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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