Unmet needs of Italian physicians managing patients with inflammatory bowel disease

Italian Group for Inflammatory Bowel Disease (IG-IBD)

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
JournalDigestive and Liver Disease
DOIs
Publication statusE-pub ahead of print - Aug 9 2018

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Inflammatory Bowel Diseases
Physicians
Budgets
Italy
Anti-Idiotypic Antibodies
Ultrasonography
Anesthesia
Medicine
Guidelines
Equipment and Supplies
Pharmaceutical Preparations
Surveys and Questionnaires

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Unmet needs of Italian physicians managing patients with inflammatory bowel disease. / Italian Group for Inflammatory Bowel Disease (IG-IBD).

In: Digestive and Liver Disease, 09.08.2018.

Research output: Contribution to journalArticle

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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.",
author = "{Italian Group for Inflammatory Bowel Disease (IG-IBD)} and Cristina Bezzio and Nicola Imperatore and Alessandro Armuzzi and Fernando Rizzello and Gianpiero Manes and Fabrizio Bossa and Emma Calabrese and Flavio Caprioli and Marco Daperno and Filippo Mocciaro and Ambrogio Orlando and Claudio Papi and Antonio Rispo and Simone Saibeni",
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year = "2018",
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T1 - Unmet needs of Italian physicians managing patients with inflammatory bowel disease

AU - 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

N1 - Copyright © 2018 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.

PY - 2018/8/9

Y1 - 2018/8/9

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.

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DO - 10.1016/j.dld.2018.07.041

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C2 - 30228075

JO - Digestive and Liver Disease

JF - Digestive and Liver Disease

SN - 1590-8658

ER -