Assobiotec-Federchimica project

Inflammatory bowel disease: 400 mln costs for the SSN, one in three patients young

Mice set to grow by a further 30-40% in the next decade: a model will anticipate the economic effects of diagnostics and new therapies

Healthcare business graph and Medical examination and businessman analyzing data and growth chart on blured background

3' min read

Translated by AI
Versione italiana

3' min read

Translated by AI
Versione italiana

The prevention, diagnosis and treatment of various diseases are increasingly moving in the direction of 'Target Medicine', a model that goes beyond standardised interventions on the population to move towards personalised diagnoses and therapies, built on the biological and clinical characteristics of each patient.

This paradigm shift particularly concerns complex diseases such as Chronic Inflammatory Intestinal Diseases (IBD), which still pose numerous clinical questions. In recent years, these diseases have shown significant growth in terms of both new diagnoses and prevalence: in the last ten years, the number of patients has increased dramatically, and estimates indicate that in the next decade the prevalence could rise by a further 30-40%.

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The impact of MICI is not only health

"In Italia," explains Giorgio Ghignoni, co-coordinator of the Prevention Working Group of Assobiotec - Federchimica, "the direct cost to the health system exceeds 400 million euros per year, to which must be added the indirect costs linked to loss of productivity and care. Young people are often affected, with significant consequences on working and social life: up to 30% of patients develop anxiety disorders or depression and many caregivers are forced to reduce or stop working. A study by the Ceis EEHTA Centre also estimated a cost of about EUR 21 million per year to the social security system. At the individual level, treatment costs can reach up to 20,000 euros per year per patient, to which are added those related to hospitalisation, considering that 20 to 40 per cent of sufferers are hospitalised at least once a year'.

Alongside the economic dimension, a structural theme of the Italia healthcare system emerges: territorial inequalities. "In some areas of the country," Ghignoni continues, "access to specialised centres and innovative therapies is more complex, with the risk of widening the gap in the quality of care.

It is therefore clear that MICI is not only a clinical issue, but also a challenge for the sustainability of the National Health Service. Facing it requires clear health policy choices and a systemic vision.

Standardising diagnostic and care pathways

'The first priority,' Ghignoni emphasises, 'concerns the standardisation of diagnostic and care pathways, through the uniform adoption of national and international guidelines and the use of validated diagnostic protocols, so as to reduce variability in clinical decisions and ensure greater equity in access to treatment. At the same time, it is necessary to invest in advanced diagnostic technologies that can help to make the identification of the disease more timely and accurate, while enabling a more appropriate use of healthcare resources'. A further key element 'is represented by multidisciplinary care, integrating gastroenterological, nutritional and psychological skills'. In this context, the active involvement of patients through health education programmes and psychological support, tools that are increasingly recognised as essential to improve therapeutic adherence and clinical outcomes, is also of particular importance. Finally, specific attention must be paid to clinical nutrition. 'Ensuring access to medically prescribed oral nutritional supplements, through their inclusion in the Essential Levels of Care,' Ghignoni explains, 'would allow for more effective management of malnutrition associated with the disease, improving the clinical course and quality of life of patients, while also contributing to reducing costs for the healthcare system.

The project launched by Assobiotec

In order to promote the definition of strategies and integrated care, nutrition and treatment pathways that are increasingly personalised, effective and sustainable, capable of enhancing innovation and responding to the real needs of patients and the Country System, Assobiotec has launched a long-term multistakeholder initiative inaugurated with the institutional launch of the project at the Chamber of Deputies with the event 'Chronic Inflammatory Intestinal Diseases: the value of biotechnological research and collaboration between institutions, scientific societies and patient associations'. This meeting will be followed by other moments of structured discussion between national and local institutions, clinicians, patient associations and the biotechnology industry, with the aim of aligning care needs and scientific innovation. The project also envisages the creation, by ALTEMS and CEIS, of an econometric predictive/forecasting model capable of anticipating the economic effects of the availability of new diagnostic and therapeutic solutions, which will be presented at the end of the course.

'Focusing on early diagnosis, therapeutic innovation and integrated care models,' Ghignoni concludes, 'means offering better treatment paths to patients and making the healthcare system more efficient. Turning scientific progress into concrete organisational and political choices is no longer an option: it is the condition to really improve the lives of those living with MICI'.

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