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Related Experiment Videos

Persistent presentation of medically unexplained symptoms in general practice.

Peter F M Verhaak1, Susan A Meijer, Adriaan P Visser

  • 1Netherlands Institute of Health Services Research, PO Box 1568, 3500 BN Utrecht. p.verhaak@nivel.nl

Family Practice
|April 25, 2006
PubMed
Summary
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Frequent medically unexplained physical symptoms (MUPS) are rare, affecting 2.45% of patients. These patients are often older, female, less educated, unemployed, and from non-Western backgrounds.

Area of Science:

  • General Practice
  • Psychosomatic Medicine
  • Public Health

Background:

  • Medically Unexplained Physical Symptoms (MUPS) represent a significant proportion of general practice consultations.
  • Understanding the prevalence and characteristics of frequent MUPS presenters is crucial for healthcare resource allocation.

Purpose of the Study:

  • To determine the prevalence of persistent medically unexplained physical symptoms (MUPS) in general practice.
  • To compare the socio-demographic characteristics, health status, and healthcare utilization of frequent MUPS patients with reference groups.

Main Methods:

  • A one-year nationwide representative survey of general practice morbidity in The Netherlands.
  • Inclusion of 400,000 patients from 104 general practices.

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Main Results:

  • 2.45% of adult patients presenting at least annually to their GP had at least 4 visits for MUPS within a year without a medical diagnosis.
  • Frequent MUPS presenters were significantly older, more often female, less educated, more frequently unemployed, and of non-Western origin compared to average patients or those with a medical diagnosis.

Conclusions:

  • While a substantial percentage of GP visits involve MUPS, frequent attendance for these symptoms is relatively uncommon.
  • Elderly women with lower socioeconomic status are the most frequent attendees due to MUPS.