Medically unexplained symptoms: continuing challenges for primary care
نویسندگان
چکیده
منابع مشابه
Medically unexplained symptoms in primary care.
Fourteen common physical symptoms are responsible for almost half of all primary care visits. Only about 10% to 15% of these symptoms are found to be caused by an organic illness over a 1-year period. Patients with medically unexplained symptoms are frequently frustrating to primary care physicians and utilize medical visits and costs disproportionately. This paper will review the relationship ...
متن کاملMedically unexplained symptoms in primary care
An estimated 15–30% of all primary care consul tations are for medically unexplained symptoms (Kirmayer et al, 2004). Patients with such symptoms receive large amounts of symptomatic investigation and treatment (Barsky & Borus, 1999). The number of medically unexplained symptoms over a per son’s lifetime correlates linearly with the number of depressive and anxiety disorders experi enced (Kat...
متن کاملA primary care Symptoms Clinic for patients with medically unexplained symptoms: pilot randomised trial
OBJECTIVES To conduct a pilot trial of a primary care Symptoms Clinic for patients with medically unexplained symptoms and evaluate recruitment and retention, and acceptability of the intervention and to estimate potential treatment effects for a full trial. TRIAL DESIGN Randomised parallel group pilot trial. SETTING Primary care in one locality. PARTICIPANTS Primary care database and pos...
متن کاملMedically unexplained neurological symptoms
A 56-year-old woman with seronegative polyarthritis presented with a four-year history of lower back pain and right-sided sciatica. On examination she had reduced power and impaired sensation in her right leg. Magnetic resonance imaging (MRI) of the spine revealed anterior degenerative slip of L4 on L5 with moderate overall reduction in canal calibre and osteophyte encroachment in the right lat...
متن کاملExplaining medically unexplained symptoms.
Patients with medically unexplained symptoms comprise from 15% to 30% of all primary care consultations. Physicians often assume that psychological factors account for these symptoms, but current theories of psychogenic causation, somatization, and somatic amplification cannot fully account for common unexplained symptoms. Psychophysiological and sociophysiological models provide plausible medi...
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ژورنال
عنوان ژورنال: British Journal of General Practice
سال: 2017
ISSN: 0960-1643,1478-5242
DOI: 10.3399/bjgp17x690785