ArticleBMC family practice2007
Chest wall syndrome among primary care patients: a cohort study.
Article in BMC family practice, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.
- Treatment efficacy for non-cardiovascular chest pain: a systematic review and meta-analysis.PloS one · 2014Pooled it
- Diagnostic indicators of non-cardiovascular chest pain: a systematic review and meta-analysis.BMC medicine · 2013Pooled it
- Article
- Characteristics of patients with acute myocardial infarction contacting primary healthcare before hospitalisation: a cross-sectional study.BMC family practice · 2018Article
- [Musculoskeletal-related chest pain].Der Internist · 2017Review
- Non-coronary chest pain does not affect long-term mortality: a prospective, observational study using a matched population control.BMC family practice · 2016Observational
- Presentation of Coronary Artery Disease in a Chiropractic Clinic: A Report of 2 Cases.Journal of chiropractic medicine · 2016Article
- Chest pain syndromes are associated with high rates of recidivism and costs in young United States Veterans.BMC family practice · 2015Article
- Consequences of high-sensitivity troponin T testing applied in a primary care population with chest pain compared with a commercially available point-of-care troponin T analysis: an observational prospective study.BMC research notes · 2015Observational
- Chest pain in primary care: is the localization of pain diagnostically helpful in the critical evaluation of patients?--A cross sectional study.BMC family practice · 2013Article
- Advances and challenges in spondyloarthritis imaging for diagnosis and assessment of disease.Current rheumatology reports · 2013Review
- Development and validation of a clinical prediction rule for chest wall syndrome in primary care.BMC family practice · 2012Article
- Anterior chest wall inflammation by whole-body magnetic resonance imaging in patients with spondyloarthritis: lack of association between clinical and imaging findings in a cross-sectional study.Arthritis research & therapy · 2012Article
- The diagnosis of coronary heart disease in a low-prevalence setting: follow-up data from patients whose CHD was misdiagnosed by their family doctors.Deutsches Arzteblatt international · 2011Article
- Gender bias revisited: new insights on the differential management of chest pain.BMC family practice · 2011Article
- Chronic costochondritis in an adolescent competitive swimmer: a case report.The Journal of the Canadian Chiropractic Association · 2010Article
- Ruling out coronary artery disease in primary care: development and validation of a simple prediction rule.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2010Article
- Accuracy of symptoms and signs for coronary heart disease assessed in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Article
- Application of NHG guidelines in patients referred for stable chest pain syndromes.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2010Article
- Gender differences in presentation and diagnosis of chest pain in primary care.BMC family practice · 2009Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe epidemiology of chest pain differs strongly between outpatient and emergency settings. In general practice, the most frequent cause is the chest wall pain. However, there is a lack of information about the characteristics of this syndrome. The aims of the study are to describe the clinical aspects of chest wall syndrome (CWS).
methodsProspective, observational, cohort study of patients attending 58 private practices over a five-week period from March to May 2001 with undifferentiated chest pain. During a one-year follow-up, questionnaires including detailed history and physical exam, were filled out at initial consultation, 3 and 12 months. The outcomes were: clinical characteristics associated with the CWS diagnosis and clinical evolution of the syndrome.
resultsAmong 24 620 consultations, we observed 672 cases of chest pain and 300 (44.6%) patients had a diagnosis of chest wall syndrome. It affected all ages with a sex ratio of 1:1. History and sensibility to palpation were the keys for diagnosis. Pain was generally moderate, well localised, continuous or intermittent over a number of hours to days or weeks, and amplified by position or movement. The pain however, may be acute. Eighty-eight patients were affected at several painful sites, and 210 patients at a single site, most frequently in the midline or a left-sided site. Pain was a cause of anxiety and cardiac concern, especially when acute. CWS coexisted with coronary disease in 19 and neoplasm in 6. Outcome at one year was favourable even though CWS recurred in half of patients.
conclusionCWS is common and benign, but leads to anxiety and recurred frequently. Because the majority of chest wall pain is left-sided, the possibility of coexistence with coronary disease needs careful consideration.
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