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

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 Badiali; Antonio 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; Ivo Boskovski; 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; Guido Costamagna; 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; Pietro 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; Marcello Ingrosso; 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

doi:10.1016/j.dld.2014.02.019

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

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 Badiali, Antonio BalzanoMaria Teresa Bardella, Luca Barresi, Stefano Bellentani, Massimo Bellini, Antonio Benedetti, Massimiliano Biagini, Sabrina Bianchi, Antonietta Bianco, Paolo Borro, Aurora Bortoli, Francesco Bortoluzzi, Mauro Borzio, Ivo Boskovski, 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, Guido Costamagna, 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, Pietro 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, Marcello Ingrosso, 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

Research output: Contribution to journal › Article › peer-review

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".

Original language	English
Pages (from-to)	579-589
Number of pages	11
Journal	Digestive and Liver Disease
Volume	46
Issue number	7
DOIs	https://doi.org/10.1016/j.dld.2014.02.019
Publication status	Published - 2014

Keywords

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

ASJC Scopus subject areas

Gastroenterology
Hepatology
Medicine(all)

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10.1016/j.dld.2014.02.019

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Buscarini, E., Conte, D., Cannizzaro, R., Bazzoli, F., De Boni, M., Delle Fave, G., Farinati, F., Ravelli, P., Testoni, P. A., Lisiero, M., Spolaore, P., Actis, G., Adamo, S., Amitrano, L., Amuso, M., Ancarani, O., Angelico, M., Antonini, F., Badiali, D., ... Zullo, A. (2014). White Paper of Italian Gastroenterology: Delivery of services for digestive diseases in Italy: Weaknesses and strengths. Digestive and Liver Disease, 46(7), 579-589. https://doi.org/10.1016/j.dld.2014.02.019

Buscarini, E, Conte, D, Cannizzaro, R, Bazzoli, F, De Boni, M, Delle Fave, G, Farinati, F, Ravelli, P, Testoni, PA, Lisiero, M, Spolaore, P, Actis, G, Adamo, S, Amitrano, L, Amuso, M, Ancarani, O, Angelico, M, Antonini, F, Badiali, D, Balzano, A, Bardella, MT, Barresi, L, Bellentani, S, Bellini, M, Benedetti, A, Biagini, M, Bianchi, S, Bianco, A, Borro, P, Bortoli, A, Bortoluzzi, F, Borzio, M, Boskovski, I, Brosolo, P, Brunelli, E, Brunetto, M, Buri, L, Burra, P, Caletti, G, Chilovi, F, Cicala, M, Ciliberto, E, Cilona, A, Cipolletta, L, Claar, GM, Conigliaro, R, Conio, M, Corazziari, E, Costamagna, G, Cottone, M, Craxì, A, Crotta, S, Cucchiara, S, Cupella, F, Cuppone, R, D'Amico, G, D'Imperio, N, De Angelis, C, De Pretis, G, De Stefano, S, Del Favero, G, Del Piano, M, Di Cillo, M, Di Leo, A, Di Matteo, G, Ederle, A, Elli, L, Fagiuoli, S, Familiari, L, Familiari, P, Fava, G, Federici, T, Ferrini, G, Filiberti, R, Fracasso, P, Framarin, L, Fregonese, D, Frosini, G, Frulloni, L, Fusaroli, P, Gallo, V, Gatto, G, Gemme, C, Germanà, B, Germani, G, Guardascione, F, Gullotta, R, Hassan, C, Ingrosso, M, Kohn, A, Lauri, A, Leandro, G, Leo, P, Lorenzini, I, Loriga, P, Macarri, G, Magnolfi, F, Manta, R, Marchi, S, Marin, R, Marini, M, Marino, A, Meroni, E, Milazzo, G, Monastra, S, Montalbano, L, Morini, S, Muscatiello, N, Natali, A, Neri, M, Nucci, A, Pace, F, Pallone, F, Parodi, MC, Pasquale, L, Penagini, R, Peralta, S, Peruzzi, E, Piazzi, L, Quondamcarlo, C, Radaelli, F, Rendina, M, Ridolfi, F, Rosina, F, Salmi, A, Sansoè, G, Scafato, E, Scarpulla, G, Solinas, A, Soncini, M, Sorrentini, I, Spinzi, G, Stroppa, I, Sturniolo, G, Sumberaz, A, Tammaro, L, Tarantino, I, Testino, G, Traina, M, Triossi, O, Usai-Satta, P, Vilardo, L, Virgilio, C, Zambelli, A, Zilli, M & Zullo, A 2014, 'White Paper of Italian Gastroenterology: Delivery of services for digestive diseases in Italy: Weaknesses and strengths', Digestive and Liver Disease, vol. 46, no. 7, pp. 579-589. https://doi.org/10.1016/j.dld.2014.02.019

@article{7c4d2a9678aa45ac9c18f1af16c85c6e,

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

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{"}.",

keywords = "Cancer, Digestive diseases, Emergency, Gastroenterology, Gastrointestinal bleeding, Hospital discharge record, Hospital stay, Mortality",

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

year = "2014",

doi = "10.1016/j.dld.2014.02.019",

language = "English",

volume = "46",

pages = "579--589",

journal = "Digestive and Liver Disease",

issn = "1590-8658",

publisher = "Elsevier B.V.",

number = "7",

}

TY - JOUR

T1 - White Paper of Italian Gastroenterology

T2 - Delivery of services for digestive diseases in Italy: Weaknesses and strengths

AU - Buscarini, Elisabetta

AU - Conte, Dario

AU - Cannizzaro, Renato

AU - Bazzoli, Franco

AU - De Boni, Michele

AU - Delle Fave, Gianfranco

AU - Farinati, Fabio

AU - Ravelli, Paolo

AU - Testoni, Pier Alberto

AU - Lisiero, Manola

AU - Spolaore, Paolo

AU - Actis, Giovanni

AU - Adamo, Salvatore

AU - Amitrano, Lucio

AU - Amuso, Mariano

AU - Ancarani, Ornella

AU - Angelico, Mario

AU - Antonini, Filippo

AU - Badiali, Danilo

AU - Balzano, Antonio

AU - Bardella, Maria Teresa

AU - Barresi, Luca

AU - Bellentani, Stefano

AU - Bellini, Massimo

AU - Benedetti, Antonio

AU - Biagini, Massimiliano

AU - Bianchi, Sabrina

AU - Bianco, Antonietta

AU - Borro, Paolo

AU - Bortoli, Aurora

AU - Bortoluzzi, Francesco

AU - Borzio, Mauro

AU - Boskovski, Ivo

AU - Brosolo, Piero

AU - Brunelli, Eugenio

AU - Brunetto, Maurizia

AU - Buri, Luigi

AU - Burra, Patrizia

AU - Caletti, Giancarlo

AU - Chilovi, Fausto

AU - Cicala, Michele

AU - Ciliberto, Enrico

AU - Cilona, Antonio

AU - Cipolletta, Livio

AU - Claar, Giovanni M.

AU - Conigliaro, Rita

AU - Conio, Massimo

AU - Corazziari, Enrico

AU - Costamagna, Guido

AU - Cottone, Mario

AU - Craxì, Antonio

AU - Crotta, Sergio

AU - Cucchiara, Salvatore

AU - Cupella, Francesco

AU - Cuppone, Renato

AU - D'Amico, Gennaro

AU - D'Imperio, Nicola

AU - De Angelis, Claudio

AU - De Pretis, Giovanni

AU - De Stefano, Salvatore

AU - Del Favero, Giuseppe

AU - Del Piano, Mario

AU - Di Cillo, Michele

AU - Di Leo, Alfredo

AU - Di Matteo, Giovanni

AU - Ederle, Andrea

AU - Elli, Luca

AU - Fagiuoli, Stefano

AU - Familiari, Luigi

AU - Familiari, Pietro

AU - Fava, Gianmarco

AU - Federici, Telemaco

AU - Ferrini, Giovanni

AU - Filiberti, Rosa

AU - Fracasso, Pierluigi

AU - Framarin, Luciana

AU - Fregonese, Diego

AU - Frosini, Giorgio

AU - Frulloni, Luca

AU - Fusaroli, Pietro

AU - Gallo, Vincenzo

AU - Gatto, Gianni

AU - Gemme, Carlo

AU - Germanà, Bastianello

AU - Germani, Giacomo

AU - Guardascione, Francesco

AU - Gullotta, Renzo

AU - Hassan, Cesare

AU - Ingrosso, Marcello

AU - Kohn, Anna

AU - Lauri, Adriano

AU - Leandro, Gioacchino

AU - Leo, Piero

AU - Lorenzini, Ivano

AU - Loriga, Piero

AU - Macarri, Giampiero

AU - Magnolfi, Fabrizio

AU - Manta, Raffaele

AU - Marchi, Santino

AU - Marin, Renato

AU - Marini, Mario

AU - Marino, Antonino

AU - Meroni, Emanuele

AU - Milazzo, Giuseppe

AU - Monastra, Santo

AU - Montalbano, Luigi

AU - Morini, Sergio

AU - Muscatiello, Nicola

AU - Natali, Alessandro

AU - Neri, Matteo

AU - Nucci, Andrea

AU - Pace, Fabio

AU - Pallone, Francesco

AU - Parodi, Maria Caterina

AU - Pasquale, Luigi

AU - Penagini, Roberto

AU - Peralta, Sergio

AU - Peruzzi, Egiziano

AU - Piazzi, Lucia

AU - Quondamcarlo, Cinzia

AU - Radaelli, Franco

AU - Rendina, Maria

AU - Ridolfi, Francesco

AU - Rosina, Floriano

AU - Salmi, Andrea

AU - Sansoè, Giovanni

AU - Scafato, Emanuele

AU - Scarpulla, Giuseppe

AU - Solinas, Attilio

AU - Soncini, Marco

AU - Sorrentini, Italo

AU - Spinzi, Giancarlo

AU - Stroppa, Italo

AU - Sturniolo, Giancarlo

AU - Sumberaz, Alessandro

AU - Tammaro, Leonardo

AU - Tarantino, Ilaria

AU - Testino, Gianni

AU - Traina, Mario

AU - Triossi, Omero

AU - Usai-Satta, Paolo

AU - Vilardo, Luigi

AU - Virgilio, Clara

AU - Zambelli, Alessandro

AU - Zilli, Maurizio

AU - Zullo, Angelo

PY - 2014

Y1 - 2014

N2 - 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".

AB - 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".

KW - Cancer

KW - Digestive diseases

KW - Emergency

KW - Gastroenterology

KW - Gastrointestinal bleeding

KW - Hospital discharge record

KW - Hospital stay

KW - Mortality

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EP - 589

JO - Digestive and Liver Disease

JF - Digestive and Liver Disease

IS - 7

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

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