LORENZO FIORE M.D., Chief Specialist in General Surgery Specialist in Thoracic Surgery

DIRECTOR of the "Oncological and Endocrine Surgery Unit" in the S. Giovanni Bosco Hospital of Naples from 2001 to 2005. DIRECTOR of the "Division of General and Emergency Surgery" in the Boscotrecase Hospital from 2006 to 2011.

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Dr. Fiore has been doing a "Project on the Thyroid and Oncological Surgery" in the S. Giovanni Bosco Hospital of Naples (ASL Napoli 1) since 2001 to invert, or at least to reduce, the trend of the extraregional mobility for the surgical treatment of thyroid and neoplastic diseases with the achievement of the programmated targets, as from formal reports.

The latest epidemiological data of ARSAN, relevant to the thyroid surgery for the year 2000, showed, in fact, a significant increase of extraregional mobility (25,8% - 817 cases against 631 of 1998, as an increase of 29,47%) and excused the Campania Province's resolution N.4183 of 14/09/01 (BURC N.52 of 08/10/01) to invert, or at least to reduce, this trend in order to control the public expense (£ 2.699.763.498 in 1998 • £ 3.608.178.323 in 2000).

In 2005 he moved to the ASL Napoli 5 and saw that in this ASL the situation was considerably worse than in the ASL Napoli 1. In fact the ARSAN data, relavant to the code DRG 290 (surgical treatment for the thyroid diseases), shows that just the 7,4% of these operations were performed in the hospitals of the ASL Napoli 5. The 20,2% were performed in private clinics of this ASL, the 51,1% in the other ASL of Campania Province and the 21,1% in the ASL of other Provinces of Italy.

At the Hospital of Boscotrecase (Naples) were activated an "Oncological Surgery Unit" and a "Thyroid Surgery Unit" which have attracted considerable interest and consents, leading to a clear reduction in the trend of passive mobility and a steady and profitable growth of the active mobility (14% of the patients).

In november of 2011 was assigned to the Hospital S. Maria della Pietà of Nola (ASL Napoli 3 Sud) with the aim of acti- vating the field of Oncological Surgery