Gastroenterology Unit, ASST Rhodense, Rho Hospital, Rho, Italy.
Gastroenterology, Department of Clinical Medicine and Surgery, School of Medicine Federico II, Naples, Italy.
Dig Liver Dis. 2019 Feb;51(2):212-217. doi: 10.1016/j.dld.2018.07.041. Epub 2018 Aug 9.
Little is known about the unmet needs of physicians caring for patients with inflammatory bowel disease (IBD).
This study explored the practical difficulties and needs for professional updating of Italian IBD physicians.
A questionnaire was distributed to 600 physicians attending IG-IBD meetings.
280 physicians completed the questionnaire (46.7%). On a 5-point Likert scale (from 1, strongly disagree to 5, strongly agree), they identified the most problematic issues in managing IBD patients as increasing bureaucracy (3.9), lack of extra-gastroenterological IBD expertise (3.4), lack of diagnostic techniques (3.1) and budget limitations (2.9). The most lacking techniques, ranked from 1 (greatest need) to 9 (lowest need), were: anti-drug antibody and trough level assays (2.7), device-assisted enteroscopy (3.1), exploration under anaesthesia (3.2), MR enterography (3.2), and bowel ultrasonography (3.3). About professional updating, respondents indicated (on a 5-point Likert scale) that helpful topics were practical medicine (4.3), managing difficult patients (4.1), and guidelines (4.0). The most desired modality for updating was residential courses on clinical practice (4.3).
Several factors potentially limit the best management of IBD patients in Italy. Satisfying these unmet needs could improve care for IBD patients.
对于照顾炎症性肠病（IBD）患者的医生的未满足需求知之甚少。
本研究探讨了意大利 IBD 医生在实践中遇到的困难和对专业更新的需求。
向参加 IG-IBD 会议的 600 名医生分发问卷。
280 名医生完成了问卷（46.7%）。他们在 5 分制的（从 1，非常不同意到 5，非常同意）量表上对管理 IBD 患者最具问题的问题进行了标识，分别为官僚主义增加（3.9）、缺乏肠胃病以外的 IBD 专业知识（3.4）、缺乏诊断技术（3.1）和预算限制（2.9）。最缺乏的技术，从 1（最大需求）到 9（最低需求）排名如下：药物抗体和谷值检测（2.7）、器械辅助肠内检查（3.1）、麻醉下探查（3.2）、磁共振肠造影术（3.2）和肠道超声检查（3.3）。关于专业更新，受访者在 5 分制量表上表示，实用医学（4.3）、处理困难患者（4.1）和指南（4.0）是有帮助的主题。更新最理想的模式是临床实践住宿课程（4.3）。
有几个因素可能限制了意大利 IBD 患者的最佳治疗。满足这些未满足的需求可以改善 IBD 患者的护理。
