Skip to main content

Table 2 Consultation content and GP management, time consumption and experienced burden according to BDS status

From: Multiple somatic symptoms in primary care patients: a cross-sectional study of consultation content, clinical management strategy and burden of encounter

 

Total (n = 1505)

No BDS (n = 1241)

BDS (n = 264)

  
 

n

%

n

%

n

%

OR Crude

(95 % CI)

OR Adjusted

(95 % CI)

Symptom as reason for encounter

907

64.7

750

64.4

157

66.2

1.08

(0.79;1.48)

1.33

(0.95;1.86)

New health problem

810

56.6

696

59.0

114

45.2

0.57

(0.44;0.75)

0.73

(0.54;0.97)

Symptom as end diagnosis

552

36.7

454

36.6

98

37.1

1.02

(0.78;1.34)

1.16

(0.87;1.55)

Prescription of medication

541

36.0

442

35.6

99

37.5

1.08

(0.81;1.46)

1.00

(0.74;1.36)

Referral to medical specialist (inpatient or outpatient)

203

13.5

159

12.8

44

16.7

1.36

(0.95;1.96)

1.35

(0.93;1.96)

Referral to diagnostic imaging

79

5.2

68

5.5

11

4.2

0.75

(0.40;1.39)

0.81

(0.42;1.54)

Consultation closure

 Encounter completed

363

25.8

324

28.0

39

15.8

Reference

 

Reference

 

 Scheduled follow-up

708

50.4

572

49.4

136

55.1

1.98

(1.38;2.84)a

1.61

(1.09;2.37)a

 Watchful waiting

335

23.8

263

22.7

72

29.2

2.27

(1.51;3.42)b

2.32

(1.53;3.52)b

Mainly biomedical issues

1096

75.4

963

80.3

133

52.6

0.27

(0.21;0.36)

0.31

(0.22;0.43)

Additional biomedical problems

458

30.4

357

28.8

101

38.3

1.53

(1.14;2.07)

1.38

(1.01;1.90)

Additional psychosocial problems

218

14.5

147

11.9

71

26.9

2.74

(1.93;3.89)

2.08

(1.40;3.09)

Consultation duration

  ≤ 15 min

1190

80.4

1011

82.7

179

69.4

    

 16–30 min

279

18.8

203

16.6

76

29.5

    

 31+ minutes

12

0.8

9

0.7

3

1.2

2.10

(1.54;2.87)c

1.77

(1.26;2.48)

GP-experienced burden

 Low

485

32.9

440

36.5

41

15.9

    

 Middle

754

51.2

617

50.8

137

53.1

    

 High

234

15.9

154

12.7

80

31.0

3.10

(2.24;4.29)d

2.54

(1.81;3.55)

  1. BDS bodily distress syndrome
  2. Missings: Reason for encounter n = 104, New health problem n = 74, Consultation closure n = 99, Mainly biomedical issues n = 52, Consultation duration n = 24, Burden n = 32
  3. OR adjusted: Adjusted for patient age, gender, education and chronic illness
  4. a,bReference group: Encounter completed; Multinomial regression analysis
  5. cTest of ≤15 min vs. 16+ min due to low cell count
  6. dTest of high vs low/middle