Isabelle Schumann

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BACKGROUND Findings of diagnostic studies using standardized psychiatric interviews as a gold standard suggest that family physicians (FPs) both under- and over-diagnose depression. OBJECTIVE We systematically reviewed qualitative studies investigating how FPs diagnose depression and what their concepts of depression and the perceived barriers are when(More)
PURPOSE The purpose of this study was to investigate whether antidepressants are more effective than placebo in the primary care setting, and whether there are differences between substance classes regarding efficacy and acceptability. METHODS We conducted literature searches in MEDLINE, Embase, Cochrane Central Register of Controlled Trials (CENTRAL),(More)
BACKGROUND Several systematic reviews have summarized the evidence for specific treatments of primary care patients suffering from depression. However, it is not possible to answer the question how the available treatment options compare with each other as review methods differ. We aim to systematically review and compare the available evidence for the(More)
BACKGROUND The effect of psychosomatic co-morbidity on resource use for systems with unlimited access remains unclear. The aim of this study was to evaluate the impact on practice visits, referrals and periods of disability in German general practices and to identify predictors of health care utilisation. METHODS Cross sectional observational study in 13(More)
OBJECTIVE Concordance between general practitioners (GPs) and patients is an essential requirement for treatment success and patient satisfaction in general practice. The objectives of this were to estimate the total amount of discordance with respect to reason for encounter (RFE) during consultation in German general practices, and to explore the influence(More)
The case report of a 12 year-old female patient suffering from extensive multiple hamartomas of the left lung (diffuse juvenile type) is presented. The clinical features were atypical due to the large size of the tumour. The entire left lung and parts of the pleura and pericardium were involved. The diagnosis was reached only after histological examination(More)
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