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Trends in Plastic Surgery utilization by Hidradenitis Suppurativa patients with Neuropsychiatric Diagnoses
Susanna Gebhardt, Kiersten Woodyard De Brito MPH, Sydni Meunier MD, Henry Huson MD, Ryan Gobble MD
University of Cincinnati Medical Center/College of Medicine
2024-01-15
Presenter: Susanna Gebhardt
Affidavit:
This project represents the original work of the resident and student authors.
Director Name: Ann Schwentker
Author Category: Medical Student
Presentation Category: Clinical
Abstract Category: General Reconstruction
Background: Neuropsychiatric disorders (ND) occur at higher prevalence in Hidradenitis Suppurativa (HS) patients. A concomitant ND may impact how patients utilize healthcare resources when seeking treatment for other diagnoses. This study investigates the impact of ND on plastic surgery care utilization in HS patients.
Methods: A retrospective chart review of patients undergoing a billed procedure for HS between 2018 and 2022 at our institution was conducted. Patient data collected included insurance type, number of clinic visits and billed procedures, history of ND, and HS grade. Continuous variable comparisons used Welch't t-tests; categorical comparisons used Odds Ratios and Pearson Chi-Squared analysis.
Results: Among 218 HS patients, there were a total of 639 associated clinic visits and 323 billed procedural codes. 107 (49%) patients had ND. HS patients with ND were twice as likely to have public insurance (p=0.0046). Clinic visit (CV) to billed procedure (BP) ratios (CV:BP) were calculated for both groups. Patients with ND had a higher average CV:BP compared to patients without (2.23:1 versus 1.57:1; p=0.044). Of ND diagnoses, the highest CV:BP ratios were found in patients with depression and bipolar spectrum diagnoses, both with average CV:BP ratios of 2.34:1.
Conclusions: The prevalence of ND is high in HS patients. In our population, HS patients demonstrated higher utilization of plastic surgery resources when also diagnosed with an ND. Understanding the complexity and tendencies of patients with HS and ND provides insight to optimize surgeon-patient interactions.
