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Identifiant d'origine
QD321
Libellé préféré
symptôme médicalement inexpliqué
medically unexplained symptomLibellé catégorie
Symptôme médicalement inexpliquéMedically unexplained symptomMots-clés supplémentaires Q-Code
abnormal illness behaviour non disease diseasesomatic fixationworried wellAcronyme Q-Code
SMIMUPSMUSAcronyme CISMeF
SIMMUSNote de contenu Q-Code
symptômes qui peuvent, ou non, être dus à une maladie physique, qui captent des états sans constatations objectives correspondantes, souvent associée à des coûts élevés, à la fois direct (utilisation des soins de santé) et indirects (perte de productivité due à l'absentéisme pour maladie), qui sont plus sévères, plus persistants, ou limitent le fonctionnement d'une façon plus large que prévu sur base de paramètres (objectifs) de maladie.(adapté de Olde Hartman, Aamland & Rsak 2014)symptoms that may, or may not, be due to physical disease, which captures conditions without corresponding objective findings, often associated with high costs, both direct (health care use) and indirect costs (productivity loss due to sickness absence) that are more severe, more persistent, or limit functioning to a greater extent than expected, based on (objective) disease parameters.(adapted from Olde Hartman, Aamland & Rsak 2014)Contenu conceptuel Q-Code
Medically unexplained physical symptoms or medically unexplained symptoms are patient symptoms for which the treating physician, other healthcare providers, and research scientists have found no medical cause.(Babelnet)Medically Unexplained Symptoms (MUS) that may, or may not, be due to physical disease,captures conditions characterized by symptoms without corresponding objective findings, often associated with high costs, both direct (health care use) and indirect costs (productivity loss due to sickness absence) such as asthenia, low back pain, fibromyalgia, irritable bowel syndrome, or chronic fatigue syndrome as well as symptoms stemming from a specific somatic disease that are more severe, more persistent, or limit functioning to a greater extent than expected, based on (objective) disease parameters.The patient with MUS often experience significant disability and have difficulty accessing appropriate care.(adapted from Olde Hartman, Aamland & Rsak 2014)
Medically unexplained symptoms ; Persistent health symptoms which remain unexplained after a complete medical evaluation. A cluster of symptoms that consistently appear together but without a known cause are referred to as a MEDICALLY UNEXPLAINED SYNDROME (MUS) (MeSH 2017)UNDIFFERENTIATED ILLNESS relates to symptoms, which the physician may be unable to ascribe to a specific diagnosis. This may be because of objective difficulties, particularly in the early phase of the illness, to match the incomplete clinical picture with a definite diagnosis, or as often in the case of vague and generalized symptoms, it may be due to the inability of the patient to function or cope in a stressful situation, and his need to adopt sick-role behaviour. This is one of the unique characteristics of morbidity as encountered by the GP/FP in contrast to that encountered by hospital physicians. The picture usually becomes clearer with the passage of time, emphasizing the importance of continuity in general/family practice.(Woncadic)CUI UMLS
C3839861
Référence bibliographique
Citation
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Aronowitz RA. When do symptoms become a disease? Ann Intern Med. 2001 May 1;134(9 Pt 2):803-8. doi: 10.7326/0003-4819-134-9_part_2-200105011-00002. PMID: 11346314.
den Boeft, M., Claassen-van Dessel, N., & van der Wouden, J. C. (2017). How should we manage adults with persistent unexplained physical symptoms?. BMJ: British Medical Journal (Online), 356. https://www.bmj.com/content/356/bmj.j268.long
Genuis SJ, Tymchak MG. Approach to patients with unexplained multimorbidity with sensitivities. Canadian family physician Médecin de famille canadien. 2014; 60(6): 533-8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24925942
Rask MT, Rosendal M, Fenger-Grøn M, Bro F, Ørnbøl E, Fink P. Sick leave and work disability in primary care patients with recent-onset multiple medically unexplained symptoms and persistent somatoform disorders: a 10-year follow-up of the FIP study. General hospital psychiatry. 2015; 37(1): 53-9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25456975
Rosendal, M., Olde Hartman, T. C., Aamland, A., van der Horst, H., Lucassen, P., Budtz-Lilly, A., & Burton, C. (2017). "Medically unexplained" symptoms and symptom disorders in primary care: prognosis-based recognition and classification. In BMC Fam Pract (Vol. 18, pp. 18). England. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28173764
Smith RC, Lein C, Collins C, Lyles JS, Given B, Dwamena FC, Coffey J, Hodges A, Gardiner JC, Goddeeris J, Given CW. Treating patients with medically unexplained symptoms in primary care. Journal of general internal medicine. 2003; 18(6): 478-89. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12823656
Soler JK, Okkes I. Reasons for encounter and symptom diagnoses: a superior description of patients' problems in contrast to medically unexplained symptoms (MUS). Family practice. 2012; 29(3): 272-82. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22308181
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