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Prevalence and management of symptom diagnoses in children in general practice

Asma Chaabouni1, Juul Houwen2, Reinier Akkermans3

  • 1Former GP and a PhD student in the Department of Primary and Community Care in the Radboud Institute of Health Sciences at Radboud University Medical Center in Nijmegen, the Netherlands.

Canadian Family Physician Medecin De Famille Canadien
|April 14, 2025
PubMed

Insights

Symptom diagnoses are common in children visiting general practice, with nearly half experiencing them. Persistent symptoms like constipation, wheezing, and weakness require specific management strategies from GPs.

Area of Science:

  • Pediatric primary care
  • General practice research
  • Symptom diagnosis prevalence

Background:

  • Symptom diagnoses are frequent in pediatric primary care.
  • Understanding their prevalence and management is crucial for effective healthcare delivery.

Purpose of the Study:

  • To investigate the occurrence of symptom diagnoses in children within general practice.
  • To analyze the management approaches employed by general practitioners (GPs) for these diagnoses.

Main Methods:

  • Retrospective cohort study utilizing data from a Dutch primary care research network (FaMe-Net).
  • Inclusion of all pediatric episodes of care for symptom diagnoses in 2018.
  • Analysis of diagnostic interventions, therapeutic interventions, and referrals for each episode.

Main Results:

  • Over 6100 children were included; 44.9% had at least one symptom diagnosis contact.
  • Persistent symptom diagnoses were identified in 2.6% of children, with constipation, wheezing, and weakness being most common.
  • GPs utilized more therapeutic interventions (40.1%) than diagnostic interventions (32.3%) or referrals (27.6%) for persistent symptom diagnoses.

Conclusions:

  • Symptom diagnoses represent a significant burden in pediatric general practice.
  • Further research is needed to identify children at risk for persistent symptoms and optimize management strategies.
Abstract

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