A Literature Review of GP Knowledge and Understanding of ME/CFS: A Report from the Socioeconomic Working Group of the European Network on ME/CFS (EUROMENE)
| Autor: | Derek Pheby, Lara Gitto, John Cullinan, Elenka Brenna, Dominic Trépel, Dyfrig A. Hughes, Diana Araja, Rachael Hunter, Xia Wang-Steverding, Uldis Berkis, Jean-Dominique de Korwin |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
ME/CFS myalgic encephalomyelitis chronic fatigue syndrome primary care GP knowledge and understanding MEDLINE Settore SECS-P/02 - POLITICA ECONOMICA Review Primary care Disease chronic fatigue syndrome GP knowledge and understanding primary care 03 medical and health sciences 0302 clinical medicine Chronic fatigue syndrome medicine Humans 030212 general & internal medicine Risk factor Psychiatry Socioeconomic status Qualitative Research lcsh:R5-920 Fatigue Syndrome Chronic Primary Health Care business.industry allergology 030503 health policy & services Medical record Network on General Medicine medicine.disease United Kingdom myalgic encephalomyelitis Socioeconomic Factors Family medicine ME/CFS lcsh:Medicine (General) 0305 other medical science business Qualitative research |
| Zdroj: | Medicina, Vol 57, Iss 7, p 7 (2021) Medicina |
| ISSN: | 1648-9144 |
| DOI: | 10.3390/medicina57010007 |
| Popis: | Background and Objectives: The socioeconomic working group of the European myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) Research Network (EUROMENE) has conducted a review of the literature pertaining to GPs’ knowledge and understanding of ME/CFS; Materials and Methods: A MEDLINE search was carried out. The papers identified were reviewed following the synthesis without meta-analysis (SWiM) methodology, and were classified according to the focus of the enquiry (patients, GPs, database and medical record studies, evaluation of a training programme, and overview papers), and whether they were quantitative or qualitative in nature; Results: Thirty-three papers were identified in the MEDLINE search. The quantitative surveys of GPs demonstrated that a third to a half of all GPs did not accept ME/CFS as a genuine clinical entity and, even when they did, they lacked confidence in diagnosing or managing it. It should be noted, though, that these papers were mostly from the United Kingdom. Patient surveys indicated that a similar proportion of patients was dissatisfied with the primary medical care they had received. These findings were consistent with the findings of the qualitative studies that were examined, and have changed little over several decades; Conclusions: Disbelief and lack of knowledge and understanding of ME/CFS among GPs is widespread, and the resultant diagnostic delays constitute a risk factor for severe and prolonged disease. Failure to diagnose ME/CFS renders problematic attempts to determine its prevalence, and hence its economic impact. |
| Databáze: | OpenAIRE |
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