Medically unexplained symptoms in patients referred to a specialist rheumatology service: prevalence and associations
Objectives. To determine the prevalence of medically unexplained rheumatic symptoms amongst patients newly referred to a rheumatology out‐patient service and to examine their relationship with pain, disability, socioeconomic factors and the presence of emotional disorders (anxiety, depression and pa...
Gespeichert in:
| Veröffentlicht in: | British journal of rheumatology 2003-01, Vol.42 (1), p.108-112 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 112 |
|---|---|
| container_issue | 1 |
| container_start_page | 108 |
| container_title | British journal of rheumatology |
| container_volume | 42 |
| creator | Maiden, N. L. Hurst, N. P. Lochhead, A. Carson, A. J. Sharpe, M. |
| description | Objectives. To determine the prevalence of medically unexplained rheumatic symptoms amongst patients newly referred to a rheumatology out‐patient service and to examine their relationship with pain, disability, socioeconomic factors and the presence of emotional disorders (anxiety, depression and panic). Methods. A sample of newly referred consecutive patients to a hospital‐based, regional rheumatology service was administered a questionnaire for assessment of emotional disorders, pain, health status and socioeconomic factors. Rheumatologists rated the degree to which patients' symptoms were explained by organic disease (organicity rating). Results. Two hundred and fifty‐six patients were eligible and 203 (79%) participated. The sample included 69% females and mean age was 50 yr. Ninety‐three (46%) had symptoms that were completely explained, 52 (26%) largely explained, 41 (20%) somewhat explained and 17 (8%) not at all explained by organic disease. Patients whose symptoms were of ‘low organicity’ (somewhat or not at all explained) were more likely to be female [relative risk (RR) 1.8, 95% confidence interval (CI) 1.0–3.1], younger (mean age 44 vs 52 yr, P |
| doi_str_mv | 10.1093/rheumatology/keg043 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_72946217</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>332917261</sourcerecordid><originalsourceid>FETCH-LOGICAL-c396t-d330bf9d06183823cc94573fde81a5825c6884c894550dc87d17717077e6189f3</originalsourceid><addsrcrecordid>eNpdkVtrFTEUhQdR7EV_gSBBqG_T5jaTjG9Sao_0iC8VpS8hTfbUtDPJmD1Tev69kXNoi0_ZZH9rs1irqt4xesxoJ07yb1hGO6ch3WxO7uCGSvGi2mey5TUVgr98nLncqw4QbymlDRP6dbXHeEO7lvP9avkGPjg7DBuyRHiYBhsieIKbcZrTiCREMtk5QJyRZOgh57KdE7EEJ3DBDgFn8twJQcj3wcEnMmW4twNEB8RGTyxiKoI5pIhvqle9HRDe7t7D6seXs8vTVb3-fv719PO6dqJr59oLQa_7ztOWaaG5cK6TjRK9B81so3njWq2l0-W3od5p5ZlSTFGloCi6XhxWH7d3p5z-LICzGQM6GAYbIS1oFO9KREwV8MN_4G1acizeDOuaVgkpWYHEFnI5IZY0zJTDaPPGMGr-VWKeB2G2lRTV-93p5XoE_6TZdVCAox1gsTTRZxtdwCdOylZz1Rau3nIlcnh43Nt8Z4pB1ZjVryvTXK1XFz-VMJfiL1Ybqek</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>195673441</pqid></control><display><type>article</type><title>Medically unexplained symptoms in patients referred to a specialist rheumatology service: prevalence and associations</title><source>MEDLINE</source><source>Oxford University Press Journals All Titles (1996-Current)</source><source>Alma/SFX Local Collection</source><creator>Maiden, N. L. ; Hurst, N. P. ; Lochhead, A. ; Carson, A. J. ; Sharpe, M.</creator><creatorcontrib>Maiden, N. L. ; Hurst, N. P. ; Lochhead, A. ; Carson, A. J. ; Sharpe, M.</creatorcontrib><description>Objectives. To determine the prevalence of medically unexplained rheumatic symptoms amongst patients newly referred to a rheumatology out‐patient service and to examine their relationship with pain, disability, socioeconomic factors and the presence of emotional disorders (anxiety, depression and panic). Methods. A sample of newly referred consecutive patients to a hospital‐based, regional rheumatology service was administered a questionnaire for assessment of emotional disorders, pain, health status and socioeconomic factors. Rheumatologists rated the degree to which patients' symptoms were explained by organic disease (organicity rating). Results. Two hundred and fifty‐six patients were eligible and 203 (79%) participated. The sample included 69% females and mean age was 50 yr. Ninety‐three (46%) had symptoms that were completely explained, 52 (26%) largely explained, 41 (20%) somewhat explained and 17 (8%) not at all explained by organic disease. Patients whose symptoms were of ‘low organicity’ (somewhat or not at all explained) were more likely to be female [relative risk (RR) 1.8, 95% confidence interval (CI) 1.0–3.1], younger (mean age 44 vs 52 yr, P<0.001) and to report more somatic symptoms (median 2 vs 1, P=0.021). On univariate analysis they were more likely to be experiencing financial hardship (RR 1.7, 95% CI 1.1–2.6) and work dissatisfaction (RR 1.6, 95% CI 1.0–2.4) and to live in rented housing (RR 1.8, 95% CI 1.2–2.8) or with dependent relatives (RR 1.6, 95% CI 1.0–2.5). Logistic regression showed that female gender and living in rented housing were the significant independent predictors of low organicity. Organicity ratings were not associated with pain severity, disability, physical and mental health status or the presence of emotional disorders. Conclusions. Twenty‐nine per cent of patients newly referred to rheumatology clinics had symptoms that were poorly explained by identifiable rheumatic disease. Having unexplained symptoms was associated with socioeconomic factors but not levels of pain, disability or emotional disorders.</description><identifier>ISSN: 1462-0324</identifier><identifier>ISSN: 1460-2172</identifier><identifier>EISSN: 1462-0332</identifier><identifier>EISSN: 1460-2172</identifier><identifier>DOI: 10.1093/rheumatology/keg043</identifier><identifier>PMID: 12509622</identifier><identifier>CODEN: BJRHDF</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Adult ; Affective Symptoms ; Age Factors ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Chi-Square Distribution ; Diagnostic Errors ; Diseases of the osteoarticular system ; Female ; Health Status ; Hospital Departments ; Humans ; Logistic Models ; Male ; Medical sciences ; Middle Aged ; Miscellaneous. Osteoarticular involvement in other diseases ; Pain ; Prevalence ; Psychophysiologic Disorders - etiology ; Psychosocial Deprivation ; Referral and Consultation ; Rheumatology ; Sex Factors ; Statistics, Nonparametric</subject><ispartof>British journal of rheumatology, 2003-01, Vol.42 (1), p.108-112</ispartof><rights>2003 INIST-CNRS</rights><rights>Copyright Oxford University Press(England) Jan 2003</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-d330bf9d06183823cc94573fde81a5825c6884c894550dc87d17717077e6189f3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4009,27902,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14468276$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12509622$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Maiden, N. L.</creatorcontrib><creatorcontrib>Hurst, N. P.</creatorcontrib><creatorcontrib>Lochhead, A.</creatorcontrib><creatorcontrib>Carson, A. J.</creatorcontrib><creatorcontrib>Sharpe, M.</creatorcontrib><title>Medically unexplained symptoms in patients referred to a specialist rheumatology service: prevalence and associations</title><title>British journal of rheumatology</title><addtitle>Rheumatology</addtitle><description>Objectives. To determine the prevalence of medically unexplained rheumatic symptoms amongst patients newly referred to a rheumatology out‐patient service and to examine their relationship with pain, disability, socioeconomic factors and the presence of emotional disorders (anxiety, depression and panic). Methods. A sample of newly referred consecutive patients to a hospital‐based, regional rheumatology service was administered a questionnaire for assessment of emotional disorders, pain, health status and socioeconomic factors. Rheumatologists rated the degree to which patients' symptoms were explained by organic disease (organicity rating). Results. Two hundred and fifty‐six patients were eligible and 203 (79%) participated. The sample included 69% females and mean age was 50 yr. Ninety‐three (46%) had symptoms that were completely explained, 52 (26%) largely explained, 41 (20%) somewhat explained and 17 (8%) not at all explained by organic disease. Patients whose symptoms were of ‘low organicity’ (somewhat or not at all explained) were more likely to be female [relative risk (RR) 1.8, 95% confidence interval (CI) 1.0–3.1], younger (mean age 44 vs 52 yr, P<0.001) and to report more somatic symptoms (median 2 vs 1, P=0.021). On univariate analysis they were more likely to be experiencing financial hardship (RR 1.7, 95% CI 1.1–2.6) and work dissatisfaction (RR 1.6, 95% CI 1.0–2.4) and to live in rented housing (RR 1.8, 95% CI 1.2–2.8) or with dependent relatives (RR 1.6, 95% CI 1.0–2.5). Logistic regression showed that female gender and living in rented housing were the significant independent predictors of low organicity. Organicity ratings were not associated with pain severity, disability, physical and mental health status or the presence of emotional disorders. Conclusions. Twenty‐nine per cent of patients newly referred to rheumatology clinics had symptoms that were poorly explained by identifiable rheumatic disease. Having unexplained symptoms was associated with socioeconomic factors but not levels of pain, disability or emotional disorders.</description><subject>Adult</subject><subject>Affective Symptoms</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Chi-Square Distribution</subject><subject>Diagnostic Errors</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Health Status</subject><subject>Hospital Departments</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous. Osteoarticular involvement in other diseases</subject><subject>Pain</subject><subject>Prevalence</subject><subject>Psychophysiologic Disorders - etiology</subject><subject>Psychosocial Deprivation</subject><subject>Referral and Consultation</subject><subject>Rheumatology</subject><subject>Sex Factors</subject><subject>Statistics, Nonparametric</subject><issn>1462-0324</issn><issn>1460-2172</issn><issn>1462-0332</issn><issn>1460-2172</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkVtrFTEUhQdR7EV_gSBBqG_T5jaTjG9Sao_0iC8VpS8hTfbUtDPJmD1Tev69kXNoi0_ZZH9rs1irqt4xesxoJ07yb1hGO6ch3WxO7uCGSvGi2mey5TUVgr98nLncqw4QbymlDRP6dbXHeEO7lvP9avkGPjg7DBuyRHiYBhsieIKbcZrTiCREMtk5QJyRZOgh57KdE7EEJ3DBDgFn8twJQcj3wcEnMmW4twNEB8RGTyxiKoI5pIhvqle9HRDe7t7D6seXs8vTVb3-fv719PO6dqJr59oLQa_7ztOWaaG5cK6TjRK9B81so3njWq2l0-W3od5p5ZlSTFGloCi6XhxWH7d3p5z-LICzGQM6GAYbIS1oFO9KREwV8MN_4G1acizeDOuaVgkpWYHEFnI5IZY0zJTDaPPGMGr-VWKeB2G2lRTV-93p5XoE_6TZdVCAox1gsTTRZxtdwCdOylZz1Rau3nIlcnh43Nt8Z4pB1ZjVryvTXK1XFz-VMJfiL1Ybqek</recordid><startdate>200301</startdate><enddate>200301</enddate><creator>Maiden, N. L.</creator><creator>Hurst, N. P.</creator><creator>Lochhead, A.</creator><creator>Carson, A. J.</creator><creator>Sharpe, M.</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>200301</creationdate><title>Medically unexplained symptoms in patients referred to a specialist rheumatology service: prevalence and associations</title><author>Maiden, N. L. ; Hurst, N. P. ; Lochhead, A. ; Carson, A. J. ; Sharpe, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-d330bf9d06183823cc94573fde81a5825c6884c894550dc87d17717077e6189f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adult</topic><topic>Affective Symptoms</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Chi-Square Distribution</topic><topic>Diagnostic Errors</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Health Status</topic><topic>Hospital Departments</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous. Osteoarticular involvement in other diseases</topic><topic>Pain</topic><topic>Prevalence</topic><topic>Psychophysiologic Disorders - etiology</topic><topic>Psychosocial Deprivation</topic><topic>Referral and Consultation</topic><topic>Rheumatology</topic><topic>Sex Factors</topic><topic>Statistics, Nonparametric</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maiden, N. L.</creatorcontrib><creatorcontrib>Hurst, N. P.</creatorcontrib><creatorcontrib>Lochhead, A.</creatorcontrib><creatorcontrib>Carson, A. J.</creatorcontrib><creatorcontrib>Sharpe, M.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of rheumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maiden, N. L.</au><au>Hurst, N. P.</au><au>Lochhead, A.</au><au>Carson, A. J.</au><au>Sharpe, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Medically unexplained symptoms in patients referred to a specialist rheumatology service: prevalence and associations</atitle><jtitle>British journal of rheumatology</jtitle><addtitle>Rheumatology</addtitle><date>2003-01</date><risdate>2003</risdate><volume>42</volume><issue>1</issue><spage>108</spage><epage>112</epage><pages>108-112</pages><issn>1462-0324</issn><issn>1460-2172</issn><eissn>1462-0332</eissn><eissn>1460-2172</eissn><coden>BJRHDF</coden><abstract>Objectives. To determine the prevalence of medically unexplained rheumatic symptoms amongst patients newly referred to a rheumatology out‐patient service and to examine their relationship with pain, disability, socioeconomic factors and the presence of emotional disorders (anxiety, depression and panic). Methods. A sample of newly referred consecutive patients to a hospital‐based, regional rheumatology service was administered a questionnaire for assessment of emotional disorders, pain, health status and socioeconomic factors. Rheumatologists rated the degree to which patients' symptoms were explained by organic disease (organicity rating). Results. Two hundred and fifty‐six patients were eligible and 203 (79%) participated. The sample included 69% females and mean age was 50 yr. Ninety‐three (46%) had symptoms that were completely explained, 52 (26%) largely explained, 41 (20%) somewhat explained and 17 (8%) not at all explained by organic disease. Patients whose symptoms were of ‘low organicity’ (somewhat or not at all explained) were more likely to be female [relative risk (RR) 1.8, 95% confidence interval (CI) 1.0–3.1], younger (mean age 44 vs 52 yr, P<0.001) and to report more somatic symptoms (median 2 vs 1, P=0.021). On univariate analysis they were more likely to be experiencing financial hardship (RR 1.7, 95% CI 1.1–2.6) and work dissatisfaction (RR 1.6, 95% CI 1.0–2.4) and to live in rented housing (RR 1.8, 95% CI 1.2–2.8) or with dependent relatives (RR 1.6, 95% CI 1.0–2.5). Logistic regression showed that female gender and living in rented housing were the significant independent predictors of low organicity. Organicity ratings were not associated with pain severity, disability, physical and mental health status or the presence of emotional disorders. Conclusions. Twenty‐nine per cent of patients newly referred to rheumatology clinics had symptoms that were poorly explained by identifiable rheumatic disease. Having unexplained symptoms was associated with socioeconomic factors but not levels of pain, disability or emotional disorders.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>12509622</pmid><doi>10.1093/rheumatology/keg043</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1462-0324 |
| ispartof | British journal of rheumatology, 2003-01, Vol.42 (1), p.108-112 |
| issn | 1462-0324 1460-2172 1462-0332 1460-2172 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_72946217 |
| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| subjects | Adult Affective Symptoms Age Factors Aged Aged, 80 and over Biological and medical sciences Chi-Square Distribution Diagnostic Errors Diseases of the osteoarticular system Female Health Status Hospital Departments Humans Logistic Models Male Medical sciences Middle Aged Miscellaneous. Osteoarticular involvement in other diseases Pain Prevalence Psychophysiologic Disorders - etiology Psychosocial Deprivation Referral and Consultation Rheumatology Sex Factors Statistics, Nonparametric |
| title | Medically unexplained symptoms in patients referred to a specialist rheumatology service: prevalence and associations |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-25T21%3A48%3A59IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Medically%20unexplained%20symptoms%20in%20patients%20referred%20to%20a%20specialist%20rheumatology%20service:%20prevalence%20and%20associations&rft.jtitle=British%20journal%20of%20rheumatology&rft.au=Maiden,%20N.%20L.&rft.date=2003-01&rft.volume=42&rft.issue=1&rft.spage=108&rft.epage=112&rft.pages=108-112&rft.issn=1462-0324&rft.eissn=1462-0332&rft.coden=BJRHDF&rft_id=info:doi/10.1093/rheumatology/keg043&rft_dat=%3Cproquest_cross%3E332917261%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=195673441&rft_id=info:pmid/12509622&rfr_iscdi=true |