Papa Alfredo, Papa Valerio
Departments of *Gastroenterology †Digestive Surgery, Fondazione Policlinico A. Gemelli, Catholic University of Rome, Rome, Italy.
J Clin Gastroenterol. 2016 Oct;50 Suppl 1:S2-3. doi: 10.1097/MCG.0000000000000598.
Diverticular disease (DD) of the colon represents a common clinical condition affecting from one-fourth to one-third of the population in developed countries. Several epidemiological studies have clearly shown that in the last decades the rates of clinic visits and hospital admissions for DD and its complications are progressively increased. In addition, complications of DD are associated to a high mortality rate that continues unabated despite advances in surgery and intensive care. As consequence, the burden on health care resources has significantly increased over time, leading DD among the main causes of health spending for gastrointestinal diseases. In this review the most important data regarding health care resources utilization and costs for DD are analyzed and some proposals for reducing the burden on health care systems are hypothesized.
结肠憩室病(DD)是一种常见的临床病症,在发达国家影响着四分之一至三分之一的人口。多项流行病学研究清楚地表明,在过去几十年中,因DD及其并发症而进行门诊和住院治疗的比率在逐步上升。此外,DD的并发症与高死亡率相关,尽管手术和重症监护技术有所进步,但死亡率仍居高不下。因此,随着时间的推移,医疗资源负担显著增加,使DD成为胃肠道疾病医疗支出的主要原因之一。在本综述中,分析了有关DD医疗资源利用和成本的最重要数据,并提出了一些减轻医疗系统负担的建议。