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Discussion
GBD 2019 but these common disorders deserve specific coverage in future iterations of the
GBD study, and for this to be realised additional high-quality studies are likely to be required.
We focused on estimating digestive disease related costs for inpatient health service delivery
using inpatient data from 31 UEG member countries disaggregated by digestive disease
category. The total economic burden to health services due to digestive diseases will of
course be higher, since treating and managing digestive diseases involves many different
resources, including, but not limited to, primary care, outpatient, and pharmaceutical costs.
Unfortunately, comparable data on total health expenditure by disease are available for a
very limited number of European countries, and combine expenditures for digestive diseases
with dental care costs which are not trivial.123 124 Improved recording of data on healthcare
expenditure by disease at a national level is needed. Co-ordinated pan-European data
collection using standardised methods will enable rapid analysis of the distribution of costs
and trends over time to inform decisions on cost-effective spending.
Concluding remarks
Amongst UEG member countries, the public health burden due to digestive disorders is
substantial, and many countries may need to be prepared to cope with increasing levels of
digestive disorder burden, on top of the burden imposed by population growth and ageing.
Greater adoption of effective, evidence-based preventative strategies is needed to tackle the
burden and avert the considerable economic losses associated with digestive disease related
morbidity and premature mortality.
Continued monitoring and examination of preventable burden may help identify areas of
success as well as areas for prioritisation within national policy agendas. Major risk factors
for digestive disorders disproportionately affect those in lower social positions and this must
be adequately addressed within any preventative strategy. Ultimately, collaboration
involving sectors beyond health may be required to achieve the greatest health gains and
sustained improvements. In Europe and beyond, UEG have an important role to play in
accelerating progress in reducing the burden of digestive diseases and cancers, and it is
hoped that the findings presented in this report will be of assistance in this endeavour.
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