Evidence map›Paper›PMID 28003283›Full record

ArticleBMJ open2016

Clinical practitioners' views on the management of patients with medically unexplained physical symptoms (MUPS): a qualitative study.

A Keith W Brownell, Chloe Atkins, Andrea Whiteley, Robert F Woollard, Jude Kornelsen

Abstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Functional Somatic Symptoms.Deutsches Arzteblatt international · 2019
    Pooled it
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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

5 authors.

A Keith W BrownellDepartment of Clinical Neurosciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Chloe AtkinsDepartment of Sociology, Faculty of Arts, University of Calgary, Calgary, Alberta, Canada.
Andrea WhiteleyGraduate Program in Communication and Media, Faculty of Arts, University of Calgary, Calgary, Alberta, Canada.
Robert F WoollardDepartment of Family Practice, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Jude KornelsenDepartment of Family Practice, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.

Funding

CIHR 245787
6 · The paper itself

Abstract

objectivesBy identifying strategies that practicing physicians use in managing patients with medically unexplained physical symptoms (MUPS), we present an interim practical management guide (IPMG) that clinical practitioners may find useful in their clinical practices and that may help guide future research.

designA qualitative research study based on interview data from practicing physicians with experience in dealing with MUPS and known to the physician members of the research team. A parallel exploration of patient experiences was carried out simultaneously and is reported elsewhere.

setting2 urban centres in 2 different Canadian provinces in a healthcare system where family physicians provide the majority of primary care and self-referral to specialists rarely occurs.

participantsThe physician members of the research team invited practicing family and specialty physicians to participate in the study.

resultsWe characterise the care of patients with MUPS in terms of a 4-part framework: (1) the challenge of diagnosis; (2) the challenge of management/treatment; (3) the importance of communication and (4) the importance of the therapeutic relationship.

conclusionsOn the basis of the details in the different parts of the framework, we propose an IPMG that practitioners may find useful to facilitate the clinical care of patients with MUPS. The guide can be readily implemented into the practice of any physician who cares for patients with MUPS.

Indexed as

Attitude of Health PersonnelCommunicationMedically Unexplained SymptomsPhysician-Patient RelationsPhysicians, FamilyPrimary Health CareCanadaDelivery of Health CareFamily PracticeHumansPractice Guidelines as TopicQualitative ResearchReferral and ConsultationSomatoform DisordersSpecializationUrban PopulationDiagnostic approachDiagnostic strategy.Management guideMUPSQualitative research study

Identifiers

PMID28003283
PMCPMC5223638

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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.