Evidence map›Paper›PMID 23205344›Full record

ArticlePerspectives on medical education2012

Encounters between medical specialists and patients with medically unexplained physical symptoms; influences of communication on patient outcomes and use of health care: a literature overview.

Anne Weiland, Rianne E Van de Kraats, Annette H Blankenstein, Jan L C M Van Saase, Henk T Van der Molen, Wichor M Bramer, Alexandra M Van Dulmen, Lidia R Arends

Open access · diamondAbstract read
In one paragraph

Article in Perspectives on medical education, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

13 citing papers in PubMed, 43 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. "It´s incredible how much I´ve had to fight." Negotiating medical uncertainty in clinical encounters.International journal of qualitative studies on health and well-being · 2017
    Article
  13. 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

8 authors at 5 institutions in 2 countries.

Anne WeilandDepartment of Internal Medicine, Erasmus MC, University Medical Center, 2040, 3000 CA, Rotterdam, the Netherlands. info@anneweiland.nl.
Rianne E Van de KraatsDepartment of Psychiatry, University Medical Center Utrecht, Utrecht, the Netherlands.
Annette H BlankensteinDepartment of General Practice & Elderly Care Medicine, VU University Medical Center, Amsterdam, the Netherlands.
Jan L C M Van SaaseDepartment of Internal Medicine, Erasmus MC, University Medical Center, Rotterdam, the Netherlands.
Henk T Van der MolenFaculty of Social Sciences, Institute of Psychology, Erasmus University Rotterdam, Rotterdam, the Netherlands.
Wichor M BramerMedical Library, Erasmus MC, University Medical Center, Rotterdam, the Netherlands.
Alexandra M Van DulmenNetherlands Institute for Health Services Research (NIVEL), Utrecht, the Netherlands.
Lidia R ArendsFaculty of Social Sciences, Institute of Psychology and Institute of Pedagogy, Erasmus University, Rotterdam, the Netherlands.
Erasmus MC · NLAmsterdam UMC Location VUmc · NLErasmus University Rotterdam · NLNetherlands Institute for Health Services Research · NLUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medically unexplained physical symptoms (MUPS) burden patients and health services due to large quantities of consultations and medical interventions. The aim of this study is to determine which elements of communication in non-psychiatric specialist MUPS care influence health outcomes. Systematic search in PubMed, PsycINFO and Embase. Data extraction comprising study design, patient characteristics, number of patients, communication strategies, outcome measures and results. Elements of doctor-patient communication were framed according to symptoms, health anxiety, satisfaction, daily functioning and use of health care. Eight included studies. Two studies described the effect of communication on patient outcome in physical symptoms, three studies on health anxiety and patient satisfaction and one study on daily functioning. Two studies contained research on use of health care. Qualitative synthesis of findings was conducted. Communication matters in non-psychiatric MUPS specialist care. Perceiving patients' expectations correctly enables specialists to influence patients' cognitions, to reduce patients' anxiety and improve patients' satisfaction. Patients report less symptoms and health anxiety when symptoms are properly explained. Positive interaction and feedback reduces use of health care and improves coping. Development of communication skills focused on MUPS patients should be part of postgraduate education for medical specialists.

Indexed as

CommunicationMedically unexplained physical symptomsMedical specialistsPhysician-patient relationsUse of Health Care

Identifiers

PMID23205344
PMCPMC3508274
OpenAlexW2140112254

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.