INTRODUCTION Cohort studies from referral centers suggest an increasing burden of functional gastric disorders, with frequent emergency room (ER) visits, hospitalizations, or absenteeism. We hypothesized that recruitment from tertiary care sites skews results and thus investigated the burden of these illnesses, using the population-based data of the Medical Expenditure Panel Survey (MEPS). METHODS Using MEPS data for the years 2000-2015, demographic, economic, healthcare-related, and quality-of-life indicators were extracted for adults reporting the diagnosis of functional gastric diseases to assess trends and to compare results with data from all adults surveyed. RESULTS Between 2000 and 2015, 2.7 ± 0.2% of the adults surveyed reported a functional gastric illness. Within the period studied, 28.8 ± 2.8% and 17.9 ± 1.6% of this cohort reported ER visits or hospitalizations, respectively. Only a fraction of these persons attributed the ER visits (22.6 ± 0.9%) or admissions (10.9 ± 0.8%) to the functional gastric disorder. Rates remained stable rates during the period studied. Female sex, measures of physical function, comorbidities, and an income below the poverty line were predictors of healthcare utilization. While utilization was stable over time, annual costs increased by 113.9 ± 16.6% during the study period, outpacing the inflation rate of 37.6%. CONCLUSIONS Persons with functional gastric disorders have significant healthcare needs and face increasing costs of care, largely due to coexisting illnesses. While it is important to recognize this impact, the need for emergency care or hospitalizations remained stable and lower than reported for patients seen in tertiary referral centers, providing reassuring information for patients and providers.

中文翻译：

---

自我报告的胃功能性疾病引起的医疗保健利用的时间趋势。

引言转诊中心的队列研究表明，功能性胃部疾病的负担增加，经常有急诊室，住院或旷工。我们假设从三级医疗机构招募人员会导致结果倾斜，从而使用“医疗支出小组调查”（MEPS）的基于人群的数据来调查这些疾病的负担。方法使用2000-2015年的MEPS数据，提取报告功能性胃病诊断的成年人的人口统计学，经济，医疗保健相关和生活质量指标，以评估趋势并将结果与​​所有接受调查的成年人的数据进行比较。结果2000年至2015年，接受调查的成年人中有2.7±0.2％的人报告患有功能性胃病。在研究期间内，分别为28.8±2.8％和17.9±1。该队列的6％分别报告了急诊就诊或住院治疗。这些人中只有一小部分归因于功能性胃病的ER访视（22.6±0.9％）或入院（10.9±0.8％）。在研究期间，费率保持稳定。女性，身体机能，合并症和贫困线以下的收入是医疗保健利用的预测指标。尽管利用率随着时间的推移保持稳定，但在研究期间，年度成本增加了113.9±16.6％，超过了通胀率37.6％。结论功能性胃病患者有大量的医疗保健需求，并且面临着越来越多的护理费用，这主要是由于并存的疾病所致。认识到这种影响很重要，