(Adnkronos) - Luca De Nicola, presidente della Società Italiana di Nefrologia, lancia un allarme sulla malattia renale cronica, definendola una vera epidemia con un impatto devastante sulla qualità di vita dei pazienti e sui costi per il sistema sanitario. Intervenuto all’evento “Ripensare le cronicità: l’impatto dell’innovazione per un SSN sostenibile”, De Nicola ha evidenziato l’urgenza di uno screening nazionale per una diagnosi precoce, e la necessità di una rete integrata tra medici di base e nefrologi per trattare efficacemente la patologia con le nuove terapie disponibili.
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00:00I will focus on the chronic renal disease, which today is epidemic and the main degenerative
00:12chronic disease, which has a number of patients from 2 to 7 times higher than other chronic
00:18diseases such as diabetes, neoplasia, cardiopathy and chronic respiratory disease.
00:26This disease has a huge negative impact on the patient's survival.
00:31Think that a 40-year-old patient who is in dialysis has the same life expectancy as a
00:3680-year-old patient without the disease.
00:39And this disease costs a lot.
00:41It costs 50,000 euros in the dialysis phase, so Italy spends 2.5 billion euros per year
00:49for 45,000 dialysis patients.
00:52Today we can treat it.
00:54We can put this disease in remission through glyphosate and other drugs that are already
01:00present.
01:01We can extend the life of these patients without dialysis for up to 20 years.
01:06The problem is that we have to be able to see and treat these patients.
01:11Therefore, early recognition of this disease is essential because it is an asymptomatic
01:16disease in the initial stages.
01:18Only 10% of patients know they have the disease and therefore turn to the nephrologist.
01:23Therefore, a screening program is very important.
01:26As the Italian Society for Nephrology, we have asked and obtained that a law be
01:32submitted at the national level, at the level of Montecitorio, by the Vice-President of
01:36the Chamber, Honorable Moulet, on the screening and treatment of this disease in general
01:42medicine ambulatories.
01:43So, to create a network between general medicine and nephrology specialists.
01:49Only in this way will we be able to implement therapies with glyphosate and finally put
01:56this disease in remission.
01:59For the chronic disease, apart from the asymptomaticity and therefore the need for a screening program
02:05of this disease, the other bonus is represented by the architectural barriers that we have
02:14to face every day, that is, the therapeutic plans.
02:18It is paradoxical that there is so much talk in Italy of waiting lists, of time to reduce
02:25the waiting lists, and there is no talk of these therapeutic plans that for each plan,
02:31to be able to prescribe a glyphosate, but also other drugs, it takes 20 minutes.
02:35So, it's all wasted minutes that we could use to better see other patients and to be
02:41able to visit patients.
02:44So, the goal today that should be set by politics, institutions, is to reduce at least
02:50the bureaucratic commitment, that is, to simplify these therapeutic plans.
02:54I remind you that in Italy, in all regions, almost all, it is necessary to compile two
03:00therapeutic plans to be able to prescribe a glyphosate.