Common diagnoses in Internal Medicine in Europe 2009: A pan-European, Multi-Centre Survey

Duckitt, Roger; Pálsson, Runólfur; Bošanská, Lenka; Dagna, Lorenzo; Mine, Durusu Tanriover; Vardi, Moshe

doi:10.1016/j.ejim.2010.06.012

Cited by 20 publications

(7 citation statements)

References 11 publications

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“…The CCS tool has been specifically designed to address the problems caused by numerous overlapping ICD codes. Furthermore, our findings are similar to the multi-center European study by Duckitt and colleagues, 23 which reported clinical, not administrative, diagnoses. Second, CCS categories are sometimes limited in the granularity of clinical information they provide, particularly pertaining to disease severity.…”

Section: Discussionsupporting

confidence: 91%

“…The consistency of our findings across a range of urban and suburban hospitals with different models of teaching and non-teaching GIM services, and different access to inpatient subspecialty wards, strengthens our confidence in the generalizability of our findings. Further, in addition to similarity to the study by Duckitt and colleagues, 23 the GEMINI study cohort was previously reported 6 to be broadly similar to other GIM populations in Canada, 18,19 Europe, 20,24 and the USA. 22 GIM services represent a large proportion of inpatient care and treat patients with a diversity of diseases.…”

Section: Discussionsupporting

confidence: 71%

“…A study of 1501 consecutive patients in 18 European countries over a 3-month period found that the most common conditions on internal medicine hospital wards were pneumonia (8.2%), heart failure (6.3%), atrial fibrillation/flutter (3.1%), chronic obstructive pulmonary disease (3.1%), and urinary tract infection (2.7%). 23 This study was limited by relatively small sample size and short duration Admissions to GIM were categorized by primary discharge diagnosis using the CCS tool. Conditions were ranked by total cost over the study period.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence and Costs of Discharge Diagnoses in Inpatient General Internal Medicine: a Multi-center Cross-sectional Study

et al. 2018

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GIM services care for a markedly heterogeneous population but the most common conditions were similar across 7 hospitals. The diversity of conditions cared for in GIM may be challenging for healthcare delivery and quality improvement. Initiatives that cut across individual diseases to address processes of care, patient experience, and functional outcomes may be more relevant to a greater proportion of the GIM population than disease-specific efforts.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 71%

Section: Discussionmentioning

confidence: 99%

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Prevalence and Costs of Discharge Diagnoses in Inpatient General Internal Medicine: a Multi-center Cross-sectional Study

et al. 2018

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“…It is unclear whether “A91 Abnormal result investigation” is common in RFEs worldwide 37. In Japan, only one study, whose authors worked in the GIM department of a small hospital, reported A91 as the most common RFE,35 while reviews of RFEs in clinics and large hospitals did not find “A91 Abnormal result investigation” to be common 4,29,30,32.…”

Section: Discussionmentioning

confidence: 99%

Reasons for encounter and diagnoses of new outpatients at a small community hospital in Japan: an observational study

Takeshima¹,

Kumada²,

Mise³

et al. 2014

IJGM

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PurposeAlthough many new patients are seen at small hospitals, there are few reports of new health problems from such hospitals in Japan. Therefore, we investigated the reasons for encounter (RFE) and diagnoses of new outpatients in a small hospital to provide educational resources for teaching general practice methods.MethodsThis observational study was conducted at the Department of General Internal Medicine in a small community hospital between May 6, 2010 and March 11, 2011. We classified RFEs and diagnoses according to component 1, “Symptoms/Complaints”, and component 7, “Diagnosis/Diseases”, of the International Classification of Primary Care, 2nd edition (ICPC-2). We also evaluated the differences between RFEs observed and common symptoms from the guidelines Model Core Curriculum for Medical Students and Goals of Clinical Clerkship.ResultsWe analyzed the data of 1,515 outpatients. There were 2,252 RFEs (1.49 per encounter) and 170 ICPC-2 codes. The top 30 RFE codes accounted for 80% of all RFEs and the top 55 codes accounted for 90%. There were 1,727 diagnoses and 196 ICPC-2 codes. The top 50 diagnosis codes accounted for 80% of all diagnoses, and the top 90 codes accounted for 90%. Of the 2,252 RFEs, 1,408 (62.5%) included at least one of the 36 symptoms listed in the Model Core Curriculum and 1,443 (64.1%) included at least one of the 35 symptoms in the Goals of Clinical Clerkship. On the other hand, “A91 Abnormal result investigation”, “R21 Throat symptom/complaint”, and “R07 Sneezing/nasal congestion”, which were among the top 10 RFEs, were not included in these two guidelines.ConclusionWe identified the common RFEs and diagnoses at a small hospital in Japan and revealed the inconsistencies between the RFEs observed and common symptoms listed in the guidelines. Our findings can be useful in improving the general practice medical education curricula.

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“…Dizziness and vertigo are among the most common community health symptoms. 1 , 2 They are frequent chief complaints in hospitals, 3 , 4 emergency departments, 5 and primary care clinics. 6 – 8 Furthermore, they are known to be associated with declining quality of life and increased functional disability.…”

Section: Introductionmentioning

confidence: 99%

Incidence of dizziness and vertigo in Japanese primary care clinic patients with lifestyle-related diseases: an observational study

Wada¹,

Takeshima²,

Nakamura³

et al. 2015

IJGM

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ObjectiveDizziness and vertigo are highly prevalent symptoms among patients presenting at primary care clinics, and peripheral vestibular disorder (PVD) is their most frequent cause. However, the incidence of PVD has not been well documented. This study aimed to investigate the incidence of dizziness, vertigo, and PVD among patients presenting at a primary care clinic.DesignThis was an observational study.Setting and participantsBetween November 2011 and March 2013, we observed 393 patients, all at least 20 years old, who had been treated for chronic diseases such as hypertension, dyslipidemia, and diabetes mellitus for at least 6 months at a primary clinic (Oki Clinic) in Japan.OutcomeThe main outcome of interest was new incidence of dizziness, vertigo, and PVD events. During the 1-year follow-up period, the otorhinolaryngologist diagnosed and reported new PVD events.ResultsThe mean age of the 393 participants at entry was 65.5 years. Of the study participants, 12.7%, 82.4%, and 92.6% had diabetes mellitus, hypertension, and dyslipidemia, respectively. We followed up all the participants (100%). During the 662.5 person-years of follow-up, 121 cases of dizziness or vertigo (dizziness/vertigo) and 76 cases of PVD were observed. The incidence of dizziness/vertigo and PVD was 194.7 (95% confidence interval: 161.6–232.6) per 1,000 person-years and 115.7 (95% confidence interval: 92.2–142.6) per 1,000 person-years, respectively. There were 61 cases of acute peripheral vestibulopathy, 12 of benign paroxysmal positional vertigo, and three of Meniere’s disease among the 76 PVD patients.ConclusionWe reported the incidence of dizziness/vertigo among Japanese primary care clinic patients, which was higher than that usually observed in the general population. Furthermore, we described the incidence of PVD and found that it was a major cause of dizziness/vertigo.

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Common diagnoses in Internal Medicine in Europe 2009: A pan-European, Multi-Centre Survey

Cited by 20 publications

References 11 publications

Prevalence and Costs of Discharge Diagnoses in Inpatient General Internal Medicine: a Multi-center Cross-sectional Study

Prevalence and Costs of Discharge Diagnoses in Inpatient General Internal Medicine: a Multi-center Cross-sectional Study

Reasons for encounter and diagnoses of new outpatients at a small community hospital in Japan: an observational study

Incidence of dizziness and vertigo in Japanese primary care clinic patients with lifestyle-related diseases: an observational study

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