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. 2022 Feb;23(2):111-117.
doi: 10.1111/1751-2980.13082. Epub 2022 Feb 17.

Functional dyspepsia leads to more healthcare utilization in secondary care compared with other functional gastrointestinal disorders

Kee Huat Chuah  1 , Suh Yu Cheong  2 , Sze Zee Lim  2 , Sanjiv Mahadeva  1
Affiliations

Functional dyspepsia leads to more healthcare utilization in secondary care compared with other functional gastrointestinal disorders

Kee Huat Chuah et al. J Dig Dis. 2022 Feb.

Abstract

Objective: Functional gastrointestinal disorders (FGIDs) are known to have a significant impact on patients' quality of life and lead to a greater healthcare burden. In this study we aimed to investigate whether this healthcare burden differs among various types of FGIDs in secondary care.

Methods: A retrospective study of consecutive adults with luminal gastrointestinal (GI) diseases in a secondary healthcare gastroenterology clinic was conducted. The frequency of FGIDs and differences in healthcare utilization among different types of FGIDs were explored.

Results: Among 1206 patients with luminal GI disease, 442 (36.7%) had FGIDs. FGIDs patients were older (67 y vs 62 y, P < 0.001) with a higher proportion of women (61.8% vs 50.4%, P < 0.001) than those without FGIDs. Functional dyspepsia (FD) was the most common FGIDs (36.9%), followed by irritable bowel syndrome (IBS) (30.3%). A high healthcare burden (defined as over one GI endoscopy or imaging examination over 5 years, or one or more unscheduled visit to general practitioner or emergency department or hospitalization annually) was observed among 53.8% of the FGIDs patients. FD was associated with a high healthcare burden (high vs low burden: 43.7% vs 28.9%, P = 0.001) while IBS was associated with lower healthcare burden (high vs low burden: 25.2% vs 36.3%, P = 0.012). On multivariate analysis, only FD was significantly associated with high healthcare burden (adjusted odds ratio 1.996, 95% confidence interval 1.117-3.567, P = 0.020).

Conclusion: Compared with other FGIDs, FD was the most common condition in secondary care, and it was associated with the greatest healthcare burden.

Keywords: Asia; disorders of the gut-brain interaction; epidemiology; functional gastrointestinal disorders; overlap syndrome.

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References

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