A primary care Symptoms Clinic for patients with medically unexplained symptoms: pilot randomised trial.

BMJ Open
Christopher BurtonMichael Sharpe

Abstract

To conduct a pilot trial of a primary care Symptoms Clinic for patients with medically unexplained symptoms and evaluate recruitment and retention, and acceptability of the intervention and to estimate potential treatment effects for a full trial. Randomised parallel group pilot trial. Primary care in one locality. Primary care database and postal questionnaire were used to identify patients with multiple specialist referrals and multiple physical symptoms unlikely to be explained by disease. General practitioner (GP) with special interest 'Symptoms Clinic' + usual care versus usual care alone. The Symptoms Clinic comprised one long (1 h) and three short (20 min) appointments. Number of patients identified and recruited; acceptability of the intervention (items from Client Satisfaction Questionnaire and interview); Medical Outcomes Survey Short Form 12 (SF-12) physical component summary. Automated blocked randomisation accessed by telephone. None. NUMBERS RANDOMIZED: 16 to intervention and 16 to usual care alone. 72 patients, from seven GP practices, had repeated specialist referrals and a Patient Health Questionnaire (PHQ)-15 score of ≥10 indicating a high probability of medically unexplained symptoms. 15 were ineligible and...Continue Reading

Citations

Aug 18, 2016·The Journal of Behavioral Health Services & Research·Sam HubleyCharles B Eaton
Oct 21, 2016·BMC Psychiatry·Shih-Cheng LiaoSusan Shur-Fen Gau
Dec 15, 2016·Pilot and Feasibility Studies·Sandra M EldridgeUNKNOWN PAFS consensus group
Nov 2, 2014·The Cochrane Database of Systematic Reviews·Nikki van DesselHarm van Marwijk
Oct 22, 2013·The Cochrane Database of Systematic Reviews·Marianne RosendalChristopher Burton
Dec 5, 2017·Indian Journal of Psychological Medicine·Vikas MenonSiddharth Sarkar
Oct 8, 2014·British Journal of Hospital Medicine·Vincent DearyJanet A Wilson
Dec 19, 2019·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Ella BekhuisJudith Rosmalen
Jan 1, 2016·Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova·G M DiukovaM G Mnatsakanyan
Feb 12, 2017·Current Psychiatry Reports·Nasuh MalasPatricia Ibeziako
Aug 26, 2017·Clinical Pediatrics·Nasuh MalasKristin A Kullgren
Aug 2, 2017·The Journal of the American Osteopathic Association·Christopher J Graver

❮ Previous
Next ❯

Methods Mentioned

BETA
cognitive behavioural therapy

Clinical Trials Mentioned

ISRCTN63083469

Software Mentioned

Campbell
GPASS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.