{"id":"https://openalex.org/W207091811","doi":null,"title":"Diagnostic strategies in patients with lower abdominal complaints in primary care","display_name":"Diagnostic strategies in patients with lower abdominal complaints in primary care","publication_year":2014,"publication_date":"2014-07-01","ids":{"openalex":"https://openalex.org/W207091811","mag":"207091811"},"language":"en","primary_location":{"id":"pmh:oai:dspace.library.uu.nl:1874/294748","doi":null,"is_oa":true,"landing_page_url":"https://dspace.library.uu.nl/handle/1874/294748","pdf_url":null,"source":{"id":"https://openalex.org/S4306401649","display_name":"Utrecht University Repository (Utrecht University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I193662353","host_organization_name":"Utrecht University","host_organization_lineage":["https://openalex.org/I193662353"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Dissertation"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://dspace.library.uu.nl/handle/1874/294748","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5002270843","display_name":"Liselotte Kok","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Liselotte Kok","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5002270843"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10134","display_name":"Inflammatory Bowel Disease","score":0.4546000063419342,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10134","display_name":"Inflammatory Bowel Disease","score":0.4546000063419342,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10552","display_name":"Colorectal Cancer Screening and Detection","score":0.33079999685287476,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11378","display_name":"Gastrointestinal Bleeding Diagnosis and Treatment","score":0.039799999445676804,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/inflammatory-bowel-disease","display_name":"inflammatory bowel disease","score":0.9120000004768372},{"id":"https://openalex.org/keywords/irritable-bowel-syndrome","display_name":"irritable bowel syndrome","score":0.8840000033378601},{"id":"https://openalex.org/keywords/endoscopy-referral","display_name":"endoscopy referral","score":0.6930000185966492},{"id":"https://openalex.org/keywords/calprotectin","display_name":"calprotectin","score":0.9909999966621399},{"id":"https://openalex.org/keywords/immunochemical-fecal-occult-blood-test","display_name":"immunochemical fecal occult blood test","score":0.9950000047683716},{"id":"https://openalex.org/keywords/rome-iii-criteria","display_name":"Rome III criteria","score":0.9929999709129333},{"id":"https://openalex.org/keywords/diagnostic-decision-making","display_name":"diagnostic decision-making","score":0.49000000953674316},{"id":"https://openalex.org/keywords/rectal-bleeding","display_name":"rectal bleeding","score":0.8320000171661377},{"id":"https://openalex.org/keywords/cost-effectiveness","display_name":"cost-effectiveness","score":0.7059999704360962},{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.7760000228881836}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9017637968063354},{"id":"https://openalex.org/C2778292693","wikidata":"https://www.wikidata.org/wiki/Q22328664","display_name":"Calprotectin","level":4,"score":0.821755051612854},{"id":"https://openalex.org/C2779158730","wikidata":"https://www.wikidata.org/wiki/Q2488276","display_name":"Fecal occult blood","level":5,"score":0.6690585017204285},{"id":"https://openalex.org/C2778271842","wikidata":"https://www.wikidata.org/wiki/Q838966","display_name":"Irritable bowel syndrome","level":2,"score":0.6339581608772278},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.6173871755599976},{"id":"https://openalex.org/C90924648","wikidata":"https://www.wikidata.org/wiki/Q120569","display_name":"Gastroenterology","level":1,"score":0.5795914530754089},{"id":"https://openalex.org/C2778260677","wikidata":"https://www.wikidata.org/wiki/Q917447","display_name":"Inflammatory bowel disease","level":3,"score":0.5680584907531738},{"id":"https://openalex.org/C2780955771","wikidata":"https://www.wikidata.org/wiki/Q183425","display_name":"Abdominal pain","level":2,"score":0.5545489192008972},{"id":"https://openalex.org/C2778435480","wikidata":"https://www.wikidata.org/wiki/Q840387","display_name":"Colonoscopy","level":4,"score":0.5466804504394531},{"id":"https://openalex.org/C2781197716","wikidata":"https://www.wikidata.org/wiki/Q864574","display_name":"Biomarker","level":2,"score":0.5209521055221558},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.4895380437374115},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.4767683148384094},{"id":"https://openalex.org/C527108885","wikidata":"https://www.wikidata.org/wiki/Q835153","display_name":"Physical examination","level":2,"score":0.4241916239261627},{"id":"https://openalex.org/C526805850","wikidata":"https://www.wikidata.org/wiki/Q188874","display_name":"Colorectal cancer","level":3,"score":0.3435595631599426},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.15170440077781677},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.0},{"id":"https://openalex.org/C55493867","wikidata":"https://www.wikidata.org/wiki/Q7094","display_name":"Biochemistry","level":1,"score":0.0},{"id":"https://openalex.org/C185592680","wikidata":"https://www.wikidata.org/wiki/Q2329","display_name":"Chemistry","level":0,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"pmh:oai:dspace.library.uu.nl:1874/294748","doi":null,"is_oa":true,"landing_page_url":"https://dspace.library.uu.nl/handle/1874/294748","pdf_url":null,"source":{"id":"https://openalex.org/S4306401649","display_name":"Utrecht University Repository (Utrecht University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I193662353","host_organization_name":"Utrecht University","host_organization_lineage":["https://openalex.org/I193662353"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Dissertation"},{"id":"pmh:umcu:oai:dspace.library.uu.nl:1874/294748","doi":null,"is_oa":true,"landing_page_url":"https://dspace.library.uu.nl/handle/1874/294748","pdf_url":null,"source":{"id":"https://openalex.org/S4306401649","display_name":"Utrecht University Repository (Utrecht University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I193662353","host_organization_name":"Utrecht University","host_organization_lineage":["https://openalex.org/I193662353"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"info:eu-repo/semantics/doctoralthesis"},{"id":"pmh:uu:oai:dspace.library.uu.nl:1874/294748","doi":null,"is_oa":true,"landing_page_url":"http://dspace.library.uu.nl/handle/1874/294748","pdf_url":null,"source":{"id":"https://openalex.org/S4306401649","display_name":"Utrecht University Repository (Utrecht University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I193662353","host_organization_name":"Utrecht University","host_organization_lineage":["https://openalex.org/I193662353"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"info:eu-repo/semantics/doctoralthesis"},{"id":"mag:207091811","doi":null,"is_oa":false,"landing_page_url":"https://dspace.library.uu.nl/handle/1874/294748","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"pmh:oai:dspace.library.uu.nl:1874/294748","doi":null,"is_oa":true,"landing_page_url":"https://dspace.library.uu.nl/handle/1874/294748","pdf_url":null,"source":{"id":"https://openalex.org/S4306401649","display_name":"Utrecht University Repository (Utrecht University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I193662353","host_organization_name":"Utrecht University","host_organization_lineage":["https://openalex.org/I193662353"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Dissertation"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":56,"referenced_works":["https://openalex.org/W26689841","https://openalex.org/W65565529","https://openalex.org/W154377515","https://openalex.org/W184438567","https://openalex.org/W1528009881","https://openalex.org/W1552084585","https://openalex.org/W1905216713","https://openalex.org/W1976782028","https://openalex.org/W1984695744","https://openalex.org/W1988550563","https://openalex.org/W1998909938","https://openalex.org/W2005793526","https://openalex.org/W2020018978","https://openalex.org/W2027190512","https://openalex.org/W2030015748","https://openalex.org/W2032312572","https://openalex.org/W2051411536","https://openalex.org/W2056814340","https://openalex.org/W2058775829","https://openalex.org/W2061273963","https://openalex.org/W2062218707","https://openalex.org/W2063564648","https://openalex.org/W2065275519","https://openalex.org/W2071744446","https://openalex.org/W2078888929","https://openalex.org/W2079776874","https://openalex.org/W2080344756","https://openalex.org/W2082376914","https://openalex.org/W2087046046","https://openalex.org/W2089463633","https://openalex.org/W2093818425","https://openalex.org/W2094075167","https://openalex.org/W2098079010","https://openalex.org/W2098846364","https://openalex.org/W2107271913","https://openalex.org/W2112316706","https://openalex.org/W2112992146","https://openalex.org/W2117814984","https://openalex.org/W2118502261","https://openalex.org/W2120304807","https://openalex.org/W2142643603","https://openalex.org/W2143468879","https://openalex.org/W2146404132","https://openalex.org/W2148659017","https://openalex.org/W2148776821","https://openalex.org/W2153542122","https://openalex.org/W2160899498","https://openalex.org/W2162772535","https://openalex.org/W2165139489","https://openalex.org/W2165143809","https://openalex.org/W2166561686","https://openalex.org/W2172206840","https://openalex.org/W2297716127","https://openalex.org/W2408516697","https://openalex.org/W2418590470","https://openalex.org/W2778520980"],"related_works":["https://openalex.org/W2099743859","https://openalex.org/W2521378396","https://openalex.org/W2519156770","https://openalex.org/W1940206468","https://openalex.org/W2523080581","https://openalex.org/W4381113191","https://openalex.org/W7221253317","https://openalex.org/W1976782028","https://openalex.org/W2516196630","https://openalex.org/W2520528185"],"abstract_inverted_index":{"Background":[0],"Lower":[1],"gastro-intestinal":[2],"tract":[3],"complaints":[4,69],"are":[5,106],"frequently":[6],"presented":[7],"in":[8,76,84,128,174,252,299,320],"primary":[9,85,175],"care.":[10],"About":[11],"7%":[12],"of":[13,53,63,126,184,205,330],"these":[14],"patients":[15,64,129,253],"has":[16,231,249],"organic":[17],"bowel":[18,24,37],"disease":[19,25],"(OBD),":[20],"such":[21,33],"as":[22,34,44,48,50,235],"inflammatory":[23],"(or":[26],"colorectal":[27],"cancer.":[28],"Most":[29],"have":[30],"functional":[31],"disease,":[32],"the":[35,115,122,146,170,196,227,245,263,295,317,331],"irritable":[36],"syndrome":[38],"(IBS).":[39],"Adequate":[40],"discrimination":[41],"is":[42,55,70,79,311],"important,":[43],"both":[45,215],"unnecessary":[46],"endoscopies":[47],"well":[49,298],"delayed":[51],"detection":[52],"OBD":[54,78,96,127,276],"burdening":[56],"and":[57,90,145,153,162,195,198,328],"costly.":[58],"Presently":[59],"up":[60],"to":[61,113,120,169,180,239,284,292,313],"20%":[62],"with":[65,130,225,255],"persisting":[66],"lower":[67,131],"gastrointestinal":[68],"referred":[71],"for":[72,104,143,186,208,275],"endoscopy,":[73,187],"but":[74,98,188],"only":[75,226],"one-third":[77],"found.":[80],"The":[81,109],"diagnostic":[82,118,190,233,250,273,306,318,326,332],"process":[83],"care":[86,176],"needs":[87],"improvement.":[88],"Symptoms":[89],"blood":[91,138,158],"tests":[92,103,151,201,217],"alone":[93],"cannot":[94],"identify":[95,114],"accurately,":[97],"new":[99,300],"point-of-care":[100,147],"fecal":[101,149,156],"biomarker":[102,150],"inflammation":[105],"promising.":[107],"Methods":[108],"CEDAR":[110],"study":[111,310],"aims":[112],"most":[116],"cost-effective":[117],"strategy":[119],"estimate":[121],"absence":[123],"or":[124,221,308],"presence":[125],"intestinal":[132],"complaints,":[133],"combining":[134,192],"history,":[135],"physical":[136],"examination,":[137],"tests,":[139],"Rome":[140,171],"III":[141,172],"criteria":[142,173],"IBS":[144],"(POC)":[148],"calprotectin":[152,199],"an":[154],"immunochemical":[155],"occult":[157],"test":[159,230,248],"(iFOBT).":[160],"Results":[161],"Conclusion":[163],"We":[164],"demonstrated":[165],"that":[166,244,265],"stricter":[167],"adherence":[168],"will":[177],"not":[178],"lead":[179],"a":[181,189,223,305],"substantial":[182],"reduction":[183],"referrals":[185,207],"model":[191,224,274,296,319],"symptoms,":[193],"signs":[194],"iFOBT":[197,228,246,266],"POC":[200,216,229,247],"might":[202,259],"prevent":[203],"30%":[204],"current":[206],"endoscopy.":[209],"Future":[210],"studies":[211],"should":[212,218],"evaluate":[213],"if":[214,222,294],"be":[219,260,278],"incorporated,":[220],"acceptable":[232],"accuracy":[234],"well.":[236],"In":[237],"contrast":[238],"earlier":[240],"reports":[241],"we":[242],"found":[243],"value":[251],"presenting":[254],"rectal":[256],"bleeding.":[257,270],"This":[258],"explained":[261],"by":[262,281],"fact":[264],"also":[267],"detects":[268],"microscopic":[269],"Before":[271],"our":[272],"can":[277],"safely":[279],"used":[280],"general":[282],"practitioners":[283],"exclude":[285],"OBD,":[286],"it":[287],"deserves":[288],"further":[289],"external":[290,303],"validation":[291],"check":[293],"performs":[297],"patients.":[301],"After":[302],"validation,":[304],"impact":[307],"implementation":[309],"needed":[312],"determine":[314],"whether":[315],"using":[316],"daily":[321],"practice":[322],"actually":[323],"improves":[324],"physician\u2019s":[325],"decision-making":[327],"cost-effectiveness":[329],"work-up.":[333]},"counts_by_year":[],"updated_date":"2026-09-27T08:07:27.782135","created_date":"2016-06-24T00:00:00"}
