Evidence map›Paper›PMID 40490742›Full record

ArticleBMC primary care2025

Physicians' experiences of assessing and supporting fatigued patients in primary care: a focus group study.

Conrad Samuelsson, Lisa Gunnarsson, Frank Svärdman, Christian Rück, Elin Lindsäter

Abstract read
In one paragraph

Article in BMC primary care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

4 citing papers in PubMed.

  1. Trial
  2. Fatigue: assess and address it.Journal of patient-reported outcomes · 2026
    Article
  3. Article
  4. 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

5 authors.

Conrad SamuelssonGustavsberg University Primary Healthcare Clinic, Academic Primary Care Center, Region Stockholm, Stockholm, Sweden. conrad.samuelsson@ki.se.
Lisa GunnarssonCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.
Frank SvärdmanGustavsberg University Primary Healthcare Clinic, Academic Primary Care Center, Region Stockholm, Stockholm, Sweden.
Christian RückCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.
Elin LindsäterGustavsberg University Primary Healthcare Clinic, Academic Primary Care Center, Region Stockholm, Stockholm, Sweden.

Funding

Swedish Research Council for Health, Working Live, and Welfare (FORTE) STY-2023/0008Vetenskapsrådet 2023-05920
6 · The paper itself

Abstract

backgroundFatigue is a common symptom in primary healthcare, affecting 10-30% of patients, and is associated with increased healthcare consumption and functional disability. There is a lack of standardised guidelines to assess and treat patients with fatigue, and little is known about how patients are currently managed in primary healthcare. This study aimed to explore physicians' experiences of managing patients with fatigue in Swedish primary care to inform development of evidence-based care procedures.

methodSix semi-structured focus group interviews were conducted, including a total of 39 primary care physicians from three primary care centres in Stockholm. Data was analysed using thematic analysis.

resultsThe analysis generated the overarching theme "Frustration in the role as physician," consisting of two main themes: (1) "Time pressure and an empty toolbox", highlighting the perceived lack of standardised assessment procedures, effective interventions, and sufficient time for care; and (2) "Challenges in the patient-physician relationship", highlighting role ambivalence, ambivalence regarding sick leave, and the importance of reaching mutual understanding with the patient.

conclusionPhysicians often feel frustrated, ill-equipped, and time-pressured when managing patients with fatigue. There is a pressing need to develop evidence-based assessment procedures and treatments in the primary care context.

Indexed as

Attitude of Health PersonnelFatiguePhysicians, Primary CarePrimary Health CareAdultFemaleFocus GroupsHumansMaleMiddle AgedPhysician-Patient RelationsQualitative ResearchSwedenFatigueFocus GroupsHealth Care Process AssessmentPrimary Healthcare

Identifiers

PMID40490742
PMCPMC12147317

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.