Comparison of the diagnoses, the outpatient clinics they visited, and the number of visits of patients with and without a diagnosis of fibromyalgia syndrome: Do patients with fibromyalgia syndrome come to the hospital more often?

ISSN : 1300-0012 E-ISSN 2458-9446

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Volume: 35 Issue: 2 Year: 2023

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Comparison of the diagnoses, the outpatient clinics they visited, and the number of visits of patients with and without a diagnosis of fibromyalgia syndrome: Do patients with fibromyalgia syndrome come to the hospital more often? [A�r�]

A�r�. Ahead of Print: AGRI-99076 | DOI: 10.14744/agri.2022.99076

Comparison of the diagnoses, the outpatient clinics they visited, and the number of visits of patients with and without a diagnosis of fibromyalgia syndrome: Do patients with fibromyalgia syndrome come to the hospital more often?

Mehmet Ok�u¹, Mustafa yemliha Ayhan², Figen Tuncay², Fatmanur Aybala Ko�ak², Yakup Erden³, Y�ld�z Gonca Dogru², Samet Sancar Kaya²
¹Department of Physical Medicine and Rehabilitation, Division of Pain Medicine, Marmara University Faculty of Medicine, �stanbul, Turkey
²Department of Physical Medicine and Rehabilitation, K�rsehir Ahi Evran University Faculty of Medicine, K�rsehir, Turkey
³Department of Physical Medicine and Rehabilitation, �zzet Baysal Physical Treatment Training and Research Hospital, Bolu, Turkey

Background/aim: Fibromyalgia syndrome has a wide spectrum of symptoms that includes all body parts. So fibromyalgia syndrome is a great imitator. This brings to mind the possibility that fibromyalgia patients visit outpatient clinics in many departments more than non-fibromyalgia patients. But there is not enough data on this subject. This study aims to compare the number of outpatient visits of patients with fibromyalgia syndrome with those without a diagnosis of fibromyalgia syndrome and to examine their diagnoses.
Materials and methods: The diagnoses of 140 patients (70 with fibromyalgia, 70 controls), and departments of the outpatient clinics they visited were analyzed retrospectively. In the control group, patients who visited the same outpatient clinic with the complaint of knee pain, but who did not have fibromyalgia syndrome and who had never been diagnosed with fibromyalgia syndrome before, were recruited as age and gender-matched.
Results: The total number of outpatient clinic visits, as well as the number of visits to Physical Medicine and Rehabilitation, Obstetrics and Gynaecology, General Surgery, Internal Medicine, and Psychiatry departments, were significantly higher in fibromyalgia group patients compared to the control group. In addition, the number of diagnoses in the 5th chapter (Mental, Behavioural, and Neurodevelopmental disorders, F01-F99) of ICD-10 (International Classification of Diseases) was significantly higher in the fibromyalgia group.
Conclusion: It should be kept in mind that patients with fibromyalgia syndrome visit more hospitals and outpatient clinics than other patients. Physicians and patients should be informed about this issue to reduce unnecessary health costs.

Keywords: Fibromyalgia, outpatient clinic visit, the economic burden

Fibromiyalji sendromu tan�s� olan ve olmayan hastalar�n ba�vurduklar� poliklinik b�l�mleri, ba�vuru say�lar� ve ald�klar� tan�lar�n kar��la�t�r�lmas�: Fibromiyalji sendromu tan�s� olan hastalar, hastaneye daha m� s�k geliyor?

Mehmet Ok�u¹, Mustafa yemliha Ayhan², Figen Tuncay², Fatmanur Aybala Ko�ak², Yakup Erden³, Y�ld�z Gonca Dogru², Samet Sancar Kaya²
¹Marmara �niversitesi T�p Fak�ltesi, Fiziksel T�p Ve Rehabilitasyon Anabilim Dal�, Algoloji Bilim Dal�, �stanbul, T�rkiye
²K�r�ehir Ahi Evran �niversitesi T�p Fak�ltesi, Fiziksel T�p Ve Rehabilitasyon Anabilim Dal�, K�r�ehir, T�rkiye
³�zzet Baysal Fizik Tedavi E�itim ve Ara�t�rma Hastanesi, Fiziksel T�p ve Rehabilitasyon B�l�m�, Bolu, T�rkiye

Ama�: Fibromiyalji sendromu t�m v�cut b�lgelerini i�eren �ok geni� bir semptom spektrumuna sahiptir. Dolay�s�yla fibromiyalji sendromu b�y�k bir taklit edicidir. Bu durum fibromiyalji sendromlu hastalar�n, bir �ok b�l�m poliklini�ine, fibromiyalji sendromlu olmayan hastalara g�re daha fazla ba�vuruyor olma ihtimalini akla getirmektedir. Fakat bu konuda yeterli veri yoktur. Bu �al��man�n amac� fibromiyalji sendromlu hastalar�n poliklinik ba�vuru say�lar�n� fibromiyalji sendromu tan�s� olmayanlarla kar��la�t�rmak ve ald�klar� tan�lar� incelemektir.
Gere� ve Y�ntem: Toplam 140 hastan�n (70 fibromiyalji sendromlu, 70 kontrol) son bir y�l i�erisinde ba�vurdu�u poliklinik b�l�mleri, poliklinik ba�vuru say�lar� ve ald�klar� tan�lar retrospektif olarak incelendi. Kontrol grubu olarak ayn� poliklini�e diz a�r�s� �ikayeti ile ba�vuran ancak kendisinde fibromiyalji bulunmayan daha �nce de hi� fibromiyalji sendromu tan�s� almam�� olan hastalar, ya� ve cinsiyet e�le�tirilmi� olacak �ekilde al�nd�.
Bulgular: Fibromiyalji sendromlu hastalar�n kontrol grubuna g�re toplam poklinik ba�vuru say�s�, Fiziksel T�p ve Rehablitasyon, Kad�n Hastal�klar� ve Do�um, Genel Cerrahi, Dahiliye ve Psikiyatri b�l�mlerine olan ba�vuru say�s� anlaml� olarak daha y�ksekti. Ayr�ca ICD-10 (Uluslararas� Hastal�k S�n�fland�rmas�-10) sisteminin 5. b�l�m�nde (Zihinsel, Davran��sal ve N�rogeli�imsel bozukluklar, F01-F99) yer alan tan� say�s� da fibromiyalji grubunda anlaml� olarak daha y�ksekti.
Sonu�: Fibromiyalji sendromlu hastalar�n di�er hastalara g�re daha fazla hastane ve poliklinik ziyereti yapt�� ak�lda tutulmal�d�r. Gereksiz sa�l�k masraflar�n� azaltmak i�in hekimler ve hastalar bu konuda bilgilendirilmelidir.

Anahtar Kelimeler: Fibromiyalji, poliklinik ba�vurusu, ekonomik y�k

Corresponding Author: Mehmet Ok�u, T�rkiye

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