Quantitative Assessment of Secondary Healthcare Utilisation by Patients With Functional Abdominal Pain

Emma MacVicar, Pauline Insch, Fiona Summers, Duff Bruce, George Ramsay* (Corresponding Author)

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

There is increasing awareness of the impact functional conditions have on the National Health Service (NHS). Less is known about the resources used to manage these conditions. This retrospective quantitative audit aims to determine the demographic and healthcare utilisation of functional abdominal pain patients presenting to the hospital. The most frequent hospital attenders with non-specific abdominal pain in NHS Grampian, 2018-2019, were assessed (n=144). Adult patients meeting the ROME II diagnostic criteria for functional abdominal pain diagnosis were included (n=33). Data were retrospectively collected manually from electronic medical records. Of 33 patients, 93.9% were female, with a mean age of 31.2 years. Each had accessed a mean of 11.5 specialist services, with 69.7% being referred to mental health services; 9.1% had completed treatment. Each patient had a median 4 (range 1-26) emergency/unscheduled presentations to hospital and median 2 (range 0-13) admissions for functional abdominal pain during the study period, with a total of 247 nights spent in hospital by this patient cohort for functional abdominal pain alone. The estimated total cost for these hospital admissions was £593,786.00. Extensive secondary-care input is currently required for patients with functional abdominal pain at a significant cost. Patients are re-presenting to the hospital frequently, which suggests that current management is not effective.

Original languageEnglish
Article numbere25145
Number of pages8
JournalCureus
Volume14
Issue number5
DOIs
Publication statusPublished - 19 May 2022

Bibliographical note

Acknowledgements
Many thanks to the NHS Grampian Health Intelligence Team for their input in identifying suitable patients for inclusion in this audit.

Keywords

  • healthcare costs
  • general surgery
  • functional bowel disorder
  • clinical audit
  • functional abdominal pain syndrome

Fingerprint

Dive into the research topics of 'Quantitative Assessment of Secondary Healthcare Utilisation by Patients With Functional Abdominal Pain'. Together they form a unique fingerprint.

Cite this