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White Paper of Italian Gastroenterology: Delivery of services for digestive diseases in Italy: Weaknesses and strengths

2014; Elsevier BV; Volume: 46; Issue: 7 Linguagem: Inglês

10.1016/j.dld.2014.02.019

1878-3562

Elisabetta Buscarini, Dario Conte, Renato Cannizzaro, Franco Bazzoli, Michele De Boni, Gianfranco Delle Fave, Fabio Farinati, P. Ravelli, Pier Alberto Testoni, Manola Lisiero, Paolo Spolaore, Giovanni C. Actis, Salvatore Adamo, Lucio Amitrano, M. Amuso, Ornella Ancarani, M. Angélico, Filippo Antonini, Danilo Badiali, A. Balzano, Maria Teresa Bardella, Luca Barresi, Stefano Bellentani, Massimo Bellini, A. Benedetti, Massimiliano Biagini, Sabrina Bianchi, Antonietta Bianco, Paolo Borro, Aurora Bortoli, Francesco Bortoluzzi, Mauro Borzio, Ivo Boskovski, P. Brosolo, E. Brunelli, Maurizia Rossana Brunetto, L. Buri, Patrizia Burra, Giancarlo Caletti, F. Chilovi, Michele Cicala, E. Ciliberto, Antonio Cilona, Livio Cipolletta, G.M. Claar, Rita Conigliaro, Mássimo Conio, Enrico Corazziari, Guido Costamagna, Mario Cottone, Antonio Craxı̀, Sergio Crotta, Salvatore Cucchiara, F Cupella, R. Cuppone, Gennaro D’Amico, N. D’Imperio, Claudio De Angelis, Giovanni de Pretis, Salvatore De Stefano, G. Del Favero, M. Del Piano, Michele Di Cillo, Alfredo Di Leo, Giovanni Di Matteo, A. Ederle, Luca Elli, S. Fagiuoli, L Familiari, Pietro Familiari, Gianmarco Fava, Telemaco Federici, G. Ferrini, Rosangela Filiberti, Pierluigi Fracasso, L. Framarin, Diego Fregonese, G. Frosini, Luca Frulloni, Pietro Fusaroli, Vincenzo Gallo, Gianni Gatto, C Gemme, Bastianello Germanà, Giacomo Germani, F. Guardascione, R. Gullotta, Cesare Hassan, Marcello Ingrosso, Anna Kohn, A. Lauri, Gioacchino Leandro, Piero Leo, I. Lorenzini, P. Loriga, Giampiero Macarri, Fabrizio Magnolfi, Raffaele Manta, Santino Marchi, Renato Marin, Mario Marini, A. W. Martin Marino, E. Meroni, Giuseppe Milazzo, Santo Monastra, Luigi Maria Montalbano, S. Morini, Nicola Muscatiello, Alessandro Natali, Matteo Neri, Andrea Nucci, Fábio Heleno de Lima Pace, Francesco Pallone, M.C. Parodi, Luigi Pasquale, Roberto Penagini, Sergio Peralta, E Peruzzi, Lucia Piazzi, C. Quondamcarlo, Franco Radaelli, Maria Rendina, F. Ridolfi, F. Rosina, Andrea Salmi, G. Sansoè, Emanuele Scafato, G. Scarpulla, Attilio Solinas, Marco Soncini, I. Sorrentini, Giancarlo Spinzi, Italo Stroppa, G.C. Sturniolo, Alessandro Sumberaz, Leonardo Tammaro, Ilaria Tarantino, Gianni Testino, Mario Traina, O. Triossi, Paolo Usai–Satta, L. Vilardo, Clara Virgilio, Alessandro Zambelli, M. Zilli, Angelo Zullo,

Helicobacter pylori-related gastroenterology studies

In 2011 the three major Italian gastroenterological scientific societies (AIGO, the Italian Society of Hospital Gastroenterologists and Endoscopists; SIED, the Italian Society of Endoscopy; SIGE, the Italian Society of Gastroenterology) prepared their official document aimed at analysing medical care for digestive diseases in Italy, on the basis of national and regional data (Health Ministry and Lombardia, Veneto, Emilia-Romagna databases) and to make proposals for planning of care. Digestive diseases were the first or second cause of hospitalizations in Italy in 1999-2009, with more than 1,500,000 admissions/year; however only 5-9% of these admissions was in specialized Gastroenterology units. Reported data show a better outcome in Gastroenterology Units than in non-specialized units: shorter average length of stay, in particular for admissions with ICD-9-CM codes proxying for emergency conditions (6.7 days versus 8.4 days); better case mix (higher average diagnosis-related groups weight in Gastroenterology Units: 1 vs 0.97 in Internal Medicine units and 0.76 in Surgery units); lower inappropriateness of admissions (16-25% versus 29-87%); lower in-hospital mortality in urgent admissions (2.2% versus 5.1%); for patients with urgent admissions due to gastrointestinnal haemorrhage, in-hospital mortality was 2.3% in Gastroenterology units versus 4.0% in others. The present document summarizes the scientific societies' official report, which constitutes the "White paper of Italian Gastroenterology".