Lisa Case Doro studies how to make knee replacement surgeries more effective by ensuring that the artificial knee components are correctly positioned. One challenge surgeons face is accurately identifying reference points on the thighbone, which can vary from person to person. In her research, she compares traditional methods of identifying these points with a new computer-guided technique that uses natural movements of the knee to find the best alignment. This advancement could lead to longer-lasting knee implants and better outcomes for patients needing knee replacements.
Key findings
The computer-guided method for positioning knee implants is more reliable than traditional methods, resulting in a more accurate placement for artificial knees.
The motion-based technique showed enhanced consistency for both relaxed and gently pulled apart leg positions.
Improved accuracy in knee implant positioning could significantly extend the lifespan of artificial knees, reducing the need for early replacements.
Frequently asked questions
Does Dr. Doro study knee replacements?
Yes, Dr. Doro focuses on improving knee replacement procedures to ensure better placement of artificial components.
What methods has Dr. Doro researched?
Dr. Doro has researched both traditional and computer-guided techniques for accurately positioning knee implants during surgery.
Is Dr. Doro's work relevant to patients with knee pain?
Yes, her research aims to enhance the longevity and effectiveness of knee replacements for patients suffering from knee pain or joint damage.
Publications in plain English
Analysis of the direct economic impact of smoking-related hospitalizations in Italy.
2024
Tobacco induced diseases
Possenti I, Scala M, Rognoni M, Lugo A, Cattaruzza MS +6 more
Plain English This study looked at how much smoking-related hospitalizations cost the Italian healthcare system. In 2018, smoking was linked to one-third of all hospitalizations for certain diseases, resulting in a total cost of €1.64 billion, with the highest expenses related to heart disease (€556 million), strokes (€290 million), and lung cancer (€229 million). Tackling smoking is crucial because it leads to significant healthcare costs and preventable deaths in Italy.
Who this helps: This helps patients by highlighting the need for better smoking cessation programs and healthcare resources.
COVID-19 pandemic impact on mental health in a large representative sample of older adults from the Lombardy region, Italy.
2023
Journal of affective disorders
Amerio A, Stival C, Lugo A, Fanucchi T, d'Oro LC +7 more
Plain English This study looked at how the COVID-19 pandemic affected the mental health of older adults in the Lombardy region of Italy. Researchers found that symptoms of depression jumped by 112%, anxiety by 136%, and issues with sleep also increased during the pandemic. These mental health problems were more common in women, those who became less physically active, and people with more chronic health issues.
Who this helps: This helps older adults and healthcare providers understand the pandemic's impact on mental health.
COVID-19 pandemic impact on people with diabetes: results from a large representative sample of Italian older adults.
2022
Primary care diabetes
Vigezzi GP, Bertuccio P, Bossi CB, Amerio A, d'Oro LC +8 more
Plain English This study looked at how the COVID-19 pandemic affected older adults in Italy, specifically those with diabetes, compared to healthier individuals. Researchers found that while people with diabetes were more likely to increase their physical activity and improve their diet—like eating more fruits and vegetables—they also faced challenges such as more hospital visits and interruptions in their usual care. These changes matter because they show that, despite the pandemic's difficulties, some individuals with diabetes adopted healthier behaviors, although they struggled to get regular medical care.
Who this helps: This helps patients with diabetes and their healthcare providers understand the need for better support during health crises.
A real world analysis of COVID-19 impact on hospitalizations in older adults with chronic conditions from an Italian region.
2022
Scientific reports
Bosetti C, Rognoni M, Ciampichini R, Paroni L, Scala M +9 more
Plain English This study looked at how COVID-19 affected hospital visits for older adults in Lombardy, Italy, who have chronic health conditions. Researchers compared hospitalizations in 2020 to the average from 2017 to 2019 and found that hospital visits dropped from about 84,624 to 78,345. This decline meant that hospitalization rates decreased from 225.8 per 1,000 older adults to 193.3 per 1,000, particularly for those with certain chronic conditions; however, more people with diabetes needed hospital care due to COVID-19 complications.
Who this helps: This research benefits older adults with chronic conditions and their healthcare providers.
Comorbidity burden conditions the prognostic performance of D-dimer in elderly patients with acute pulmonary embolism.
2019
The American journal of emergency medicine
Polo Friz H, Pezzetti V, Orenti A, Caleffi A, Corno V +10 more
Plain English Researchers looked at how other health issues (comorbidities) affect the ability of D-dimer tests to predict death in older patients with acute pulmonary embolism (a blockage in the lung's blood vessels). They studied 162 patients, averaging 79 years old, and found that a high D-dimer level indicated a higher risk of dying within 30 days (about 4% increased risk per D-dimer unit) and 90 days. D-dimer tests were particularly helpful for patients with one or fewer comorbidities, improving death predictions significantly for them but not for those with more health problems.
Who this helps: This helps elderly patients and doctors in assessing risks during treatment for pulmonary embolism.
The impact of psychomotor subtypes and duration of delirium on 6-month mortality in hip-fractured elderly patients.
2018
International journal of geriatric psychiatry
Bellelli G, Carnevali L, Corsi M, Morandi A, Zambon A +9 more
Plain English This study looked at different types of delirium in older patients who had hip fracture surgery and how these types affected their chance of surviving for six months afterward. Out of 571 patients, 10% had hypoactive delirium, 14.7% had hyperactive, and 13.8% had mixed symptoms. The research found that patients with hypoactive delirium had a 36.8% chance of dying within six months, while those with mixed delirium had a 29.1% chance, indicating that these types of delirium increase mortality risk, especially the longer it lasts.
Who this helps: This information is essential for doctors treating elderly patients after hip surgery, helping them identify which patients are at higher risk.
Emergency department performances during overcrowding: the experience of the health protection agency of Brianza.
2018
AIMS public health
Amodio E, d'Oro LC, Chiarazzo E, Picco C, Migliori M +4 more
Plain English This study looked at how crowded emergency departments (ED) affect patient care over a year, specifically focusing on the busy December/January period. Researchers found that during overcrowding, there were 32 more patients admitted each day, with a rise in critical cases and older patients, as well as longer waiting times. Importantly, the study revealed an increase in patient deaths and the number of people who left without being seen, highlighting that overcrowding can seriously harm patient outcomes and healthcare efficiency.
Who this helps: This benefits patients who rely on emergency care, especially the elderly and critically ill.
Oral bisphosphonates do not increase the risk of severe upper gastrointestinal complications: a nested case-control study.
2014
BMC gastroenterology
Ghirardi A, Scotti L, Vedova GD, D'Oro LC, Lapi F +10 more
Plain English The study looked at whether taking oral bisphosphonates (BPs), which are used to prevent bone fractures in people with osteoporosis, increases the risk of serious stomach and gut problems. Researchers analyzed data from nearly 69,000 patients and found that both current and past users of BPs had a low risk of these complications, with odds ratios of 0.86 and 1.07, meaning there was no significant increase in risk compared to non-users.
This matters because it reassures patients and doctors that using BPs for osteoporotic fracture prevention does not lead to more severe gastrointestinal issues.
Who this helps: Patients taking bisphosphonates and their doctors.
Validation of an adapted MRI pulse sequence for quantification of fatty infiltration in muscle.
2009
Magnetic resonance imaging
Doro LC, Ladd B, Hughes RE, Chenevert TL
Plain English This study focused on improving an MRI technique to measure fat in the supraspinatus muscle, which is important for shoulder movement. Researchers found that their MRI method matched well with a standard fat measurement technique, achieving a high accuracy level (R² = 0.98). This new MRI approach will help doctors better assess muscle quality before surgery, especially for issues like rotator cuff tears.
Who this helps: Patients facing shoulder surgery.
Insight into the neuroendocrine site and cellular mechanism by which cortisol suppresses pituitary responsiveness to gonadotropin-releasing hormone.
2008
Endocrinology
Breen KM, Davis TL, Doro LC, Nett TM, Oakley AE +4 more
Plain English This study looked at how cortisol, a stress hormone, affects the pituitary gland's response to a hormone called GnRH that is important for reproductive functions. Researchers found that when cortisol levels were increased, the pituitary gland's ability to produce another hormone, LH, dropped by 50% within 30 minutes. This is significant because it helps to explain how stress can disrupt reproductive health.
Who this helps: This helps patients dealing with stress-related fertility issues.
Plain English The study examined the long-term health effects of dioxin exposure on people living near Seveso, Italy, after a major chemical accident in 1976. Researchers followed 278,108 individuals and found that those in the most contaminated areas had higher rates of certain cancers and diseases, such as 2.23 times more deaths from lymphatic cancers and 1.59 times more deaths from blood cancers compared to those in less contaminated areas. These findings highlight the serious health risks associated with dioxin exposure, emphasizing the need for ongoing health monitoring for affected populations.
Who this helps: This information helps patients living in contaminated areas, health professionals, and policymakers.
A stochastic analysis of glenoid inclination angle and superior migration of the humeral head.
2008
Clinical biomechanics (Bristol, Avon)
Flieg NG, Gatti CJ, Doro LC, Langenderfer JE, Carpenter JE +1 more
Plain English This study looked at how the angle of the shoulder joint affects the movement of the upper arm bone (the humerus), particularly how it might slide upwards. Researchers found that a higher angle of the shoulder joint (glenoid inclination) makes it more likely for the humerus to move upwards; specifically, they noted this upward movement becomes more probable as the angle increases. This is important because it shows that the angle of the shoulder joint can be a risk factor for injuries related to the rotator cuff, which is crucial for arm movement.
Who this helps: This helps patients with shoulder pain or rotator cuff injuries.
Evaluation of three methods for determining EMG-muscle force parameter estimates for the shoulder muscles.
2008
Clinical biomechanics (Bristol, Avon)
Gatti CJ, Doro LC, Langenderfer JE, Mell AG, Maratt JD +2 more
Plain English This study looked at three different methods for estimating the force produced by shoulder muscles during movements. Researchers tested 13 people performing various shoulder and elbow actions while measuring muscle activity. They found that while each method can provide useful estimates of muscle force, the best choice depends on what is most important for a specific analysis—either accurate muscle force estimates or precise predictions of shoulder movement.
Who this helps: This helps doctors and researchers studying shoulder function and rehabilitation.
An integer programming model for distal humerus fracture fixation planning.
2008
Computer aided surgery : official journal of the International Society for Computer Aided Surgery
Maratt JD, Peaks YS, Doro LC, Karunakar MA, Hughes RE
Plain English This study explored a new computer model designed to help surgeons plan how to best fix a specific type of arm fracture (distal humerus fractures) before surgery. Researchers found that using this model with a variety of screw positions and lengths allowed for better placement of screws, ultimately improving the quality of the fixation. In practical testing, the model efficiently calculated nearly 1.2 million possible screw combinations in under a minute, providing a solid plan for surgery.
Who this helps: This benefits surgeons and their patients by improving surgical outcomes for those with distal humerus fractures.
The reproducibility of a kinematically-derived axis of the knee versus digitized anatomical landmarks using a knee navigation system.
2008
The open biomedical engineering journal
Doro LC, Hughes RE, Miller JD, Schultz KF, Hallstrom B +1 more
Plain English Surgeons need to position artificial knee components very precisely to make them last longer, and they typically use anatomical landmarks on the thighbone as reference points—but these landmarks are hard to locate consistently. Researchers compared two methods: the traditional approach of manually identifying these landmarks versus a newer computer-guided method that determines the correct alignment by moving the knee through its natural range of motion, and found that the motion-based method is more reliable and consistent when the leg is either relaxed or gently pulled apart during the test. This matters because a more reliable way to position knee implants could improve how long they function before needing replacement.
Sexually transmitted diseases and risk of HIV infection.
1996
Acta dermato-venereologica
Parazzini F, D'Oro LC, Naldi L, Bianchi C, Chatenoud L +6 more
Plain English This study looked at how sexually transmitted diseases (STDs) are linked to HIV infection by analyzing data from 1,711 patients at STD clinics in Northern Italy. They found that people with a history of STDs were 2.3 times more likely to test positive for HIV compared to those without such a history. Specifically, those with hepatitis B were 3.9 times more likely to have HIV, while other STDs like gonorrhea and syphilis also showed some increased risk.
Who this helps: This research helps doctors understand the connections between STDs and HIV, guiding better prevention and treatment for patients.
Barrier methods of contraception, spermicides, and sexually transmitted diseases: a review.
1994
Genitourinary medicine
d'Oro LC, Parazzini F, Naldi L, La Vecchia C
Plain English This study looked at whether barrier methods of contraception, like condoms, and spermicides can reduce the risk of getting sexually transmitted diseases (STDs). The research found that using condoms can significantly lower the chances of contracting gonorrhea and HIV, with risk reductions estimated between 40% to 70%. However, the effectiveness varies for other STDs and is less clear, especially regarding the human papillomavirus (HPV).
Who this helps: This benefits patients and healthcare providers by providing clearer information on how effective these methods are in preventing STDs.
Development of anthralin short-contact therapy in psoriasis: survey of published clinical trials.
1992
International journal of dermatology
Naldi L, Carrel CF, Parazzini F, D'Oro LC, Cainelli T
Plain English This study looked at 24 published clinical trials that tested the use of anthralin, a psoriasis treatment, for short periods of contact with the skin. Out of these, 37 trials were examined, but researchers found many flaws in how the studies were designed and conducted, which means they can’t be fully trusted to guide treatment decisions. This matters because it highlights the need for better-designed research to ensure effective psoriasis therapies are identified.
Who this helps: Patients with psoriasis seeking effective treatments.