Evidence map›Paper›PMID 31198750›Full record

ArticleJournal of family medicine and primary care2019

A descriptive study of disability in patients presenting with medically unexplained physical symptoms in a medical OPD setting.

Goginani Ratnakara Rao, Piyush Ranjan, Rakesh K Chadda, G S Kaloiya, Sada N Dwivedi, Upendra Baitha, Manish Soneja, Ranveer S Jadon

Abstract read
In one paragraph

Article in Journal of family medicine and primary care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

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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

7 citing papers in PubMed.

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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

8 authors.

Goginani Ratnakara RaoDepartment of Medicine, AIIMS, New Delhi, India.
Piyush RanjanDepartment of Medicine, AIIMS, New Delhi, India.
Rakesh K ChaddaDepartment of Psychiatry, AIIMS, New Delhi, India.
G S KaloiyaDepartment of Psychiatry, AIIMS, New Delhi, India.
Sada N DwivediDepartment of Biostatistics, AIIMS, New Delhi, India.
Upendra BaithaDepartment of Medicine, AIIMS, New Delhi, India.
Manish SonejaDepartment of Medicine, AIIMS, New Delhi, India.
Ranveer S JadonDepartment of Medicine, AIIMS, New Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMedically unexplained physical symptoms (MUPS) are quite common in the primary care setting. These unexplained symptoms lead to physical, psychological, and functional disability increasing patient and caregiver distress. METHODOLOGY: Cross-sectional study was conducted on a sample of 100 patients attending medicine outpatient department. The data on sociodemographic profile and detailed clinical history were collected. Disability was assessed using the World Health Organization Disability Assessment Schedule 2.0 instrument. Association between qualitative measures was measured by Chi-square test or Fisher's exact test and for qualitative measure

resultsMost of the patients were young, from urban settings and belonging to lower socioeconomic strata. A mean of 6.54 symptoms per patient was presented with headache as the most common symptom. Average gross disability score in each domain was 1.6 with a major impact on the social and lifestyle-related domain.

conclusionPatients with MUPS have significant disability especially in the domain of mobility and lifestyle-related activities. The disability is more in females, population dwelling in urban settlements, and population belonging to lower socioeconomic status.

Indexed as

medically unexplained physical symptomsMedically unexplained symptomsMUSWHO-DAS

Identifiers

PMID31198750
PMCPMC6559060

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