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European Journal of General Practice Volume 20, 2014 - Issue 4
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Research Article

Strategies for diagnosing leg oedema in primary care: A qualitative study of GPs’ approaches

Judith DiederichDepartment of Family Medicine, University of Marburg, Germany
,
Simone HartelDepartment of Family Medicine, University of Marburg, Germany
,
Erika BaumDepartment of Family Medicine, University of Marburg, Germany
&
Stefan BösnerDepartment of Family Medicine, University of Marburg, GermanyCorrespondence[email protected]
Pages 268-274 | Received 18 Jul 2013, Accepted 16 Feb 2014, Published online: 17 Sep 2014

References

  • Rabe E, Pannier-Fischer F, Bromen K, Schuldt K, Stang A, Poncar C, et al. Bonner Venenstudie der Deutschen Gesellschaft für Phlebologie. Phlebologie 2003;32:1–14.
  • Kühlein T, Laux G, Gutscher A, Szecsenyi J. Kontinuierliche Morbiditätsregistrierung in der Hausarztpraxis. Vom Beratungsanlass zum Beratungsergebnis. München: Urban & Vogel, S; 2008. p. 48.
  • Abholz H, Donner-Banzhoff N. Epidemiologische und biostatistische Aspekte der Allgemeinmedizin. In: Michael M. Kochen, editor. Allgemeinmedizin und Familienmedizin, 4th ed. Stuttgart: Georg Thieme Verlag KG; 2012. pp. 507–21.
  • Rabady S. Beratungsanlass Beinschwelllung: Differentialdiagnose in der Allgemeinmedizin. Z Allg Med. 2012;10:414–9.
  • Blankfield RP, Finkelhor RS, Alexander JJ, Flocke SA, Maiocco J, Goodwin M, et al. Etiology and diagnosis of bilateral leg edema in primary care. Am J Med. 1998;105:192–7.
  • Ely JW, Osheroff JA, Chambliss ML, Ebell MH. Approach to leg edema of unclear etiology. J Am Board Fam Med. 2006;19:148–60.
  • Heneghan C, Glasziou P, Thompson M, Rose P, Balla J, Lasserson D, et al. Diagnostic strategies used in primary care. Br Med J. 2009;338:b946.
  • Glasziou P, Rose P, Heneghan C, Balla J. Diagnosis using ‘test of treatment’. Br Med J. 2009;338:b1312.
  • Schneider A, Dinant GJ, Szecsenyi J. Stepwise diagnostic workup in general practice as a consequence of the Bayesian reasoning. Z Arztl Fortbild Qualitatssich. 2006;100:121–7.
  • Pewsner D, Bleuer JP, Bucher HC, Battaglia M, Jüni P, Egger M. Der Intuition auf der Spur? Das Bayes'sche Theorem und die Diagnostik in der Grundversorgung. Schweiz Med Forum. 2001; 3:41–52.
  • Doust J. Diagnosis in general practice. Using probabilistic reasoning. Br Med J. 2009;339:b3823.
  • Hamm RM. Clinical intuition and clinical analysis: Expertise and the cognitive continuum. In: Dowie J, Elstein A, editors. Professional judgement—a reader in clinical decision making. Cambridge: Cambridge University Press; 1988. pp. 81–5.
  • Van den Bruel A, Thompson M, Buntinx F, Mant D. Clinicians’ gut feeling about serious infections in children: Observational study. Br Med J. 2012;345:e6144.
  • Stolper E, Van de Wiel M, Van Royen P, Van Bokhoven M, Van der Weijden T, Dinant GJ. Gut feelings as a third track in general practitioners’ diagnostic reasoning. J Gen Intern Med. 2011;26:197–203.
  • Gigerenzer G, Todd PM. Simple heuristics that make us smart. New York: Oxford University Press; 1999.
  • Hani MA, Keller H, Vandenesch J, Sönnichsen AC, Griffiths F, Donner-Banzhoff N. Different from what the textbooks say: How GPs diagnose coronary heart disease. Fam Pract. 2007; 24:622–7.
  • Goyder C, McPherson A, Glasziou P. Diagnosis in general practice. Self diagnosis. Br Med J. 2009;339:b4418.
  • Elstein AS, Shulman LS, Sprafka SA. Medical problem solving: An analysis of clinical reasoning. Cambridge, Mass.: Harvard University Press; 1978.
  • MAXQDA 10. Berlin: VERBI Software.Consult. Sozialforschung GmbH; 2010.
  • Sandelowski M, Barroso J. Classifying the findings in qualitative studies. Qual Health Res. 2003;13:905–23.
  • Kuckartz U. Einführung in die computergestützte Analyse qualitativer Daten. 3rd ed. Wiesbaden: VS Verlag für Sozialwissenschaften; 2010.
  • Kuckartz U. Qualitative Evalation—Der Einstieg in die Praxis. Wiesbaden: VS Verlag; 2007.
  • André M, Borgquist L, Foldevi M, Mölstad S. Asking for ‘rules of thumb’: A way to discover tacit knowledge in general practice. Fam Pract. 2002;19:617–22.
  • Granier S, Owen P, Pill R, Jacobson L. Recognising meningococcal disease in primary care: Qualitative study of how general practitioners process clinical and contextual information. Br Med J. 1998;316:276–9.
  • Zuhlke H. II. Intuition in surgery-Is intuition in surgery learnable? ZentralblChir. 1999;124:55–63.
  • Wübker S. Hausärztliche Behandlung des Tinnitus aurium aus der Perspektive von Patienten und Hausärzten. Doctoral thesis. University of Göttingen 2007. Available at http://www.ediss.uni-goettingen.de/bitstream/handle/11858/00-1735-0000-0006-AF36-6/wuebker.pdf?sequence = 1 (accessed 11 November 2013).
  • Almond SC, Summerton N. Diagnosis in general practice. Test of time. Br Med J. 2009;338:b1878.
  • Norman G, Barraclough K, Dolovich L, Price D. Iterative diagnosis. Br Med J. 2009;339:b3490.
  • Summerton N. Diagnostic testing: The importance of context. Br J Gen Pract. 2007;57:678–9.
  • Nazareth I, King M. Decision making by general practitioners in diagnosis and management of lower urinary tract symptoms in women. Br Med J. 1993;306:1103–6.

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