Evidence map›Paper›PMID 27761689›Full record

ArticleJournal of occupational rehabilitation2017

Limitations to Work-Related Functioning of People with Persistent "Medically Unexplained" Physical Symptoms: A Modified Delphi Study Among Physicians.

K H N Weerdesteijn, F G Schaafsma, A J van der Beek, J R Anema

Open access · hybridAbstract read
In one paragraph

Article in Journal of occupational rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

3 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
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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 2 institutions in 1 country.

K H N WeerdesteijnDepartment of Public and Occupational Health, The EMGO+ Institute for Health and Care Research, VU University Medical Center (VUmc), van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands. k.weerdesteijn@vumc.nl.ORCID http://orcid.org/0000-0002-7594-5936
F G SchaafsmaDepartment of Public and Occupational Health, The EMGO+ Institute for Health and Care Research, VU University Medical Center (VUmc), van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands.
A J van der BeekDepartment of Public and Occupational Health, The EMGO+ Institute for Health and Care Research, VU University Medical Center (VUmc), van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands.
J R AnemaDepartment of Public and Occupational Health, The EMGO+ Institute for Health and Care Research, VU University Medical Center (VUmc), van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands.
Amsterdam Public Health · NLMinistry of Social Affairs and Employment · NL

Funding

Dutch Social Security Agency 2002045
6 · The paper itself

Abstract

Purpose The purpose of this study was to obtain consensus among physicians of several medical specialties on the level of limitations to work-related functioning of people with persistent "medically unexplained" physical symptoms (PPS). Methods A modified Delphi study was conducted with 15 physicians of five different medical specialties. The study involved two email rounds and one meeting. In each round, the physicians prioritized the level of limitations in 78 work-related functioning items for four different PPS cases. These items were based on the Dutch Functional Ability List, national guidelines and scientific literature regarding the International Classification of Functioning. Results In all four cases, the physicians reached consensus on the level of limitations to work-related functioning in 49 items. The physicians reported the highest number and level of limitations for PPS of the back and lower extremities, but they reported hardly any limitations for PPS of the abdomen and genitals. For PPS of the head, they reported mainly limitations to personal and social functioning; for PPS of the neck, back and upper or lower extremities, they reported mainly limitations to dynamic movements and static postures. The physicians could not reach consensus on limitations in the category of working hours. Conclusion Physicians reached consensus on the level of limitations in a substantial part of work-related functioning items for PPS. There was a difference in the number and severity of limitations between different cases of PPS. The assessment of functioning seems to be based more on the specific impairment than on the disease.

Indexed as

Disability EvaluationMedically Unexplained SymptomsConsensusDelphi TechniqueEmploymentHumansSeverity of Illness IndexSurveys and QuestionnairesDelphi techniqueFunctional limitationsInsurance, disability assessmentMedically unexplained symptomsPersistent physical symptoms

Identifiers

PMID27761689
PMCPMC5591343
OpenAlexW2534340774

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.