David Mossad, MD1, Matthew Ellis, BS2, Sangeeta Agrawal, MD, FACG3
1Wright State University, Dayton, OH; 2Wright State University Boonshoft School of Medicine, Dayton, OH; 3Dayton VA Medical Center, Dayton, OH
Introduction: Irritable bowel syndrome (IBS) is a chronic and debilitating functional gastrointestinal disorder that affects 9%-23% of the population across the world
. Based on IBS association with psychological symptoms such as anxiety and depression, it is assumed that patients with this condition require more time during outpatient visits than the average patient. The purpose of this study was to evaluate differences in time spent by physicians in the outpatient setting with patients with IBS versus patients with other conditions.
Methods: The National Ambulatory Medical Care Survey was searched using International Classification of Diseases - Ninth Revision (ICD-9) diagnosis codes for patients seen in the outpatient setting for IBS for the years 2011-2015. Time spent during the outpatient visits was also gathered. Patients were separated into two groups, those with IBS and those with other conditions. Data was analyzed with regards to patient age, sex, and duration of outpatient visit. Statistical comparisons were made using Statistical Package for the Social Sciences (SPSS) with chi-square and student T tests with a significance level of 0.05.
Results: 175,863 outpatient visits were identified, with 381 patients with IBS and 175,483 patients with other conditions. Patients with IBS were significantly older (mean age of 49.3 vs 46.1, p=0.0129) and had a longer duration of visit with the physician (24.7 minutes vs 22.5 minutes, p=0.0007). The IBS group had a significantly larger proportion of females compared to the other conditions group (80.05% vs 57.16%, p< 0.0001)
Discussion: In this study, it was found that IBS patients take a significantly longer clinic time compared to patients with other conditions. These patients were more likely to be older and female. Various comorbid factors such as fatigue, lack of sleep, anxiety, and depression are potential contributors to the extended amount of time needed for these patients. Physicians should expect to potentially spend more time with these patients during their clinic visits and adjust their schedules accordingly to provide the best quality of care for patients with IBS.
Citation: David Mossad, MD; Matthew Ellis, BS; Sangeeta Agrawal, MD, FACG. P0348 - LENGTH OF TIME SPENT IN THE OUTPATIENT SETTING WITH PATIENTS WITH IRRITABLE BOWEL SYNDROME: ANALYSIS OF THE NATIONAL AMBULATORY MEDICAL CARE SURVEY. Program No. P0348. ACG 2019 Annual Scientific Meeting Abstracts. San Antonio, Texas: American College of Gastroenterology.