The accuracy of the general practitioner's sense of alarm when confronted with dyspnoea and/or thoracic pain: protocol for a prospective observational study

BMJ Open
Marie BaraisErik Stolper

Abstract

Dyspnoea and chest pain are signs shared with multiple pathologies ranging from the benign to life-threatening diseases. Gut feelings such as the sense of alarm and the sense of reassurance are known to play a substantial role in the diagnostic reasoning of general practitioners (GPs). A Gut Feelings Questionnaire (GFQ) has been validated to measure the GP's sense of alarm. A French version of the GFQ is available following a linguistic validation procedure. The aim of the study is to calculate the diagnostic test accuracy of a GP's sense of alarm when confronted with dyspnoea and chest pain. Prospective observational study. Patients aged between 18 and 80 years, consulting their GP for dyspnoea and/or thoracic pain will be considered for enrolment in the study. These GPs will have to complete the questionnaire immediately after the consultation for dyspnoea and/or thoracic pain. The follow-up and the final diagnosis will be collected 4 weeks later by phone contact with the GP or with the patient if their GP has no information. Life-threatening and non-life-threatening diseases have previously been defined according to the pathologies or symptoms in the (ICPC2) International Collegiate Programming Contest classification. Member...Continue Reading

References

Sep 14, 2001·Chest·L A PinedaB J Grant
Jul 4, 2007·Journal of Clinical Epidemiology·Johannes C van der WoudenArianne P Verhagen
Jan 9, 2008·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Catherine AcquadroUNKNOWN European Regulatory Issues and Quality of Life Assessment (ERIQA) Group
Sep 19, 2009·BMC Family Practice·Erik StolperGeert Jan Dinant
Oct 23, 2010·Journal of General Internal Medicine·Erik StolperGeert Jan Dinant
Sep 28, 2012·BMJ : British Medical Journal·Ann Van den BruelDavid Mant
Jan 4, 2013·BMC Family Practice·Christiaan F StolperGeert Jan Dinant

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