2D, and those with LDL cholesterol levels below 84 mg/dL had the highest risk. These findings suggest that lower LDL cholesterol may indicate a greater susceptibility to T2D, regardless of whether patients are taking statins.
Who this helps: This information benefits doctors and healthcare providers in managing patients' cholesterol and diabetes risk.
Cholecalciferol vs. calcifediol supplementation on visceral adiposity in people with obesity: a real-world retrospective study.
2025
Frontiers in nutrition
Chiurazzi M, Di Lorenzo M, Lonardo MS, Di Lauro M, Onda C +5 more
Plain English This study explored how two types of Vitamin D supplements, combined with a low-calorie Mediterranean diet, affect weight loss and fat around the abdomen in people with obesity. Researchers looked at 84 patients and found that those taking calcifediol (Group N) lost an average of 7.8 kg and had a significant increase in vitamin D levels by 20 ng/mL, which was better than those taking cholecalciferol. These results highlight that calcifediol is more effective for improving vitamin D levels and reducing belly fat in obese patients.
Who this helps: Patients struggling with obesity and vitamin D deficiency.
Arrhythmic risk in mitral valve prolapse with mitral annular disjunction: meta-analysis of longitudinal studies.
2025
Scientific reports
Chianese S, Ordine L, Pacella D, Canciello G, Di Napoli S +3 more
Plain English This study looked at mitral valve prolapse (MVP) combined with mitral annular disjunction (MAD) to understand the risks of heart rhythm problems, known as arrhythmias. It found that 36% of patients with MVP also had MAD, and those with MAD had a 2.6 times higher risk of arrhythmias compared to those without it. However, the ability to predict arrhythmias based on MAD is still limited due to varying methods of diagnosis and other influencing factors.
Who this helps: This helps patients with MVP and their doctors understand the risks associated with MAD.
Text-Guided Inpainting for Aesthetic Prediction in Orthofacial Surgery: A Patient-Centered AI Approach.
2025
Medicina (Kaunas, Lithuania)
Abbate V, Carraturo E, Benfenati D, Tramontano S, Vaira LA +9 more
Plain English This study looked at how artificial intelligence can help create better facial profiles for patients needing orthofacial surgery. Researchers used an AI tool called DALL-E2 to modify images based on text prompts, and found that 94% of surgeons, 85% of the general public, and 79% of patients thought the AI-created profiles looked better than the original images. This matters because it can lead to more personalized treatment options and better planning for surgeries, making the process more effective and satisfying for patients.
Who this helps: This helps patients requiring facial surgery by offering them improved aesthetic outcomes.
Real-World Snapshot of Dietary Patterns in Subjects Living with Chronic Kidney Disease.
2025
Nutrients
Di Lorenzo M, Lonardo MS, Di Lauro M, Chiurazzi M, de Giovanni di Santa Severina AF +6 more
Plain English This study looked at the eating habits of adults with chronic kidney disease (CKD) compared to healthy individuals. It found that people with CKD tended to eat fewer calories and less processed food, but they had higher carbohydrate intake and struggled with some nutritional imbalances, like their omega-6 and omega-3 fatty acids. This matters because understanding these dietary patterns can help create better nutrition plans for people with CKD, improving their health outcomes.
Who this helps: Patients with chronic kidney disease.
The impact of the work organization on individuals' psychological well-being.
2025
Frontiers in public health
Riccardi E, Leso V, Fontana L, Fusco F, Coppola M +2 more
Plain English This study looked at how different job setups—on-site, remote, and hybrid—affect the psychological well-being (PWB) of workers in the transport and education sectors. It found that transport workers rated their PWB higher (87 out of 100) compared to university workers (72 out of 100), with transport workers experiencing less anxiety and depression. It also highlighted that age and gender can influence well-being, suggesting that older transport workers and female university workers may face additional challenges.
Who this helps: This research benefits workers in both sectors, particularly older employees and women in the university setting.
Abdominal Aorta Remodeling in Hypertensive Patients: The Campania Salute Network.
2025
High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension
Mancusi C, Fucile I, Pacella D, Basile C, Manzi MV +13 more
Plain English This study examined how the abdominal aorta changes in size among patients with high blood pressure, since this could lead to serious conditions like an aneurysm. Researchers looked at 3,083 patients and found that a larger aorta, specifically over 25 mm in diameter, significantly increased the risk for major heart-related events (32 occurred during the study). They also discovered that older age, being male, and certain lifestyle factors like smoking were linked to larger aorta sizes, which can heighten cardiovascular risk.
Who this helps: This research benefits patients with high blood pressure by highlighting the importance of monitoring abdominal aorta size to manage heart health risks.
The LUNET Project: Developing the Italian Systemic Erythematous Lupus Network.
2025
Journal of clinical medicine
Mormile I, Brussino L, Canonica GW, Cortini F, Costantino MT +15 more
Plain English The LUNET Project is creating a national registry for patients with systemic lupus erythematosus (SLE), a complicated autoimmune disease that can affect various body parts. This registry will collect real-world data on patient experiences and treatment outcomes to improve understanding and management of SLE. It aims to provide long-term insights that can help tailor treatments to individual needs and inform healthcare strategies.
Who this helps: Patients with systemic lupus erythematosus and their healthcare providers.
Reporting guideline for Chatbot Health Advice studies: the CHART statement.
2025
BMC medicine
Huo B, Collins G, Chartash D, Thirunavukarasu A, Flanagin A +42 more
Plain English This study created a guideline called the CHART statement to improve the way research on health advice given by AI chatbots is reported. The researchers involved over 500 experts to develop a checklist with 12 key items and 39 detailed aspects to ensure that such studies are clear and thorough. This is important because better reporting makes it easier for doctors and researchers to evaluate how well these chatbots perform and trust their recommendations.
Who this helps: This helps patients, doctors, and researchers who rely on accurate information from AI-driven health chatbots.
Reporting Guideline for Chatbot Health Advice Studies: The CHART Statement.
2025
JAMA network open
, Huo B, Collins GS, Chartash D, Thirunavukarasu AJ +42 more
Plain English This research paper focused on improving the way studies about chatbot health advice (CHA) are reported. Researchers developed the CHART statement, a checklist with 12 main items and 39 additional points, to make it easier for everyone—from doctors to researchers—to understand and evaluate these studies. The goal is to create consistency in the reporting of findings, which can impact how these chatbot tools are used in healthcare.
Who this helps: This helps patients, doctors, and researchers by ensuring clearer information about health chatbots.
Reporting guideline for chatbot health advice studies: The CHART statement.
2025
Artificial intelligence in medicine
, Huo B, Collins G, Chartash D, Thirunavukarasu A +42 more
Plain English This study focused on creating a standardized checklist called CHART to help researchers clearly report on how AI chatbots provide health advice. Through extensive review and collaboration with over 500 experts, the CHART guideline was developed, which includes 12 main items and 39 sub-items to ensure that key details about chatbot health advice studies are transparent and thorough. This matters because it helps ensure that the information presented about these AI tools is accurate and reliable, improving the way health advice is shared with patients.
Who this helps: This benefits patients, doctors, and researchers who rely on clear information from chatbot studies.
Systematic review and meta-analysis of postoperative outcomes after combined stoma reversal and incisional hernia repair versus stoma reversal alone.
2024
Minerva surgery
Peltrini R, Pacella D, Rossi L, Esposito MD, Calabrese P +3 more
Plain English This study looked at the outcomes of patients who had their stomas closed while also undergoing repair for an abdominal hernia, compared to those who just had the stoma closed. It found that patients undergoing both procedures had a 72% higher risk of surgical site issues and nearly four times the risk of severe complications after surgery. This matters because it suggests that doing both surgeries at the same time may not be the safest option, and doctors might want to consider doing them separately.
Who this helps: This helps patients who are facing stoma closure and hernia repair, as well as their doctors in making safer treatment decisions.
Corrigendum: Endometrial microbiota profile infertilization (IVF) patients by culturomics-based analysis.
2024
Frontiers in endocrinology
Cariati F, Carotenuto C, Bagnulo F, Pacella D, Marrone V +6 more
Plain English This study looked at the bacteria found in the uterus of women undergoing in vitro fertilization (IVF) to see if these bacteria affect fertility. The researchers found that a specific balance of bacteria is linked to better IVF outcomes, with a 30% higher success rate in patients with a healthy microbiota profile. Understanding this connection can help improve treatments for infertility.
Who this helps: This benefits women trying to conceive through IVF.
Effects of Dietary Intervention on Nutritional Status in Elderly Individuals with Chronic Kidney Disease.
2024
Nutrients
Cacciapuoti N, Lonardo MS, Di Lauro M, Di Lorenzo M, Aurino L +2 more
Plain English This study looked at how a low-protein diet with adequate energy intake affects the nutritional status of elderly people (ages 65 and older) with chronic kidney disease (CKD). Researchers found that after 6 months on the diet, those who followed it properly showed improvements in their body composition and metabolic health without an increase in malnutrition risk. This is important because it shows that elderly CKD patients can maintain their nutritional health while following dietary guidelines.
Who this helps: This benefits elderly patients with chronic kidney disease and their caregivers.
Incidence of new-onset hypertension before, during, and after the COVID-19 pandemic: a 7-year longitudinal cohort study in a large population.
2024
BMC medicine
Trimarco V, Izzo R, Pacella D, Trama U, Manzi MV +10 more
Plain English This study looked at how many people developed high blood pressure (hypertension) before, during, and after the COVID-19 pandemic by analyzing medical records of over 200,000 adults over seven years. Researchers found that the rate of new cases of hypertension jumped from 2.11 cases per 100 people per year before the pandemic to 5.20 during the pandemic, and then further to 6.76 in 2023, meaning that roughly 20% of the people studied were diagnosed with hypertension by the end of this period. This increase is significant and indicates that more people developed high blood pressure than tested positive for COVID-19 itself, highlighting the need for better hypertension screening for everyone, not just those who had COVID-19.
Who this helps: This helps patients and healthcare providers by emphasizing the importance of monitoring blood pressure in the general population.
Quality of life and work functionality in severe asthma patients: the impact of biological therapies.
2024
Journal of occupational medicine and toxicology (London, England)
Leso V, Candia C, Pacella D, Molino A, Nocera C +2 more
Plain English This study looked at how biological therapies affect the quality of life and work functionality of patients with severe asthma. Researchers monitored 52 patients for six months and found significant improvements: lung function scores increased from about 72% to 87%, mental health scores went from 48.5 to 51.6, and absenteeism dropped dramatically from 19% to 3%. These findings are important because they show that biological treatments not only help patients breathe better but also enhance their overall well-being and productivity at work.
Who this helps: This study benefits patients with severe asthma, their employers, and healthcare providers.
Three-dimensional Versus Two-dimensional Laparoscopic Bariatric Surgery: A Systematic Review and Meta-analysis.
2024
Obesity surgery
Peltrini R, Esposito MD, Pacella D, Calabrese P, Vitiello A +1 more
Plain English Researchers compared two types of laparoscopic surgeries for weight loss: traditional two-dimensional (2D) and three-dimensional (3D) techniques. They analyzed data from six studies involving 629 patients and found that surgeries using 3D technology took less time and resulted in shorter hospital stays. Specifically, 3D surgery reduced the operation time and hospital stay for gastric bypass and sleeve gastrectomy procedures, helping doctors perform these operations more efficiently and safely.
Who this helps: This benefits patients undergoing weight loss surgery and their healthcare providers.
Evidence That Skeletal Muscles Modulate HDL-Cholesterol in Metabolic Healthy Young Adults.
2024
Nutrients
Lonardo MS, Guida B, Cacciapuoti N, Chiurazzi M, Pacella D +1 more
Plain English This study looked at how the amount of muscle mass in healthy young adults affects their cholesterol levels. Researchers found that as muscle mass decreased, the levels of HDL (the "good" cholesterol) also dropped, particularly in women with obesity. For example, women with obesity had lower HDL-cholesterol levels compared to those with healthy weight. This is important because it highlights how maintaining muscle mass might help improve cholesterol levels and overall health.
Who this helps: This information benefits health care providers and patients, especially those struggling with obesity.
Application of the 2016 ASE-EACVI Criteria for the Assessment of Diastolic Function in Arterial Hypertension.
2024
High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension
Canciello G, Izzo R, Bossone E, Piccolo R, Pacella D +11 more
Plain English This study looked at how to assess heart function in patients with high blood pressure using two different diagnostic methods. Researchers found that diastolic dysfunction (a type of heart issue) was present in 2% of healthy individuals, 8% of those with high blood pressure who had thickened heart walls, and 7% of those without thickened walls. This is important because it highlights that high blood pressure can cause heart function problems even if patients don't show signs of thickening in their heart muscle.
Who this helps: This helps doctors better identify heart issues in patients with high blood pressure.
Long-term follow-up study on obstructive hypertrophic cardiomyopathy patients treated with disopyramide: evidences of a notable trend in symptom control within a real-world clinical setting.
2024
Frontiers in cardiovascular medicine
Todde G, Dei LL, Polizzi R, Gabrielli D, Canciello G +10 more
Plain English Researchers studied patients with obstructive hypertrophic cardiomyopathy (HOCM) who were treated with a drug called disopyramide after their symptoms didn't improve with other medications. They found that 76% of the 62 patients reported better symptoms after an average follow-up of 4.4 years, and those who responded had larger heart volume at the start and lower pressure in the heart's outflow tract at follow-up compared to those who didn't respond. This is significant because it shows that disopyramide can effectively improve symptoms for many HOCM patients, helping to avoid more invasive treatments in the process.
Who this helps: Patients with obstructive hypertrophic cardiomyopathy.
The Impact of Inflammatory Bowel Diseases on Patients' Quality of Life and Work Functionality: An Observational Study.
2024
Journal of occupational and environmental medicine
Leso V, Testa A, Pacella D, Macrini MC, Villani GD +5 more
Plain English This study looked at how inflammatory bowel diseases (IBDs) affect people's jobs and overall quality of life. Researchers surveyed 216 patients and found that only 53% were employed, with an average of 10% missing work and 37% facing difficulties at work due to their condition. Many patients also reported significant impairments in daily activities and a lower quality of life score of 47 out of 100. These findings show that IBD can significantly hinder a person’s ability to work and live well.
Who this helps: This information benefits patients with IBD and their healthcare providers by highlighting the need for better support and treatment options.
Sex-Related Differences in Left Ventricular Geometry Patterns in Patients With Arterial Hypertension.
2024
JACC. Advances
Canciello G, Piccolo R, Izzo R, Bossone E, Pacella D +8 more
Plain English This study looked at how the shape and size of the heart's left ventricle (the chamber that pumps blood) differ between men and women with high blood pressure. Researchers found that at the start, women had a lower chance of having a normal heart shape and a higher chance of having heart changes linked to high blood pressure compared to men—47% of women had heart changes, compared to just 23% of men. After about 6 years, these differences remained, indicating that women consistently face a greater risk of heart changes due to hypertension, with 43% of women having normal heart shapes compared to 67% of men.
Who this helps: This helps doctors and patients, particularly women with high blood pressure, in managing their heart health.
Carotid plaque offsets sex-related differences in cardiovascular risk of young hypertensive patients.
2024
European journal of internal medicine
Mancusi C, Basile C, Gerdts E, Fucile I, Manzi MV +14 more
Plain English This study examined how the presence of carotid plaque (CP) affects the risk of cardiovascular (CV) disease among young men and women with high blood pressure. Researchers found that women without CP had about half the risk of CV disease compared to men, while women with CP had a similar risk to men, indicating that CP can negate the protective advantage women typically have against CV disease. This matters because it highlights the need for women with high blood pressure to be closely monitored for carotid plaque, which could significantly increase their risk for serious heart issues.
Who this helps: This helps young women with high blood pressure.
Prolonged Time-to-antihypertensive Therapy Worsens Organ Damage and Blood Pressure Control in Arterial Hypertension.
2024
High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension
Lembo M, Manzi MV, Pacella D, Piccolo R, Losi MA +10 more
Plain English This study looked at how delays in starting treatment for high blood pressure affect patients' organ health and blood pressure control. Researchers found that patients who waited more than 2 years to begin treatment were 51% more likely to experience serious organ damage, such as heart enlargement and chronic kidney disease, and had higher chances of having uncontrolled blood pressure. This matters because addressing high blood pressure early can prevent complications and improve overall health.
Who this helps: Patients with high blood pressure.
Increased prevalence of cardiovascular-kidney-metabolic syndrome during COVID-19: A propensity score-matched study.
2024
Diabetes research and clinical practice
Trimarco V, Izzo R, Pacella D, Virginia Manzi M, Trama U +11 more
Plain English This study looked at how the COVID-19 pandemic affected the presence of heart, kidney, and metabolic health issues, known as cardiovascular-kidney-metabolic (CKM) syndrome. It found that the number of people with type 2 diabetes nearly doubled from 3,554 before the pandemic to 7,430 during it, while prediabetes cases soared by 170%, and overall, almost half of the patients had one or more CKM conditions during the pandemic. This increase highlights the pandemic's significant impact on people's health, particularly among older adults.
Who this helps: This research benefits patients at risk for heart, kidney, or metabolic diseases, as well as healthcare providers working to manage these conditions.