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Reducing healthcare costs by timely diagnosis and management in functional motor disorders.

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Title: Reducing healthcare costs by timely diagnosis and management in functional motor disorders.
Authors: Tinazzi, Michele (AUTHOR), Gandolfi, Marialuisa (AUTHOR), Menaspà, Zoe (AUTHOR), Sandri, Angela (AUTHOR), Landi, Stefano (AUTHOR), Leardini, Chiara (AUTHOR)
Source: Neurological Sciences. Mar2025, Vol. 46 Issue 3, p1191-1200. 10p.
Subjects: Medical care, Emergency room visits, Medical care use, Medical care costs, Delayed diagnosis
Abstract: Background: Functional motor disorders (FMDs) are prevalent and highly disabling conditions among young adults, leading to reduced independence. Despite advancements in diagnosis and treatment, the economic burden of FMDs remains largely unknown. Objective: This study evaluates the impact of accurate FMDs diagnosis on direct healthcare costs within the Italian National Health System by comparing healthcare utilization and costs before and after diagnosis. Methods: This before-after study included 40 patients with a definite diagnosis of FMDs. Retrospective data on healthcare utilization, including diagnostic tests, specialist visits, hospitalizations, Emergency Room (ER) visits, and rehabilitation services, were collected from diaries and documents two years before and after diagnosis. Results: Healthcare direct costs decreased by 67%, from an average of €4,467 [95% CI 3,604–5,329] to €1,461 [95% CI 945–1,976] after diagnosis. Hospitalization costs fell from €2,618 [95% CI 1,899–3,336] to €492 [95% CI 162–821], and ER costs dropped from €403 [95% CI 177–628] to €43 [95% CI 6–78]. Diagnostic procedure costs decreased significantly, from €403 [95% CI 177–628] to €43 [95% CI 6–78]. Specialist visit costs remained unchanged. Rehabilitation costs increased from €371 [95% CI 194–547] to €635 [95% CI 318–915], but this rise was not statistically significant. Conclusions: Accurate diagnosis of FMDs significantly reduces healthcare costs by minimizing unnecessary tests, hospitalizations, and ER visits while emphasizing rehabilitation. This highlights the economic and clinical benefits of improved diagnostic accuracy and specific multidisciplinary intervention. Investing in cost-effective diagnostic tools is crucial for earlier diagnosis and reducing delays. [ABSTRACT FROM AUTHOR]
Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Reducing healthcare costs by timely diagnosis and management in functional motor disorders.
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  Data: <searchLink fieldCode="AR" term="%22Tinazzi%2C+Michele%22">Tinazzi, Michele</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gandolfi%2C+Marialuisa%22">Gandolfi, Marialuisa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Menaspà%2C+Zoe%22">Menaspà, Zoe</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sandri%2C+Angela%22">Sandri, Angela</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Landi%2C+Stefano%22">Landi, Stefano</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Leardini%2C+Chiara%22">Leardini, Chiara</searchLink> (AUTHOR)
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  Data: Background: Functional motor disorders (FMDs) are prevalent and highly disabling conditions among young adults, leading to reduced independence. Despite advancements in diagnosis and treatment, the economic burden of FMDs remains largely unknown. Objective: This study evaluates the impact of accurate FMDs diagnosis on direct healthcare costs within the Italian National Health System by comparing healthcare utilization and costs before and after diagnosis. Methods: This before-after study included 40 patients with a definite diagnosis of FMDs. Retrospective data on healthcare utilization, including diagnostic tests, specialist visits, hospitalizations, Emergency Room (ER) visits, and rehabilitation services, were collected from diaries and documents two years before and after diagnosis. Results: Healthcare direct costs decreased by 67%, from an average of €4,467 [95% CI 3,604–5,329] to €1,461 [95% CI 945–1,976] after diagnosis. Hospitalization costs fell from €2,618 [95% CI 1,899–3,336] to €492 [95% CI 162–821], and ER costs dropped from €403 [95% CI 177–628] to €43 [95% CI 6–78]. Diagnostic procedure costs decreased significantly, from €403 [95% CI 177–628] to €43 [95% CI 6–78]. Specialist visit costs remained unchanged. Rehabilitation costs increased from €371 [95% CI 194–547] to €635 [95% CI 318–915], but this rise was not statistically significant. Conclusions: Accurate diagnosis of FMDs significantly reduces healthcare costs by minimizing unnecessary tests, hospitalizations, and ER visits while emphasizing rehabilitation. This highlights the economic and clinical benefits of improved diagnostic accuracy and specific multidisciplinary intervention. Investing in cost-effective diagnostic tools is crucial for earlier diagnosis and reducing delays. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: Mar2025
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