Evidence map›Paper›PMID 20883622›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2010

Patients' descriptions of angina symptoms: a qualitative study of primary care patients.

Melvyn M Jones, Claire Somerville, Gene Feder, Gill Foster

Open access · bronzeAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Predictive Value of Hematologic Indices in the Diagnosis of Acute Coronary Syndrome.Open access Macedonian journal of medical sciences · 2019
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Melvyn M JonesUCL Medical School, Research Department of Primary Care and Population Health, Royal Free Campus, London, NW3 2PF. melvyn.jones@ucl.ac.uk
Claire Somerville
Gene Feder
Gill Foster
Roland Hill (United Kingdom) · GB

Funding

British Heart FoundationDepartment of Health
6 · The paper itself

Abstract

backgroundInitial diagnosis of angina in primary care is based on the history of symptoms as described by the patient in consultation with their GP. Deciphering and categorising often complex symptom narratives, therefore, represents an ongoing challenge in the early diagnosis of angina in primary care.

aimTo explore how patients with a preexisting angina diagnosis describe their symptoms.

methodSemi-structured interviews were conducted with 64 males and females, identified from general practice records as having received a diagnosis of angina within the previous 5 years.

resultsWhile some patients described their angina symptoms in narratives consistent with typical anginal symptoms, others offered more complex descriptions of their angina experiences, which were less easy to classify. The latter was particularly the case for severe coronary artery disease, where some patients tended to downplay chest pain or attribute their experience to other causes.

conclusionPatients with a known diagnosis of angina do not always describe their symptoms in a way that is consistent with Diamond and Forrester's diagnostic framework for typicality of angina. Early diagnosis of angina in primary care requires that GPs operate with a broad level of awareness of the various ways in which their patients describe their symptoms.

Indexed as

Attitude to HealthPatient ParticipationAdultAgedAged, 80 and overAngina PectorisAwarenessCoronary Artery DiseaseFamily PracticeFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMedical History TakingMiddle Aged

Identifiers

PMID20883622
PMCPMC2944932
OpenAlexW2155978200

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.