Hospitalized Patients with Medically Unexplained Physical Symptoms: Clinical Context and Economic Costs of Healthcare Management
Medically Unexplained Physical Symptoms (MUPS) are physical symptoms without a medical explanation. This study collected data from hospitalized patients presenting MUPS, aiming to draw a clinical and socio-demographic profile of patients with MUPS, to explore psychopathological correlations of Somat...
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doaj-b18ddae76a074799b26fe3a6768a08c22020-11-25T00:29:17ZengMDPI AGBehavioral Sciences2076-328X2019-07-01978010.3390/bs9070080bs9070080Hospitalized Patients with Medically Unexplained Physical Symptoms: Clinical Context and Economic Costs of Healthcare ManagementNicola Poloni0Ivano Caselli1Marta Ielmini2Michele Mattia3Alessandra De Leo4Marco Di Sarno5Celeste Isella6Alessandro Bellini7Camilla Callegari8Department of Medicine and Surgery, Division of Psychiatry, University of Insubria, Viale Luigi Borri 57, 21100 Varese (VA), ItalyDepartment of Medicine and Surgery, Division of Psychiatry, University of Insubria, Viale Luigi Borri 57, 21100 Varese (VA), ItalyDepartment of Medicine and Surgery, Division of Psychiatry, University of Insubria, Viale Luigi Borri 57, 21100 Varese (VA), ItalyFamily Therapy Center, Via San Salvatore 7, 6902 Lugano, SwitzerlandDepartment of Medicine and Surgery, Division of Psychiatry, University of Insubria, Viale Luigi Borri 57, 21100 Varese (VA), ItalyDepartment of Psychology, University of Milan–Bicocca, Piazza dell’Ateneo Nuovo 1, 20126 Milan (MI), ItalyDepartment of Medicine and Surgery, Division of Psychiatry, University of Insubria, Viale Luigi Borri 57, 21100 Varese (VA), ItalyDepartment of Medicine and Surgery, Division of Psychiatry, University of Insubria, Viale Luigi Borri 57, 21100 Varese (VA), ItalyDepartment of Medicine and Surgery, Division of Psychiatry, University of Insubria, Viale Luigi Borri 57, 21100 Varese (VA), ItalyMedically Unexplained Physical Symptoms (MUPS) are physical symptoms without a medical explanation. This study collected data from hospitalized patients presenting MUPS, aiming to draw a clinical and socio-demographic profile of patients with MUPS, to explore psychopathological correlations of Somatic Symptoms Disorder (SSD) diagnosis, and to estimate economic costs related to hospital management for MUPS. The cross-sectional study consisted in the evaluation of data referring to hospitalized patients admitted between 2008 and 2018 in a teaching hospital in Northern Italy. A total of 273 patients presenting MUPS have been hospitalized. The sample showed a prevalence of female, married and employed patients. The most frequent wards involved are Neurology, Internal Medicine and Short Unit Stay. The most common symptoms found are headache, pain, syncope and vertigo. There is no evidence that a history of medical disease is associated with a diagnosis of SSD. A personality disorder diagnosis in patients with MUPS was associated with increased probability of having a diagnosis of SSD. A marginally significant positive association emerged with anxiety disorders, but not with depressive disorder. The overall estimated cost of hospitalization for patients with MUPS is 475′409.73 €. The study provides the investigation of a large number of patients with MUPS and a financial estimate of related hospitalization costs.https://www.mdpi.com/2076-328X/9/7/80Health Care CostsCommunity PsychiatryMedically Unexplained Physical SymptomsPsychosomatic MedicineSomatic Symptoms Disorder |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nicola Poloni Ivano Caselli Marta Ielmini Michele Mattia Alessandra De Leo Marco Di Sarno Celeste Isella Alessandro Bellini Camilla Callegari |
spellingShingle |
Nicola Poloni Ivano Caselli Marta Ielmini Michele Mattia Alessandra De Leo Marco Di Sarno Celeste Isella Alessandro Bellini Camilla Callegari Hospitalized Patients with Medically Unexplained Physical Symptoms: Clinical Context and Economic Costs of Healthcare Management Behavioral Sciences Health Care Costs Community Psychiatry Medically Unexplained Physical Symptoms Psychosomatic Medicine Somatic Symptoms Disorder |
author_facet |
Nicola Poloni Ivano Caselli Marta Ielmini Michele Mattia Alessandra De Leo Marco Di Sarno Celeste Isella Alessandro Bellini Camilla Callegari |
author_sort |
Nicola Poloni |
title |
Hospitalized Patients with Medically Unexplained Physical Symptoms: Clinical Context and Economic Costs of Healthcare Management |
title_short |
Hospitalized Patients with Medically Unexplained Physical Symptoms: Clinical Context and Economic Costs of Healthcare Management |
title_full |
Hospitalized Patients with Medically Unexplained Physical Symptoms: Clinical Context and Economic Costs of Healthcare Management |
title_fullStr |
Hospitalized Patients with Medically Unexplained Physical Symptoms: Clinical Context and Economic Costs of Healthcare Management |
title_full_unstemmed |
Hospitalized Patients with Medically Unexplained Physical Symptoms: Clinical Context and Economic Costs of Healthcare Management |
title_sort |
hospitalized patients with medically unexplained physical symptoms: clinical context and economic costs of healthcare management |
publisher |
MDPI AG |
series |
Behavioral Sciences |
issn |
2076-328X |
publishDate |
2019-07-01 |
description |
Medically Unexplained Physical Symptoms (MUPS) are physical symptoms without a medical explanation. This study collected data from hospitalized patients presenting MUPS, aiming to draw a clinical and socio-demographic profile of patients with MUPS, to explore psychopathological correlations of Somatic Symptoms Disorder (SSD) diagnosis, and to estimate economic costs related to hospital management for MUPS. The cross-sectional study consisted in the evaluation of data referring to hospitalized patients admitted between 2008 and 2018 in a teaching hospital in Northern Italy. A total of 273 patients presenting MUPS have been hospitalized. The sample showed a prevalence of female, married and employed patients. The most frequent wards involved are Neurology, Internal Medicine and Short Unit Stay. The most common symptoms found are headache, pain, syncope and vertigo. There is no evidence that a history of medical disease is associated with a diagnosis of SSD. A personality disorder diagnosis in patients with MUPS was associated with increased probability of having a diagnosis of SSD. A marginally significant positive association emerged with anxiety disorders, but not with depressive disorder. The overall estimated cost of hospitalization for patients with MUPS is 475′409.73 €. The study provides the investigation of a large number of patients with MUPS and a financial estimate of related hospitalization costs. |
topic |
Health Care Costs Community Psychiatry Medically Unexplained Physical Symptoms Psychosomatic Medicine Somatic Symptoms Disorder |
url |
https://www.mdpi.com/2076-328X/9/7/80 |
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