Table 1
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|
#1 |
(unexplain* OR (un NEXT/1 explain*) OR (‘not’ NEXT/3 explain*)):de,ab,ti |
|
#2 |
(nonspecific* OR (non NEXT/1 specific*) OR (‘not’ NEXT/3 specific*)):de,ab,ti |
|
#3 |
((subjective OR Somatoform OR functional) NEXT/5 (symptom* OR disorder* OR complaint*)):de,ab,ti |
|
#4 |
((frequent NEXT/1 attend*) OR (high NEXT/1 utili*) OR hypochondri*):de,ab,ti |
|
#5 |
((Headache OR ‘chest pain’ OR ‘neck pain’ OR ‘pelvic pain’ OR ‘benign pain’ OR ‘back pain’ OR trauma OR ‘chemical sensitivity’ OR gastrointest* OR dyspepsia OR seizure* OR Fatigue OR dizziness OR hysteri* OR premenstrual OR ‘irritable bowel’ OR fibromyalgia) NEAR/3 (psycholog* OR psychogen* OR Psychosom* OR Psychophysiol* OR functional* OR chronic OR syndrome OR non-cardiac OR noncardiac OR Tension OR cumulative OR multiple)):de,ab,ti |
|
#6 |
#1 OR #2 OR #3 OR #4 OR #5 |
|
#7 |
(specialis* OR specialization OR physician* OR (vocational NEXT/1 trainee*) OR intern OR interns OR resident* OR ‘secondary care’ OR hospital*):de,ab,ti |
|
#8 |
((professional* OR doctor* OR physician* OR provider*) NEAR/3 patient):de,ab,ti |
|
#9 |
#6 AND #7 AND #8 |
Table 2
Overview of included studies
|
Author, yearRef # |
Study design |
Study group |
Number of patients |
Outcome |
Intervention/study subject |
Effect |
|---|---|---|---|---|---|---|
|
Bieber 2008 [30] |
RCT |
Fibromyalgia syndrome patients |
83 |
Patient satisfaction |
A shared decision-making training programme for specialists combined with an information leaflet for patients versus information leaflet only |
No difference in patient satisfaction was found in the shared decision making group and the information only group |
|
Bieber 2006 [31] |
RCT |
Fibromyalgia syndrome patients |
67 |
Functioning |
A shared decision-making training programme for specialists combined with an information leaflet for patients versus information leaflet only or standard care as usual |
Functional capacity did not differ across the study groups. The patients of the share decision making study group improved coping with pain and being more positive |
|
Collins 2009 [28] |
Cohort study |
Patients with functional gastrointestinal disorders |
13 |
Health anxiety Use of health care |
Concordance between specialists’ understanding of patients reported symptoms and their actual needs |
Underestimating patients’ expectations and symptoms maintained health anxiety and was likely to lead to more use of health care |
|
Van Dulmen 1995 [27] |
Cohort study |
Patients with functional abdominal pain |
110 |
Patient satisfaction Health anxiety |
Correct perceptions of patients’ attributions and having the same doctor |
Reduced health anxiety (p = 0.01) and improved satisfaction by consulting the same doctor (p = 0.02) |
|
Hall-Patch 2010 [25] |
Cohort study |
Patients with pseudo neurological epileptic seizures |
50 |
Course of symptoms |
A patient information leaflet and a communication protocol for neurologists to explain the psychological nature of the seizures |
Reduced frequency of seizures |
|
Owens 1995 [32] |
Cohort study |
Patients with irritable bowel syndrome |
112 |
Use of health care |
Physician-patient relationship on use of health care |
Reduced number of return visits for IBS-related symptoms |
|
Petrie 2007 [26] |
RCT |
Patients with nonspecific chest pain |
92 |
Health anxiety Course of symptoms |
Providing information about normal test results before testing |
The number of patients still reporting chest pain after 1 month decreased significantly (p < 0.001). Addressing patients’ attributions by information about normal test results prior to testing diminished health anxiety |
|
Stones 2006 [29] |
Cohort study |
Women with chronic pelvic pain |
100 |
Patient satisfaction |
Doctors affect, appropriateness of information and ability to meet patients expectations |
Initial consultation influenced further care experiences. Doctors affect, appropriate information and meeting patients’ expectations enhanced patient satisfaction |
Fig. 1
Flow chart
