White paper of Italian Gastroenterology: delivery of services for digestive diseases in Italy: weaknesses and strengths

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

Risultato della ricerca: Contributo in rivistaArticolo in rivista

30 Citazioni (Scopus)

Abstract

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".
Lingua originaleEnglish
pagine (da-a)579-589
Numero di pagine11
RivistaDIGESTIVE AND LIVER DISEASE
Volume46
DOI
Stato di pubblicazionePubblicato - 2014

Keywords

  • Cancer
  • Digestive diseases
  • Emergency
  • Gastroenterology
  • Gastrointestinal bleeding
  • Hospital discharge record
  • Hospital stay
  • Mortality

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