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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)

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 searc...

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Autores principales: Pheby, Derek F. H., Araja, Diana, Berkis, Uldis, Brenna, Elenka, Cullinan, John, de Korwin, Jean-Dominique, Gitto, Lara, Hughes, Dyfrig A., Hunter, Rachael M., Trepel, Dominic, Wang-Steverding, Xia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7823627/
https://www.ncbi.nlm.nih.gov/pubmed/33374291
http://dx.doi.org/10.3390/medicina57010007
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author Pheby, Derek F. H.
Araja, Diana
Berkis, Uldis
Brenna, Elenka
Cullinan, John
de Korwin, Jean-Dominique
Gitto, Lara
Hughes, Dyfrig A.
Hunter, Rachael M.
Trepel, Dominic
Wang-Steverding, Xia
author_facet Pheby, Derek F. H.
Araja, Diana
Berkis, Uldis
Brenna, Elenka
Cullinan, John
de Korwin, Jean-Dominique
Gitto, Lara
Hughes, Dyfrig A.
Hunter, Rachael M.
Trepel, Dominic
Wang-Steverding, Xia
author_sort Pheby, Derek F. H.
collection PubMed
description 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.
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spelling pubmed-78236272021-01-24 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) Pheby, Derek F. H. Araja, Diana Berkis, Uldis Brenna, Elenka Cullinan, John de Korwin, Jean-Dominique Gitto, Lara Hughes, Dyfrig A. Hunter, Rachael M. Trepel, Dominic Wang-Steverding, Xia Medicina (Kaunas) Review 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. MDPI 2020-12-24 /pmc/articles/PMC7823627/ /pubmed/33374291 http://dx.doi.org/10.3390/medicina57010007 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Pheby, Derek F. H.
Araja, Diana
Berkis, Uldis
Brenna, Elenka
Cullinan, John
de Korwin, Jean-Dominique
Gitto, Lara
Hughes, Dyfrig A.
Hunter, Rachael M.
Trepel, Dominic
Wang-Steverding, Xia
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)
title 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)
title_full 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)
title_fullStr 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)
title_full_unstemmed 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)
title_short 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)
title_sort 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)
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7823627/
https://www.ncbi.nlm.nih.gov/pubmed/33374291
http://dx.doi.org/10.3390/medicina57010007
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