Childhood nonspecific abdominal pain in family practice: incidence, associated factors, and management
| Autor: | Yvonne Lisman-van Leeuwen, Marjolein Y. Berger, Marieke J Gieteling, Johannes C. van der Wouden, François G. Schellevis |
|---|---|
| Přispěvatelé: | General Practice, Science in Healthy Ageing & healthcaRE (SHARE), Damage and Repair in Cancer Development and Cancer Treatment (DARE), Life Course Epidemiology (LCE), General practice, EMGO - Quality of care |
| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Abdominal pain Adolescent ANXIETY DISORDERS MEDLINE CHILDREN Drug Prescriptions Sex Factors PARENTS Epidemiology Health care GENERAL-PRACTICE ADOLESCENTS medicine EPIDEMIOLOGY Humans Medical prescription Practice Patterns Physicians' Child Referral and Consultation Netherlands Original Research business.industry Incidence (epidemiology) Incidence PRIMARY-CARE PSYCHOPATHOLOGY Odds ratio Abdominal Pain NATIONAL-SURVEY children and adolescents Family medicine Child Preschool Female HEALTH medicine.symptom business nonspecific somatic symptoms Family Practice management Psychopathology |
| Zdroj: | Annals of Family Medicine, 9(4), 337-343. Annals of Family Medicine, Inc Gieteling, M J, Lisman-van Leeuwen, Y, van der Wouden, J C, Schellevis, F G & Berger, M Y 2011, ' Childhood Nonspecific Abdominal Pain in Family Practice: Incidence, Associated Factors, and Management ', Annals of Family Medicine, vol. 9, no. 4, pp. 337-343 . https://doi.org/10.1370/afm.1268 Annals of Family Medicine, 9(4), 337-343. ANNALS FAMILY MEDICINE |
| ISSN: | 1544-1717 1544-1709 |
| DOI: | 10.1370/afm.1268 |
| Popis: | PURPOSE Nonspecific abdominal pain (NSAP) is a common complaint in childhood. In specialist care, childhood NSAP is considered to be a complex and time-consuming problem, and parents are hard to reassure. Little is known about NSAP in family practice, but the impression is that family physicians consider it to be a benign syndrome needing little more than reassurance. This discrepancy calls for a better understanding of NSAP in family practice.METHODS Data were obtained from the Second Dutch National Survey of General Practice (2001). Using registration data of 91 family practices, we identified children aged 4 to 17 years with NSAP. We calculated the incidence, and we studied factors associated with childhood NSAP, referrals, and prescriptions.RESULTS The incidence of NSAP was 25.0 (95% confidence interval [CI], 23.7-26.3) per 1,000 person years. Most children (92.7%) with newly diagnosed NSAP (N = 1,480) consulted their doctor for this condition once or twice. Factors independently associated with NSAP were female sex (odds ratio [OR] = 1.4; 95% CI, 1.3-1.5), nongastrointestinal-nonspecific somatic symptoms (OR = 1.3; 95% CI, 1.1-1.5), and health care use (OR = 1.04; 95% CI, 1.03-1.05). When NSAP was diagnosed at the first visit, 3% of the patients were referred to specialist care, and 1% received additional testing. Family physicians prescribed medication in 21.3% of the visits for NSAP.CONCLUSIONS Childhood NSAP is a common problem in family practice. Most patients visit their doctor once or twice for this problem. Family physicians use little additional testing and make few referrals in their management of childhood NSAP. Despite the lack of evidence for effectiveness, family physicians commonly prescribe medication for NSAP. |
| Databáze: | OpenAIRE |
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