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 language | English |
|---|---|
| Pages (from-to) | 212-217 |
| Journal | Digestive and Liver Disease |
| Volume | 51 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 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
Unmet needs of Italian physicians managing patients with inflammatory bowel disease. / on behalf of the Italian Group for Inflammatory Bowel Disease (IG-IBD); Bezzio, Cristina; Imperatore, Nicola; Armuzzi, Alessandro; Rizzello, Fernando; Manes, Gianpiero; Bossa, Fabrizio; Calabrese, Emma; Caprioli, Flavio; Daperno, Marco; Mocciaro, Filippo; Orlando, Ambrogio; Papi, Claudio; Rispo, Antonio; Saibeni, Simone.
In: Digestive and Liver Disease, Vol. 51, No. 2, 2019, p. 212-217.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Unmet needs of Italian physicians managing patients with inflammatory bowel disease
AU - on behalf of the Italian Group for Inflammatory Bowel Disease (IG-IBD)
AU - Bezzio, Cristina
AU - Imperatore, Nicola
AU - Armuzzi, Alessandro
AU - Rizzello, Fernando
AU - Manes, Gianpiero
AU - Bossa, Fabrizio
AU - Calabrese, Emma
AU - Caprioli, Flavio
AU - Daperno, Marco
AU - Mocciaro, Filippo
AU - Orlando, Ambrogio
AU - Papi, Claudio
AU - Rispo, Antonio
AU - Saibeni, Simone
PY - 2019
Y1 - 2019
N2 - 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.
AB - 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.
KW - Clinical management
KW - Crohn's disease
KW - Medical education
KW - Professional updating
KW - Ulcerative colitis
UR - http://www.scopus.com/inward/record.url?scp=85053322104&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85053322104&partnerID=8YFLogxK
U2 - 10.1016/j.dld.2018.07.041
DO - 10.1016/j.dld.2018.07.041
M3 - Article
AN - SCOPUS:85053322104
VL - 51
SP - 212
EP - 217
JO - Digestive and Liver Disease
JF - Digestive and Liver Disease
SN - 1590-8658
IS - 2
ER -