Abstract
In this chapter, we present the state-of-the-art of abdominal wall surgery in Italy. In 2016, 83,427 hospitalisations for hernia repair were performed by public and private hospitals, the vast majority (87%) without complications. The expenditure for surgical meshes by public hospitals was equal to 21,281 million euro, with a 2.0% increase with respect to 2015. Currently, in Italy patients are classified based on their age, hernia location (inguinal/femoral/other) and presence/absence of complications. Clinical severity (e.g. hernia size), type of hernia (i.e. monolateral, bilateral and recurrent), type of intervention (open surgery vs. laparoscopy) and type of device are not considered. The level of reimbursement for hospitalisations varies across Italian regions. Special payments to encourage the use of innovative devices for hernia repair have not been introduced by any region.
The database of Italian regional coding guidelines was funded by the Italian Ministry of Health, Directorate General of Medical Devices and Pharmaceutical Service through an unrestricted grant. The authors are grateful to Francesca Borghetti, Dalila Patrizia Greco and Davide Mozzanica for their helpful comments.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Busse R, Geissler A, Quentin W, Wiley M, editors. Diagnosis-related groups in Europe. New York: McGraw-Hill; 2011.
Scheller-Kreinsen D, et al. DRG-based hospital payment systems and technology innovation in 12 European Countries. Value Health. 2011;14:1166–72.
Fattore G, Torbica A. Inpatient reimbursement system in Italy: how do tariffs relate to costs? Health Care Manag Sci. 2006;9:251–8. https://doi.org/10.1007/s10729-006-9092-2.
Baylon K, et al. Past, present and future of surgical meshes: a review. Membranes. 2017;7:47. https://doi.org/10.3390/membranes7030047.
Li X, et al. Characterizing the ex vivo mechanical properties of synthetic polypropylene surgical mesh. J Mech Behav Biomed Mater. 2014;37:48–55.
Weber A, Garteiz D, Valencia S. Epidemiology of inguinal hernia: a useful aid for adequate surgical decisions. In: Bendavid R, Abrahamson J, Arregui ME, Flament JB, Phillips EH, editors. Abdominal wall hernias. New York: Springer; 2001.
Köckerling F, Alam NN, Antoniou SA, et al. What is the evidence for the use of biologic or biosynthetic meshes in abdominal wall reconstruction? Hernia. 2018;22(2):249–69.
Ayson M. Evidence Based Report. Biological mesh for abdominal wall hernia repair. Wellington: Accident Compensation Corporation; 2013.
Rognoni C, Bassi UA, Cataldo M, et al. Budget impact analysis of a biosynthetic mesh for incisional hernia repair. Clin Ther. 2018;40(11):1830–44.
Italian Ministry of Health. Rapporto sull’attività di ricovero ospedaliero SDO. 2016. Available from http://www.salute.gov.it/portale/temi/p2_6.jsp?id=1237&area=ricoveriOspedalieri&menu=vuoto. Accessed 28 Jun 2018.
Italian Ministry of Health. Rapporti sulla spesa per l’acquisto di dispositivi medici nel SSN. 2015/2016. Available from http://www.salute.gov.it/portale/temi/p2_6.jsp?lingua=italiano&id=4652&area=dispositivi-medici&menu=spesa. Accessed 28 Jun 2018.
Callea G, Cavallo MC, Tarricone R. Assessment of new medical devices with administrative databases: the need for traceability. Value Health. 2017;20(5):A251. https://doi.org/10.1016/j.jval.2017.05.005.
Greco DP, Amatucci F, Padula GA. Treatment cost reimbursement from the healthcare systems. In: Inguinal hernia surgery. Italia S.r.l: Springer; 2017.
Rampado S, et al. Cost analysis of incisional hernia repair with synthetic mesh and biological mesh: an Italian study. Updat Surg. 2017;69(3):375–81.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Cavallo, M.C., Callea, G., Tarricone, R. (2019). State-of-the-Art of Abdominal Wall Surgery in Italy: Coding, Reimbursement, Hospitalisations and Expenditure for Surgical Meshes. In: Greco, D.P., Borgonovi, E. (eds) Abdominal Wall Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-02426-0_9
Download citation
DOI: https://doi.org/10.1007/978-3-030-02426-0_9
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-02425-3
Online ISBN: 978-3-030-02426-0
eBook Packages: MedicineMedicine (R0)