Evidence map›Paper›PMID 34516726›Full record

SynthesisInternational journal of clinical practice2021

Epidemiology and organisation of care in medically unexplained symptoms: A systematic review with a focus on cultural diversity and migrants.

Peter Vermeir, An Mariman, Lilla Lucza, Viola Sallay, Anne Weiland, Karen M Stegers-Jager, Dirk Vogelaers

Abstract readSystematic Review
In one paragraph

Synthesis in International journal of clinical practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

7 authors.

Peter VermeirGhent University/Ghent University Hospital, Gent, Belgium.
An MarimanGhent University/Ghent University Hospital, Gent, Belgium.
Lilla LuczaDoctoral School of Education, University of Szeged, Szeged, Hungary.
Viola SallayInstitute of Psychology, University of Szeged, Szeged, Hungary.
Anne WeilandErasmus MC University Medical Center, Rotterdam, The Netherlands.
Karen M Stegers-JagerErasmus MC University of Rotterdam, Rotterdam, The Netherlands.
Dirk VogelaersGhent University/Ghent University Hospital, Gent, Belgium.

Funding

European Commission 2018-2021.2018-1-NL01_KA203-038971
6 · The paper itself

Abstract

backgroundSince the pathophysiology of medically unexplained symptoms (MUS) remains unclear, healthcare providers often struggle with these patients, especially with a different ethnic and/or cultural background. These challenges are insufficiently addressed in their training and in the organisation of care.

aimTo improve healthcare provider-patient interaction focused on MUS patients in general and in ethnic minorities and refugees in particular through a systematic review of syndromal definitions and epidemiology and organisation of care of MUS patients.

methodsScreening of PubMed, Web of Science, Cinahl and Cochrane Library on the keywords 'Medical unexplained (physical) symptoms (MUPS)', 'Somatoform disorder', 'Functional syndrome', 'Diversity', 'Migrants', 'Ethnicity', 'Care models', 'Medical education', 'Communication skills', 'Health literacy'.

resultsDifferent case definitions result in markedly different epidemiological estimates for MUS patients. Nevertheless, they are prevalent in a wide range of healthcare settings. Literature offers evidence of the effectiveness of structural frameworks in approaching MUS patients. Organisation of MUS care needs to transcend different levels of care: specialist tertiary and secondary care and primary care involving different qualifications of caregivers need to be aligned.

conclusionThe systematic review identified significant gaps and shortcomings in organisation of care. These need to be addressed in order to improve outcomes.

Indexed as

Medically Unexplained SymptomsTransients and MigrantsCultural DiversityEthnic and Racial MinoritiesHumansPrimary Health Care

Identifiers

PMID34516726
PMCPMC9285020

What OpenQuestion holds

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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.