Background
Method
Study setting and design
Case definition and questionnaire
Statistics
Results
Participating GPs
Norway | Vest-Agder | Participants | |
---|---|---|---|
n = 4 189 | n = 160 | n = 84 | |
Age, mean
| 48.5 y | 48.1 y | 48.0 y |
Women
| 36.5% | 33.5% | 29.8% |
Mean number of patients listed per doctor
| 1 164 | 1 083 | 1 107 |
Specialty attainment
| 55.0% | 62.0% | 72.6% |
Total | Men | Women | |||||||
---|---|---|---|---|---|---|---|---|---|
Mean | (SD) | Range | Mean | (SD) | Range | Mean | (SD) | Range | |
Age*
| 48.0 | (11.37) | 26-68 | 49.9 | (11.63) | 26-68 | 43.5 | (9.49) | 26-60 |
Years in practice*
| 17.8 | (12.15) | 0-42 | 20.3 | (12.27) | 0-42 | 11.8 | (9.98) | 0-32 |
List length
| 1107 | (340.0) | 370-2496 | 1126 | (364.2) | 370-2496 | 1061 | (277.4) | 460-1450 |
MUPS-patientsˡ
| 6.38 | (4.97) | 0-26 | 6.32 | (5.39) | 0-26 | 6.52 | (3.91) | 0-15 |
N consultations
| 210.33 | (82.55) | 48-394 | 218.8 | (77.8) | 57-363 | 190.4 | (91.40) | 48-394 |
Descriptive data and demographics of the registered patients
All | Men | Women | ||||
---|---|---|---|---|---|---|
Symptom pattern, n (%)
| ||||||
Gastrointestinal | 108 | (20.5) | 26 | (20.5) | 82 | (20.6) |
Musculoskeletal | 358 | (68.1) | 78 | (61.4) | 280 | (70.2) |
Headache/dizziness | 168 | (31.9) | 36 | (28.3) | 132 | (33.1) |
Asthenia/fatigue | 300 | (57.0) | 72 | (56.7) | 228 | (57.1) |
Others | 41 | (7.8) | 10 | (7.9) | 31 | (7.8) |
Work status, n (%)
| ||||||
Working*
| 234 | (44.7) | 67 | (52.8) | 167 | (42.2) |
Not working
| ||||||
Sick leave | 91 | (31.5) | 18 | (30.0) | 73 | (31.9) |
Disability pension | 119 | (41.2) | 25 | (41.7) | 94 | (41.0) |
Other | 76 | (26.3) | 18 | (30.0) | 58 | (25.3) |
GPs management, n (%)
| ||||||
Supportive counceling | 333 | (63.7) | 83 | (65.4) | 250 | (63.1) |
Physical examination | 195 | (32.3) | 50 | (31.4) | 145 | (36.6) |
Prescriptions | 124 | (23.7) | 27 | (21.3) | 97 | (24.5) |
Blood test | 113 | (21.6) | 20 | (15.7) | 93 | (23.5) |
Referral | 93 | (17.8) | 24 | (18.9) | 69 | (17.4) |
Social security certificates | 106 | (20.3) | 25 | (19.7) | 81 | (20.5) |
Others | 41 | (7.8) | 11 | (8.7) | 30 | (7.6) |
All | Men | Women | ||||
---|---|---|---|---|---|---|
Gender
| 127 | (24.1%) | 399 | (75.9%) | ||
Age (years)
| ||||||
Mean | 46.11 | (SD = 13.92) | 45.74 | (SD = 14.09) | 46.23 | (SD = 13.88) |
18-40 | 182 | (35.0) | 43 | (34.7) | 139 | (35.1) |
41-65 | 291 | (56.0) | 70 | (56.6) | 221 | (55.8) |
>65 | 47 | (9.0) | 11 | (8.7) | 36 | (9.1) |
Education (n, %)
| ||||||
Primary school | 131 | (25.5) | 30 | (24.4) | 101 | (25.9) |
Highschool | 249 | (48.6) | 67 | (54.5) | 182 | (46.7) |
College/university | 133 | (25.9) | 26 | (21.1) | 107 | (27.4) |
Duration of MUPS (n, %)
| ||||||
<1 year | 73 | (14.0) | 25 | (20.0) | 48 | (12.1) |
1-5 years | 161 | (30.9) | 39 | (31.2) | 122 | (30.8) |
> 5 years | 287 | (55.1) | 61 | (48.8) | 226 | (57.1) |
GPs management
Discussion
Summary
Strengths and limitations
Comparison with existing literature
Conclusion
Additional information
Ethical approval
Keypoint
-
Patients with persistent MUPS account for 3% of consultations in Norwegian general practice;
-
Musculoskeletal symptoms were most frequent, followed by asthenia/fatigue;
-
45% of patients with persistent MUPS were currently working, of these significantly more men;
-
A major GP-management strategy was supportive counseling. GPs need tools to identify and provide adequate health care for patients with persistent MUPS.