Colon-rectal Cancer and Lars Management: Forecast of refundability of health services in Apulia in 2019

Abstract

This article, taken from the ending research thesis of the studies in Business Administration in Pegaso University,
derives from the lack of detailed data on colon-rectal cancer in Apulia, in 2019. The clinical, economic and statistical
study introduced has given the possibility to examine the neoplasia incidence in Apulia reality, to estimate for
the first time the Lars major phenomenon (Low Anterior Resection Syndrome) after a rectum surgical treatment
. These goals have been achieved starting from the national data analysis provided by Airtum and Aiom; and
operating through benchmarking, among the most virtuous Italian realities, it has been possible to estimate the
forecast of refundability of health services generated by the treatment of colon cancers, rectal cancers and of the
Lars phenomenon management. We can see the incidence of 2,802 total cases of colon-rectal cancer so divided:
1,920 colon cancer cases and 882 rectal cancer cases. The Lars phenomenon, according to the most recent medical
literature, presents 444 cases, considering that 90 % of the 882 rectum tumors will have a surgery; 56% of these
develops Lars major. Assuming to treat all cases of Lars major, it would potentially be possible a refundability of
63,492 Euros. While, as regards the refundability obtained from the treatment of the 2,802 colon-rectal cancer total
cases, it could be hypothesized a total refundability of 18,897,408 Euros.