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Table 3 Explanation of the factors within the theme “physical factor”

From: Factors used by general practitioners for referring patients with chronic musculoskeletal pain: a qualitative study

Factors

Definition

Quote

Somatic explainability

The physical explainability of the complaint, more specific when there was a known underlying physical cause that explains the pain of the patient.

“If you are still on an organic substrate, you are often looking into neurology and orthopaedics.” (GP 6)

Pain location

The pain of the patient could be located in different body parts such as the neck, knee, hip or back.

“If you have more or less solitary back or neck complaints, say for spine-related complaints …” (GP3)

Specific clinical picture

There was a diagnosis for the complaints of the patients which influenced the referral.

“I refer people with herpes or shingles, they have pain complaints for possibly several options.” (GP8)

Type of pain

A specific type of pain, for example neurological pain, oncological pain or posture-related pain

“...I refer to them when I think it mainly concerns neurogenic pain.” (GP2)

Pain duration

This code referred to the period a patient was suffering from the pain before they were referred.

“...quite in the beginning, so if someone quite recently got back pain, they are going to the physiotherapist pretty quickly.” (GP7)