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Patients in general practice share a common pattern of symptoms that is partly independent of the diagnosis.

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Title: Patients in general practice share a common pattern of symptoms that is partly independent of the diagnosis.
Authors: Kjeldsberg, Mona (AUTHOR), Tschudi-Madsen, Hedda (AUTHOR), Mdala, Ibrahimu (AUTHOR), Bruusgaard, Dag (AUTHOR), Natvig, Bård (AUTHOR)
Source: Scandinavian Journal of Primary Health Care. Jun2021, Vol. 39 Issue 2, p184-193. 10p.
Subjects: Lumbar pain, Shoulder pain, Neck pain, Family medicine, Self-evaluation, Regression analysis, Sleep disorders, Social security, Asthenia, Symptoms, Diagnosis, Questionnaires, Mental depression, Statistical sampling, Fatigue (Physiology), Headache, Anxiety
Geographic Terms: Norway
Abstract: To describe self-reported symptoms among patients in general practice and to explore the relationships between symptoms experienced by patients and diagnoses given by general practitioners. Doctor–patient questionnaires focusing on patients' self-reported symptoms during the past 7 days and the doctors' diagnoses. General practices in urban and suburban areas in Southeast Norway. Forty-seven general practitioners who included 866 patients aged ≥18 years on a random day in practice. The most frequently reported symptoms were tiredness (46%), lower back pain (43%), neck pain (41%), headache (39%), shoulder pain (36%), and sleep problems (35%). Women had a significantly higher prevalence than men for 16 of 38 symptoms (p < 0.05). The mean number of symptoms was 7.5 (range, 0–32; women, 8.1; men, 6.5, p < 0.05). Regression analysis showed that patients who received a social security grant had 59% more symptoms than those who were employed and that people with asthenia and depression/anxiety had 44% and 23% more symptoms, respectively than those with all other diagnoses. The patterns of symptoms reported showed similar patterns across the five most prevalent diagnoses. Patients in general practice report a number of symptoms and share a common pattern of symptoms, which appear to be partly independent of the diagnoses given. These findings suggest that symptoms are not necessarily an indication of disease. Patients consulting general practitioners have a high number of self-reported symptoms. The most frequent symptoms are tiredness, lower back pain, neck pain, headache, shoulder pain, and sleep problems. Patients diagnosed with asthenia and depression/anxiety report the highest number of symptoms. Selected diagnoses show similar patterns in symptom distribution. Symptoms are not necessarily an indication of disease. [ABSTRACT FROM AUTHOR]
Copyright of Scandinavian Journal of Primary Health Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Patients in general practice share a common pattern of symptoms that is partly independent of the diagnosis.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Scandinavian+Journal+of+Primary+Health+Care%22&quot;&gt;Scandinavian Journal of Primary Health Care&lt;/searchLink&gt;. Jun2021, Vol. 39 Issue 2, p184-193. 10p.
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– Name: Abstract
  Label: Abstract
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  Data: To describe self-reported symptoms among patients in general practice and to explore the relationships between symptoms experienced by patients and diagnoses given by general practitioners. Doctor–patient questionnaires focusing on patients&#39; self-reported symptoms during the past 7 days and the doctors&#39; diagnoses. General practices in urban and suburban areas in Southeast Norway. Forty-seven general practitioners who included 866 patients aged ≥18 years on a random day in practice. The most frequently reported symptoms were tiredness (46%), lower back pain (43%), neck pain (41%), headache (39%), shoulder pain (36%), and sleep problems (35%). Women had a significantly higher prevalence than men for 16 of 38 symptoms (p &lt; 0.05). The mean number of symptoms was 7.5 (range, 0–32; women, 8.1; men, 6.5, p &lt; 0.05). Regression analysis showed that patients who received a social security grant had 59% more symptoms than those who were employed and that people with asthenia and depression/anxiety had 44% and 23% more symptoms, respectively than those with all other diagnoses. The patterns of symptoms reported showed similar patterns across the five most prevalent diagnoses. Patients in general practice report a number of symptoms and share a common pattern of symptoms, which appear to be partly independent of the diagnoses given. These findings suggest that symptoms are not necessarily an indication of disease. Patients consulting general practitioners have a high number of self-reported symptoms. The most frequent symptoms are tiredness, lower back pain, neck pain, headache, shoulder pain, and sleep problems. Patients diagnosed with asthenia and depression/anxiety report the highest number of symptoms. Selected diagnoses show similar patterns in symptom distribution. Symptoms are not necessarily an indication of disease. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Scandinavian Journal of Primary Health Care is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=151552641
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/02813432.2021.1913886
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 184
    Subjects:
      – SubjectFull: Lumbar pain
        Type: general
      – SubjectFull: Shoulder pain
        Type: general
      – SubjectFull: Neck pain
        Type: general
      – SubjectFull: Family medicine
        Type: general
      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Regression analysis
        Type: general
      – SubjectFull: Sleep disorders
        Type: general
      – SubjectFull: Social security
        Type: general
      – SubjectFull: Asthenia
        Type: general
      – SubjectFull: Symptoms
        Type: general
      – SubjectFull: Diagnosis
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Fatigue (Physiology)
        Type: general
      – SubjectFull: Headache
        Type: general
      – SubjectFull: Anxiety
        Type: general
      – SubjectFull: Norway
        Type: general
    Titles:
      – TitleFull: Patients in general practice share a common pattern of symptoms that is partly independent of the diagnosis.
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            NameFull: Tschudi-Madsen, Hedda
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            NameFull: Mdala, Ibrahimu
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              Text: Jun2021
              Type: published
              Y: 2021
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            – TitleFull: Scandinavian Journal of Primary Health Care
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