LAPAROSCOPIA. IN ITALIA SOLO IL 38,5% DEGLI INTERVENTI FATTI CON LA TECNICA MININVASIVA. I DATI DEL 1° OSSERVATORIO PARISANITÀ

By 26 maggio 2017 Healtcare

Laparoscopia, se fosse adottata in modo equo e appropriato, pur limitandola solo ai due interventi più frequenti, sarebbero quasi 105mila le giornate di degenza che il Servizio sanitario nazionale potrebbe risparmiare ogni anno. Purtroppo però la tecnica mininvasiva che 30 anni fa venne definita un’innovazione dirompente, ancora oggi stenta a diffondersi nel nostro Paese, contando solo il 38,5% degli interventi contro il 61,5% di quelli eseguiti con la tradizionale laparotomia. Maglia nera a Marche, Sicilia, Campania e Calabria, dove il livello di diffusione della laparoscopia risulta insufficiente rispetto alle performance ottimali di Veneto, Lombardia, Valle d’Aosta e Province autonome di Trento e Bolzano. È quanto rileva il primo Rapporto elaborato dall’Osservatorio PariSanità, presentato oggi a Roma e sviluppato da Crea Sanità – Università degli Studi di Roma “Tor Vergata” e Centro studi Assobiomedica.

Nonostante le evidenze scientifiche promuovano, infatti, l’uso di questa tecnica chirurgica a fronte dei diversi benefici riscontrati sia per il paziente sia per l’organizzazione ospedaliera, la diffusione della laparoscopia a macchia di leopardo dipende non tanto da scelte basate su considerazioni medico-scientifiche, quanto da un problema di mancanza di equità di accesso, è il secondo allarme lanciato nel rapporto. Individuando eventuali disomogeneità regionali è possibile pianificare azioni correttive necessarie a riequilibrare l’offerta sanitaria del SSN, contribuendo a migliorare il Sistema e la tutela della qualità della salute dei cittadini. In questo primo anno abbiamo valutato la diffusione della tecnica mininvasiva laparoscopica per un insieme predefinito di procedure chirurgiche afferenti a diverse branche specialistiche: prendendo in esame i circa 374.000 interventi effettuati nel 2014 – considerando i primi 19 interventi per i quali la laparoscopia è maggiormente utilizzata – solo in meno di 4 casi su 10 si ricorre a tale tecnica, con una disuguaglianza territoriale importante e preoccupante. L’utilizzo della laparoscopia avrebbe un ruolo molto importante in termini di recupero di efficienza organizzativa, senza dimenticare gli ormai noti benefici per il paziente. In quasi tutte le procedure prese in analisi, al ricorso alla laparoscopia è associata una riduzione della degenza media, sebbene di diversa entità: nel caso della colecistectomia questa raggiunge quasi il 70. Sono troppe le tecnologie mediche innovative che non riescono a entrare nelle strutture sanitarie per problemi di natura economica, gestionale, di scarsa consapevolezza dei loro benefici sia da parte del personale medico-sanitario che dei pazienti. Si tratta di una questione che non va affatto sottovalutata soprattutto in un Paese in cui l’universalismo del servizio sanitario rappresenta uno dei pilastri fondamentali della Costituzione. È necessario adottare quanto prima nuovi modelli di valutazione e introduzione delle innovazioni tecnologiche a livello nazionale in modo omogeneo così da migliorare le prestazioni per il paziente, contenere e ottimizzare l’utilizzo delle risorse umane e economiche, nonché contribuire all’evoluzione del sistema sanitario.

Fonte: quotidianosanita

125 Comments

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  • njpatient [10],I’m aware there isn’t anything on the list from Bergen County, I was being sarcastic. 🙂 It sort of goes with what I’ve been saying, that prices in BC are still near peak. I see it in the listings I receive everyday.I keep hearing about all this horror but it still hasn’t happened here. I’m told it will but doesn’t that list sort of back up what I’ve been saying up until now?

  • Esta alabanzas encajan dentro dela filosofía de : "A enemigo que huye puente de plata…"En otro sentido no le quito la inteligencia a Fraga, pues supo hacer de colchón para la caída del antiguo régimen. Cambió para seguir igual, dominando los de antes, sin condenar el franquismo, haciendo del PP un partido tardofranquista que sigue protegiendo el pasado de sus padres políticos…

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