| Medically unexplained symptoms: how often and why are they missed? | |
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MedLine Citation:
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PMID: 10623778 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We assessed risk factors affecting the provisional diagnosis of medically unexplained symptoms made by physicians in new patients, in 526 clinical encounters. Comparisons were made between the doctor's initial assessments regarding the nature of symptoms, and the final diagnosis. Physicians were more likely to err on the side of diagnosing the symptoms as medically explained rather than unexplained. When physicians perceived the interaction with the patient to be positive, they were more likely to make a provisional diagnosis that the symptoms were explained. Conversely, a negative perception of the interaction was associated with an increased likelihood of viewing symptoms as medically unexplained. Physicians should be aware of the effect of their own perceptions on their diagnostic behaviour. |
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Authors:
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C Nimnuan; M Hotopf; S Wessely |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: QJM : monthly journal of the Association of Physicians Volume: 93 ISSN: 1460-2725 ISO Abbreviation: QJM Publication Date: 2000 Jan |
Date Detail:
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Created Date: 2000-05-11 Completed Date: 2000-05-11 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9438285 Medline TA: QJM Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 21-8 Citation Subset: IM |
Affiliation:
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Department of Psychological Medicine, Guy's, King's and St Thomas' School of Medicine and Institute of Psychiatry, London, UK. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Clinical Competence / standards Diagnosis* Diagnosis, Differential Female Humans Male Middle Aged Physician-Patient Relations Questionnaires Risk Factors Sensitivity and Specificity |
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