Incidence of the diagnosis of factitious disorders - Nationwide comparison study between Germany and Norway.

Forensic Science, Medicine, and Pathology
Julian GeileHarald Schrader

Abstract

Factitious disorders (FD) like Munchausen syndrome are well known to most physicians, yet the corresponding ICD-10 diagnosis F68.1 remains severely under-assigned and often misdiagnosed. To approach this problem, we conducted a nationwide inquiry for Germany and Norway as well as a comparison between these two countries regarding the incidence of diagnosis of FD. The assignment rates of F68.1 in somatic hospitals from 2008 to 2016 were analyzed based on the Diagnosis Related Groups statistic from the German Federal Statistical Office and the data provided from the Norwegian Patient Registry. The Norwegian data also included information on individual patients whereas the German data only contained the total number of F68.1 assignment due to strict medical confidentiality laws. The incidence of the diagnosis of FD in Germany and Norway showed similar assignment rates with 3.71 and 3.18 per 100,000, respectively. The mean age was 39.4 years for German patients and 35.6 years for Norwegian patients. The gender distribution was almost equal for the individual patients' rate (49% female and 51% male). Furthermore, our results indicate that female patients with FD tend to demand healthcare services more frequently than male patients. ...Continue Reading

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Citations

Apr 1, 2021·SAGE Open Medical Case Reports·Tika Ram Adhikari, Thinley Dorji
Jul 3, 2021·Forensic Science, Medicine, and Pathology·Julian PrangenbergHarald Schrader

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