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[The Dutch multidisciplinary guideline entitled 'Medically unexplained physical symptoms and somatoform disorder'].
Ned Tijdschr Geneeskd. 2011; 155(18):A1244.NT

Abstract

The Dutch multidisciplinary guideline called 'Medically unexplained physical symptoms (MUPS) and somatoform disorder' presents a disease-management approach based on three pillars: (a) maintaining patient profiles estimating the risk of iatrogenic harm as well as chronicity, (b) stepped-care treatment starting at a level appropriate for the patient's profile, and (c) the introduction of the family physician as case manager (in serious cases: the medical specialist or psychiatrist) whose task is to channel use of the health care system. Patients with a 'minor risk' profile require psycho-education and two-track treatment by the family physician. The 'moderate risk' profile is complicated by co-morbid depression, anxiety disorder or a somatic disorder; the prognosis is favourable when this co-morbidity is treated. The 'serious risk' profile is assigned to patients with long-term somatoform disorders and a history of surgery for MUPS in addition to disturbed patient-doctor relationships. Limiting iatrogenic harm is of highest priority in these patients. Implementation should focus on providing access to care as described in the guideline.

Authors+Show Affiliations

Trimbos Instituut, Utrecht, the Netherlands. cfeltz@trimbos.nlNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article
Practice Guideline

Language

dut

PubMed ID

21429250

Citation

van der Feltz-Cornelis, Christina M., et al. "[The Dutch Multidisciplinary Guideline Entitled 'Medically Unexplained Physical Symptoms and Somatoform Disorder']." Nederlands Tijdschrift Voor Geneeskunde, vol. 155, no. 18, 2011, pp. A1244.
van der Feltz-Cornelis CM, Swinkels JA, Blankenstein AH, et al. [The Dutch multidisciplinary guideline entitled 'Medically unexplained physical symptoms and somatoform disorder']. Ned Tijdschr Geneeskd. 2011;155(18):A1244.
van der Feltz-Cornelis, C. M., Swinkels, J. A., Blankenstein, A. H., Hoedeman, R., & Keuter, E. J. (2011). [The Dutch multidisciplinary guideline entitled 'Medically unexplained physical symptoms and somatoform disorder']. Nederlands Tijdschrift Voor Geneeskunde, 155(18), A1244.
van der Feltz-Cornelis CM, et al. [The Dutch Multidisciplinary Guideline Entitled 'Medically Unexplained Physical Symptoms and Somatoform Disorder']. Ned Tijdschr Geneeskd. 2011;155(18):A1244. PubMed PMID: 21429250.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [The Dutch multidisciplinary guideline entitled 'Medically unexplained physical symptoms and somatoform disorder']. AU - van der Feltz-Cornelis,Christina M, AU - Swinkels,Jan A, AU - Blankenstein,A H Nettie, AU - Hoedeman,Rob, AU - Keuter,Emile J W, AU - ,, PY - 2011/3/25/entrez PY - 2011/3/25/pubmed PY - 2011/9/29/medline SP - A1244 EP - A1244 JF - Nederlands tijdschrift voor geneeskunde JO - Ned Tijdschr Geneeskd VL - 155 IS - 18 N2 - The Dutch multidisciplinary guideline called 'Medically unexplained physical symptoms (MUPS) and somatoform disorder' presents a disease-management approach based on three pillars: (a) maintaining patient profiles estimating the risk of iatrogenic harm as well as chronicity, (b) stepped-care treatment starting at a level appropriate for the patient's profile, and (c) the introduction of the family physician as case manager (in serious cases: the medical specialist or psychiatrist) whose task is to channel use of the health care system. Patients with a 'minor risk' profile require psycho-education and two-track treatment by the family physician. The 'moderate risk' profile is complicated by co-morbid depression, anxiety disorder or a somatic disorder; the prognosis is favourable when this co-morbidity is treated. The 'serious risk' profile is assigned to patients with long-term somatoform disorders and a history of surgery for MUPS in addition to disturbed patient-doctor relationships. Limiting iatrogenic harm is of highest priority in these patients. Implementation should focus on providing access to care as described in the guideline. SN - 1876-8784 UR - https://www.unboundmedicine.com/medline/citation/21429250/[The_Dutch_multidisciplinary_guideline_entitled_'Medically_unexplained_physical_symptoms_and_somatoform_disorder']_ DB - PRIME DP - Unbound Medicine ER -