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The Impact of Diagnosis on Health Care Utilization in Functional Movement Disorders

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Patients with functional movement disorders (FMD) are common in neurology clinics with prevalence estimates as high as 30%. Patients with FMD often undergo an arduous, costly diagnostic odyssey. These patients… Click to show full abstract

Patients with functional movement disorders (FMD) are common in neurology clinics with prevalence estimates as high as 30%. Patients with FMD often undergo an arduous, costly diagnostic odyssey. These patients are often considered as having a poor prognosis despite high health care utilization (HCU), with reports that most patients with FMD are symptomatically unchanged or worse on follow-up. This situation has been described as a crisis. It has also been observed that a longer duration of symptoms augurs a worse prognosis. In the realm of FMD this cannot be understated as it is specifically emphasized that accurate explanation of diagnosis is a key

Keywords: functional movement; health care; movement; care utilization; movement disorders

Journal Title: Movement Disorders Clinical Practice
Year Published: 2020

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