From: Subject: SALUTE EUROPA - NEWS Date: Tue, 8 Nov 2005 22:15:26 +0100 MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_000_008B_01C5E4B1.EBC83CC0"; type="text/html" X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2600.0000 This is a multi-part message in MIME format. ------=_NextPart_000_008B_01C5E4B1.EBC83CC0 Content-Type: text/html; charset="Windows-1252" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.saluteeuropa.it/news/2005/03/0317001.htm SALUTE EUROPA - NEWS
 
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(17/03/2005)

Malattie croniche: la situazione in Italia = fotografata da=20 Cittadinanzattiva

Dimissioni ospedaliere precoci, = difficolt=E0 di=20 accesso ai farmaci, carenze del territorio, burocrazia: sono = questi=20 i problemi maggiormente avvertiti dai malati cronici, = raccolti in un=20 Rapporto dal Coordinamento nazionale delle Associazioni dei = Malati=20 cronici-Cittadinanzattiva e illustrati questa mattina a = Roma.=20

Dal Rapporto emerge che un italiano su tre soffre di = almeno=20 una patologia cronica, uno su cinque rivela di essere = affetto da=20 almeno due patologie croniche. E ancora: pi=F9 di tre = italiani su=20 cento soffrono di diabete, dieci su cento dichiarano di = essere=20 ipertesi, sei su cento sono affetti da bronchite cronica, = quasi=20 diciotto da artrosi o artrite, cinque da osteoporosi, = quattro da=20 malattie cardiache, quasi sette da malattie allergiche, = quasi=20 quattro da malattie nervose, tre da ulcera gastrica o = duodenale.=20 600.000 sono i malati di Alzheimer, 39.000 i nefropatici, = 50.000=20 coloro che soffrono di sclerosi multipla, quasi 2.800.000 i=20 disabili.

Nel corso dell'incontro sono state inoltre = presentate le richieste pi=F9 significative provenienti = dalle=20 organizzazioni di tutela dei pazienti cronici, quali: = maggiore=20 attenzione alla prevenzione e alla riabilitazione, = distribuzione=20 capillare dei centri di riferimento specialistici per = patologia,=20 riconoscimento del diritto alla esenzione per quelle = patologie=20 croniche che non lo hanno ancora ottenuto, completa = rimborsabilit=E0=20 per tutte le terapie farmacologiche, revisione dei criteri = per il=20 riconoscimento della invalidit=E0 e della indennit=E0 di=20 accompagnamento.

Il Rapporto presenta inoltre dei = focus=20 tematici specifici sulla condizione dell' assistenza per le=20 principali malattie croniche dai quali =E8 possibile avere = una=20 fotografia pi=F9 precisa dell'universo legato alla = cronicit=E0 in=20 Italia:

AIDS - A tutt'oggi sono = stati=20 diagnosticati 53.686 casi, ma le stime ufficiali parlano di = 110=20 130.000 persone sieropositive. L'assistenza fa registrare=20 significative disomogeneit=E0 tra regione e regione e, = spesso, anche=20 all'interno dello stesso territorio regionale riguardanti i=20 trattamenti farmacologici, gli esami diagnostici e le cure = in=20 generale.

ALLERGIE - Si stima che = ci siano=20 circa 10 milioni di persone con allergia (anche se non si = considera=20 l'asma), pari a pi=F9 del 20% della popolazione. Le allergie = costituiscono la terza causa di malattia cronica dopo = osteoporosi,=20 artrite e ipertensione. La rinite allergica colpisce il = 25-35% della=20 popolazione, la congiuntivite allergica il 5-22%, la = dermatite=20 atopica da contatto il 15% delle donne adulte e rappresenta = una=20 delle pi=F9 frequenti malattie professionali, le allergie = alimentari=20 colpiscono l'8% dei bambini sotto i tre anni e il 2-6% della = popolazione adulta, le reazioni avverse ai farmaci il 10-15% = dei=20 pazienti ospedalizzati, il 6,7% dei quali va incontro a = reazioni=20 gravi o mortali. Il costo medio annuo a carico del paziente = per la=20 gestione, controllo e cura di una dermatite atopica =E8 = stimato pari a=20 1.248 euro.

ALZHEIMER - Sono circa = 600.000=20 i malati di Alzheimer, essendone colpiti l'1% dei 65enni e = il 30%=20 degli 80enni. Tra i malati, le donne sono in maggior numero = essendo=20 pi=F9 elevata la loro attesa di vita. Si stima che ogni anno = compaiono=20 in Italia 60-80.000 nuovi casi. Pi=F9 dell'80% dei pazienti = vive a=20 domicilio, accudito prevalentemente dai familiari. Il costo = annuo=20 (diretto) per paziente assistito in famiglia si aggira sui = 40.000=20 euro. Anche in questo caso si registrano forti = disomogeneit=E0 tra=20 regione e regione.

ARTRITE = REUMATOIDE - In=20 Italia sono 300.000 i casi di artrite reumatoide, pari allo = 0,5%=20 della popolazione. Il 30-42% dei pazienti diventa inabile al = lavoro=20 entro 10 anni dall'esordio della malattia. I casi diretti = della=20 malattia sono pari a 620 milioni di euro annui. I costi = indiretti=20 sono stimati pari a 1.070 euro all'anno.=20

ASMA - Nel 2002 gli italiani = costretti a=20 convivere con la malattia sono stati pi=F9 di 3 milioni, i = ricoveri=20 ospedalieri sono stati circa 29.000, con una degenza media = compresa=20 tra 5 e 6 giorni. Nello stesso anno il totale dei decessi a = causa=20 dell'asma =E8 stato di 1.063 pari a circa il 35 di tutte le = morti=20 registrate per il complesso delle malattie respiratorie = (37.782). La=20 spesa media annuale per paziente in Italia =E8 di 1.307 = euro, di cui=20 1.261 euro attribuibili ai costi diretti (visite mediche, = ricoveri=20 ospedalieri, terapia farmacologia e assistenza ospedaliera) = e 47=20 euro per i costi indiretti (perdita delle giornate di = lavoro). Il=20 costo annuo totale cresce in funzione della gravit=E0 fino a = raggiunge=20 7.000 euro negli stadi pi=F9 avanzati. =

BPCO -=20 in Italia =E8 la quarta causa di malattia cronica, colpisce = 4 milioni=20 di persone ed =E8 al quarto posto nelle graduatoria delle = cause di=20 ricovero ospedaliero (130.000 ricoveri ogni anno, con una = degenza=20 media di 10 giorni), uccide almeno 50 persone al giorno, = circa=20 18.000 l'anno. La spesa media annuale per paziente =E8 di = 1.307 euro.=20

CELIACHIA - Sono circa 55.000 le = diagnosi=20 di celiachia nel nostro paese (quindi 1:1000) e l'incidenza = =E8 in=20 continuo aumento (+10%-15% annuo). Il numero dei casi = diagnosticati=20 =E8 di gran lunga inferiore rispetto ai casi attesi (gli = screeniong=20 nella popolazione generale confermano una prevalenza attesa = di 1:100=20 - 1:150). Si stima che nella popolazione italiana vi siano = almeno=20 450.000 celiaci, di cui 395.000 ancora da diagnosticare. Il = Ssn=20 stima il fabbisogno di alimenti senza glutine mensile con un = tetto=20 di spesa pari a 139.44 euro per il maschio adulto e 98.13 = per la=20 femmina adulta.

DIABETE - Il = diabete=20 interessa circa il 4% della popolazione. Dopo 15 anni di = diabete=20 circa il 2% degli individui =E8 colpito di cecit=E0, mentre = quasi il 10%=20 sviluppa severi handicap visivi. Ad oggi, per l'assistenza = dei=20 pazienti diabetici, viene utilizzato circa il 7% del fondo = sanitario=20 nazionale. Il costo medio di un paziente diabetico di tipo 2 = =E8 di=20 3.135,93 euro all'anno, con una spesa totale annua del Ssn = di=20 5.422.797,44 euro.

EPATITE C - In = Italia si=20 stima che gli anticorpi anti-HCV siano presenti nel 3,2% = della=20 popolazione (circa 1.800.000 soggetti). L'infezione diventa = cronica=20 in oltre il 70% dei casi e di questi dal 20 al 40% vanno = incontro=20 nel tempo a cirrosi. Attualmente i nuovi casi di infezione = da HCV=20 sono in diminuzione: ci=F2 nonostante ogni anno si = registrano circa=20 1.000 nuovi casi di epatite da virus C nella ipotesi pi=F9=20 ottimistica. Il costo annuo medio per il trattamento delle = epatite C=20 vari tra i 150 a 200 Milioni di euro, solo per spese = farmaceutiche.=20

OSTEOPOROSI - Sono 250.000 le = fratture da=20 osteoporosi ogni anno, di cui circa 70.000 del femore (tutte = le=20 fratture di femore sono state circa 78.000 nel 2001). Un = cittadino=20 su otto, dopo i cinquant'anni, subisce una frattura = vertebrale. In=20 Italia, nel 2001 le fratture di femore da osteoporosi hanno=20 determinato una spesa ospedaliera totale diretta di 555,8 = milioni di=20 euro.

PARKINSON - Si valuta che = siano=20 250.000 300.000 le persone colpite. Un paziente con circa = 10-12 anni=20 di malattia pu=F2 dover sopportare un costo, solo per = farmaci, pari a=20 circa 30 euro al giorno, un terzo dei quali a proprio = carico. Ancora=20 pi=F9 importanti sono i costi per terapie riabilitative e di = riapprendimento o per assicurarsi assistenza al = domicilio.

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