Psychiatric Influences on Hidradenitis Suppurativa: A Call For Help

Objective: Hidradenitis suppurativa (HS) is associated with a high prevalence of psychiatric disorders. However, no studies examine how psychiatric disorders influence surgical and financial outcomes. The study aim was to assess impact of a psychiatric diagnosis on patients treated for HS. Methods: Patients with HS were retrospectively identified at a single institution from 2010-2021. Cohorts were stratified by the presence of a psychiatric disorder. Demographics, comorbidities, and disease characteristics were collected. Outcomes assessed included the procedural interventions and emergency department (ED) visits. Financial distress was assessed via the COST-FACIT Version 2 survey. Results: Out of 138 patients, 40 (29.0%) completed the survey of which 19 (47.5%) had a pre-existing psychiatric diagnosis. No demographic differences were found between cohorts. Mean follow-up was 16.1+11.0 months. The psychiatric cohort had a higher median number of surgeries received (7.0 vs.1.5, p<0.001), a higher median number of ED visits (1.0 vs 0, p=0.006), and a similar hospital length of stay (p=0.456). The overall mean COST-FACIT score was 19.2+10.7 (grade one financial toxicity). The psych cohort had a lower mean COST-FACIT score (16.8 vs. 21.3, p=0.092) and reported greater financial hardship (3.3 vs. 1.7, p<0.001). On multivariate analysis a psychiatric diagnosis was predictive of lower credit scores, more ED visits, and a higher number of surgeries. Conclusion: Pre-existing psychiatric conditions in patients with HS are associated with increased healthcare utilization and surgical intervention with substantial financial distress. Plastic surgeons should be cognizant of such comorbid disorders to facilitate holistic care addressing all patient needs.

Object Details

• Location: Deutsche Nationalbibliothek Frankfurt am Main
• Extent: Online-Ressource
• Language: Englisch

References and Relationships

• Bibliographic citation: Psychiatric Influences on Hidradenitis Suppurativa: A Call For Help ; day:31 ; month:01 ; year:2024 ; Archives of Plastic Surgery ; (31.01.2024)

Contributors, Places and Time

• Contributor: Shan, Holly D. ; Huffman, Samuel S. ; Bovill, John D. ; Haffner, Zoë K. ; Towfighi, Parhom ; Benedict, Carol D. ; Evans, Karen K.

Further information

• DOI: 10.1055/a-2258-2438
• URN: urn:nbn:de:101:1-2024032111512735461093
• Rights: Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
• Last update: 14.08.2025, 11:00 AM CEST