Evidence map›Paper›PMID 42036548›Full record

ArticleJournal of occupational rehabilitation2026

Transdiagnostic Symptoms in Electronic Health Records of Sick-Listed Employees.

F O W Muntinghe, T Hoekstra, A A Laganga, M L W Ziech, S Brouwer, C A M Roelen

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Article in Journal of occupational rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

F O W MuntingheDepartment of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen (UMCG), Hanzeplein 1, PO Box 30.001, 9700 RB, Groningen, The Netherlands. F.O.W.Muntinghe@umcg.nl.ORCID http://orcid.org/0009-0001-5097-110X
T HoekstraDepartment of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen (UMCG), Hanzeplein 1, PO Box 30.001, 9700 RB, Groningen, The Netherlands.ORCID http://orcid.org/0000-0003-3414-5681
A A LagangaDepartment of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen (UMCG), Hanzeplein 1, PO Box 30.001, 9700 RB, Groningen, The Netherlands.
M L W ZiechDepartment of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen (UMCG), Hanzeplein 1, PO Box 30.001, 9700 RB, Groningen, The Netherlands.ORCID http://orcid.org/0009-0007-0281-3362
S BrouwerDepartment of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen (UMCG), Hanzeplein 1, PO Box 30.001, 9700 RB, Groningen, The Netherlands.ORCID http://orcid.org/0000-0002-3819-4360
C A M RoelenDepartment of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen (UMCG), Hanzeplein 1, PO Box 30.001, 9700 RB, Groningen, The Netherlands.ORCID http://orcid.org/0000-0002-0992-2330

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTransdiagnostic symptoms are the subjective physical and mental features that span across various diseases and share commonalities irrespective of the diagnosis. This study investigated which transdiagnostic symptoms are reported in electronic health records of sick-listed employees and how these symptoms are described. Furthermore, differences in transdiagnostic symptoms were studied across diagnostic categories.

methodsCross-sectional register-based study of consultation notes recorded in electronic health records of 25,981 employees sick-listed due to mental, musculoskeletal, cardiovascular, neurological, or gastrointestinal disorders between April 2019 and March 2020. Electronic health records were randomly drawn until data saturation, defined as no new transdiagnostic symptoms in 10 consecutive electronic health records, resulting in a final analytic sample of 262 electronic health records. Descriptions of transdiagnostic symptoms were analysed in Atlas-ti using a thematic analysis.

resultsA total of 129 unique symptoms were identified in the 262 electronic health records and thematically categorised into seven groups: psychological symptoms, pain, fatigue, sleep symptoms, vegetative symptoms, cognitive symptoms, and physical symptoms. Psychological symptoms were most prevalent (36%), followed by pain (30%), and fatigue (25%). In the majority of the health records, sequences of transdiagnostic symptoms were reported with brief indications of cause, severity, duration and temporal course. Transdiagnostic symptoms varied across diagnostic categories, though pain was highly prevalent in all diagnostic categories.

conclusionSeven thematic groups of transdiagnostic symptoms were identified in electronic health records of sick-listed employees. These seven groups can be used in further studies to identify symptom profiles that are related to poor work outcomes.

Indexed as

FatigueMedical recordsOccupational healthPainSickness absence

Identifiers

PMID42036548

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