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
Key points
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%.
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.

