Unmet needs of Italian physicians managing patients with inflammatory bowel disease

on behalf of the Italian Group for Inflammatory Bowel Disease (IG-IBD), Cristina Bezzio, Nicola Imperatore, Alessandro Armuzzi, Fernando Rizzello, Gianpiero Manes, Fabrizio Bossa, Emma Calabrese, Flavio Caprioli, Marco Daperno, Filippo Mocciaro, Ambrogio Orlando, Claudio Papi, Antonio Rispo, Simone Saibeni

Research output: Contribution to journalArticle

Abstract

Background: Little is known about the unmet needs of physicians caring for patients with inflammatory bowel disease (IBD). Aims: This study explored the practical difficulties and needs for professional updating of Italian IBD physicians. Methods: A questionnaire was distributed to 600 physicians attending IG-IBD meetings. Results: 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). Conclusion: Several factors potentially limit the best management of IBD patients in Italy. Satisfying these unmet needs could improve care for IBD patients.

Original languageEnglish
Pages (from-to)212-217
JournalDigestive and Liver Disease
Volume51
Issue number2
DOIs
Publication statusPublished - 2019

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Keywords

  • Clinical management
  • Crohn's disease
  • Medical education
  • Professional updating
  • Ulcerative colitis

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

Cite this

on behalf of the Italian Group for Inflammatory Bowel Disease (IG-IBD), Bezzio, C., Imperatore, N., Armuzzi, A., Rizzello, F., Manes, G., Bossa, F., Calabrese, E., Caprioli, F., Daperno, M., Mocciaro, F., Orlando, A., Papi, C., Rispo, A., & Saibeni, S. (2019). Unmet needs of Italian physicians managing patients with inflammatory bowel disease. Digestive and Liver Disease, 51(2), 212-217. https://doi.org/10.1016/j.dld.2018.07.041