title: Diverticular disease hospital cost impact analysis: evaluation of testings and surgical procedures in inpatient and outpatient admissions.
abstract: BACKGROUND
  Diverticular Disease (DD) is a common condition in Italy and in other western countries. There is not much data concerning DD's impact on budget and activity in hospitals.
  
  
  METHODS
  The aim is to detect the clinical workload and the financial impact of diverticular disease in hospitals.Retrospective observational study of all patients treated for diverticular disease during the period of seven years in AOU Federico II. Analysis of inpatient and outpatient investigations, treatment, hospitalization and financial refunds.
  
  
  RESULTS
  A total of 738 patients were treated and 840 hospital discharge records were registered. There were a total number of 4101 hospitalization days and 753 outpatient accesses. The investigations generated were 416 endoscopies, 197 abdominal CT scans, 177 abdominal ultrasound scans, 109 X-rays tests. A total of 193 surgical operations were performed. The total cost of this activity was € 1.656.802 or 0.2% of the total budget of the hospital. € 1.346.218, were attributable to the department of general surgery, 0.9% of the department's budget .
  
  
  CONCLUSIONS
  The limited impact of diverticular disease on the budget and activity of AOU Federico II of Naples is mainly due to the absence of an emergency department.
authors.affiliation: Department of General, Geriatric, Oncologic Surgery and Advanced Technologies, University Federico II of Naples, Via Pansini 5, 80131 Naples, Italy. giovanni.aprea@yahoo.it
authors.forename: Giovanni
authors.initials: G
authors.lastname: Aprea
authors.forename: Antonio
authors.initials: A
authors.lastname: Giugliano
authors.forename: Alfonso
authors.initials: A
authors.lastname: Canfora
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Cardin
authors.forename: Antonio
authors.initials: A
authors.lastname: Ferronetti
authors.forename: Francesco
authors.initials: F
authors.lastname: Guida
authors.forename: Antonio
authors.initials: A
authors.lastname: Braun
authors.forename: Melania
authors.initials: M
authors.lastname: Battaglini Ciciriello
authors.forename: Federica
authors.initials: F
authors.lastname: Tovecci
authors.forename: Giovanni
authors.initials: G
authors.lastname: Mastrobuoni
authors.forename: Bruno
authors.initials: B
authors.lastname: Amato
mesh_terms: D000553:Ambulatory Care / Q000191:economics* / Q000706:statistics & numerical data; D003082:Colectomy / Q000191:economics* / Q000706:statistics & numerical data; D003125:Colostomy / Q000191:economics* / Q000706:statistics & numerical data; D003938:Diagnostic Techniques, Digestive System / Q000191:economics* / Q000706:statistics & numerical data; D043963:Diverticulosis, Colonic / Q000175:diagnosis / Q000191:economics* / Q000601:surgery; D017721:Hospital Costs / Q000706:statistics & numerical data*; D006760:Hospitalization / Q000191:economics* / Q000706:statistics & numerical data; D006801:Humans; D007558:Italy; D012189:Retrospective Studies