{"id":"https://openalex.org/W3197340484","doi":"https://doi.org/10.3390/healthcare9091150","title":"Diagnostic Effect of Consultation Referral from Gastroenterologists to Generalists in Patients with Undiagnosed Chronic Abdominal Pain: A Retrospective Study","display_name":"Diagnostic Effect of Consultation Referral from Gastroenterologists to Generalists in Patients with Undiagnosed Chronic Abdominal Pain: A Retrospective Study","publication_year":2021,"publication_date":"2021-09-03","ids":{"openalex":"https://openalex.org/W3197340484","doi":"https://doi.org/10.3390/healthcare9091150","mag":"3197340484","pmid":"https://pubmed.ncbi.nlm.nih.gov/34574924","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/8472323"},"language":"en","primary_location":{"id":"doi:10.3390/healthcare9091150","doi":"https://doi.org/10.3390/healthcare9091150","is_oa":true,"landing_page_url":"https://doi.org/10.3390/healthcare9091150","pdf_url":"https://www.mdpi.com/2227-9032/9/9/1150/pdf","source":{"id":"https://openalex.org/S4210214101","display_name":"Healthcare","issn_l":"2227-9032","issn":["2227-9032"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.mdpi.com/2227-9032/9/9/1150/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5030355121","display_name":"Ren Kawamura","orcid":"https://orcid.org/0000-0002-5632-3218","observed_orcids":["https://orcid.org/0000-0002-5632-3218"]},"institutions":[{"id":"https://openalex.org/I4405283604","display_name":"Dokkyo Medical University Hospital","ror":"https://ror.org/01yqvb905","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405283604"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Ren Kawamura","raw_affiliation_strings":["Department of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Tochigi 321-0293, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Tochigi 321-0293, Japan","institution_ids":["https://openalex.org/I4405283604"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043660785","display_name":"Yukinori Harada","orcid":"https://orcid.org/0000-0001-6042-7397","observed_orcids":["https://orcid.org/0000-0001-6042-7397"]},"institutions":[{"id":"https://openalex.org/I4405283604","display_name":"Dokkyo Medical University Hospital","ror":"https://ror.org/01yqvb905","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405283604"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yukinori Harada","raw_affiliation_strings":["Department of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Tochigi 321-0293, Japan"],"raw_orcid":"https://orcid.org/0000-0001-6042-7397","affiliations":[{"raw_affiliation_string":"Department of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Tochigi 321-0293, Japan","institution_ids":["https://openalex.org/I4405283604"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5012449169","display_name":"Taro Shimizu","orcid":"https://orcid.org/0000-0002-3788-487X","observed_orcids":["https://orcid.org/0000-0002-3788-487X"]},"institutions":[{"id":"https://openalex.org/I4405283604","display_name":"Dokkyo Medical University Hospital","ror":"https://ror.org/01yqvb905","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405283604"]}],"countries":["JP"],"is_corresponding":true,"raw_author_name":"Taro Shimizu","raw_affiliation_strings":["Department of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Tochigi 321-0293, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Tochigi 321-0293, Japan","institution_ids":["https://openalex.org/I4405283604"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5012449169"],"corresponding_institution_ids":["https://openalex.org/I4405283604"],"apc_list":{"value":1600,"currency":"CHF","value_usd":1728},"apc_paid":{"value":1600,"currency":"CHF","value_usd":1728},"fwci":0.8218,"has_fulltext":true,"cited_by_count":5,"citation_normalized_percentile":{"value":0.70312831,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":95},"biblio":{"volume":"9","issue":"9","first_page":"1150","last_page":"1150"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12918","display_name":"Healthcare Systems and Technology","score":0.5512999892234802,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"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/T12918","display_name":"Healthcare Systems and Technology","score":0.5512999892234802,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"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/T10365","display_name":"Gastrointestinal motility and disorders","score":0.24869999289512634,"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/T12574","display_name":"Clinical Reasoning and Diagnostic Skills","score":0.04919999837875366,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"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/chronic-abdominal-pain","display_name":"chronic abdominal pain","score":0.9589999914169312},{"id":"https://openalex.org/keywords/gastroenterologist-referral","display_name":"gastroenterologist referral","score":0.6520000100135803},{"id":"https://openalex.org/keywords/functional-gastrointestinal-disorders","display_name":"functional gastrointestinal disorders","score":0.7929999828338623},{"id":"https://openalex.org/keywords/diagnostic-workup","display_name":"diagnostic workup","score":0.7929999828338623},{"id":"https://openalex.org/keywords/abdominal-wall-pain","display_name":"abdominal wall pain","score":0.8960000276565552},{"id":"https://openalex.org/keywords/anterior-cutaneous-nerve-entrapment-syndrome","display_name":"anterior cutaneous nerve entrapment syndrome","score":0.9739999771118164},{"id":"https://openalex.org/keywords/myofascial-pain","display_name":"myofascial pain","score":0.9789999723434448},{"id":"https://openalex.org/keywords/diagnostic-yield","display_name":"diagnostic yield","score":0.32600000500679016}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.93441241979599},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.7410057783126831},{"id":"https://openalex.org/C534262118","wikidata":"https://www.wikidata.org/wiki/Q177719","display_name":"Medical diagnosis","level":2,"score":0.6601841449737549},{"id":"https://openalex.org/C2780955771","wikidata":"https://www.wikidata.org/wiki/Q183425","display_name":"Abdominal pain","level":2,"score":0.6539381742477417},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5906108617782593},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4143933057785034},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.14947086572647095},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.1394093930721283}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.3390/healthcare9091150","doi":"https://doi.org/10.3390/healthcare9091150","is_oa":true,"landing_page_url":"https://doi.org/10.3390/healthcare9091150","pdf_url":"https://www.mdpi.com/2227-9032/9/9/1150/pdf","source":{"id":"https://openalex.org/S4210214101","display_name":"Healthcare","issn_l":"2227-9032","issn":["2227-9032"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:7363671","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC8472323","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},{"id":"pmid:34574924","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/34574924","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare (Basel, Switzerland)","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:8472323","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC8472323/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare (Basel)","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:b2cc6549696a4be7b0cd49904425a930","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/b2cc6549696a4be7b0cd49904425a930","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Healthcare, Vol 9, Iss 1150, p 1150 (2021)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3390/healthcare9091150","doi":"https://doi.org/10.3390/healthcare9091150","is_oa":true,"landing_page_url":"https://doi.org/10.3390/healthcare9091150","pdf_url":"https://www.mdpi.com/2227-9032/9/9/1150/pdf","source":{"id":"https://openalex.org/S4210214101","display_name":"Healthcare","issn_l":"2227-9032","issn":["2227-9032"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.98580002784729,"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":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3197340484.pdf","grobid_xml":"https://content.openalex.org/works/W3197340484.grobid-xml"},"referenced_works_count":24,"referenced_works":["https://openalex.org/W181972943","https://openalex.org/W1503085637","https://openalex.org/W2012114512","https://openalex.org/W2050696132","https://openalex.org/W2052139124","https://openalex.org/W2058785485","https://openalex.org/W2061062068","https://openalex.org/W2085613169","https://openalex.org/W2092869457","https://openalex.org/W2125069558","https://openalex.org/W2132952625","https://openalex.org/W2413601340","https://openalex.org/W2507397501","https://openalex.org/W2795067183","https://openalex.org/W2891687552","https://openalex.org/W2892980392","https://openalex.org/W2907251545","https://openalex.org/W2911806606","https://openalex.org/W2911920798","https://openalex.org/W2918993927","https://openalex.org/W2987380819","https://openalex.org/W3006913682","https://openalex.org/W3042048405","https://openalex.org/W3174642211"],"related_works":["https://openalex.org/W2911806606","https://openalex.org/W3133090505","https://openalex.org/W3031250462","https://openalex.org/W2914658893","https://openalex.org/W1542013420","https://openalex.org/W2238411031","https://openalex.org/W2412461989","https://openalex.org/W7127553454","https://openalex.org/W7110595262","https://openalex.org/W2801317811"],"abstract_inverted_index":{"This":[0,21],"study":[1],"aimed":[2],"to":[3,9,43,49,66,119,181],"investigate":[4],"consultation":[5],"outcomes":[6],"from":[7,38,62,179],"gastroenterologists":[8,180],"generalist":[10],"physicians":[11],"for":[12,53,95,111,116,125,136],"the":[13,39,44,58,73,101,114,120,142],"diagnostic":[14],"workup":[15],"of":[16,41,46,82,103,107,122,141,191],"undiagnosed":[17,194],"chronic":[18,54,195],"abdominal":[19,55,149,196],"pain.":[20,197],"was":[22,113],"a":[23,51],"single-center,":[24],"retrospective,":[25],"descriptive":[26],"study.":[27],"Patients":[28],"were":[29,32,85,90,134,146],"included":[30],"who":[31],"\u226515":[33],"years":[34],"old":[35],"and":[36,77,93,170],"consulted":[37],"Department":[40,45,102,121],"Gastroenterology":[42],"Diagnostic":[47,123],"Medicine,":[48],"establish":[50],"diagnosis":[52],"pain,":[56,161,166],"at":[57,100],"Dokkyo":[59],"University":[60],"Hospital":[61],"1":[63],"April":[64],"2016":[65],"31":[67],"August":[68],"2020.":[69],"We":[70],"retrospectively":[71],"reviewed":[72],"patients\u2019":[74],"medical":[75],"charts":[76],"extracted":[78],"data.":[79],"A":[80],"total":[81],"12":[83],"cases":[84],"included.":[86],"Eight":[87],"patients":[88,138,144,192],"(66.7%)":[89],"diagnosed":[91,147],"with":[92,148,193],"treated":[94],"functional":[96],"gastrointestinal":[97],"disorders":[98],"(FGID)":[99],"Gastroenterology;":[104],"their":[105,117],"lack":[106],"improvement":[108],"under":[109],"treatment":[110],"FGID":[112],"reason":[115],"referral":[118,178],"Medicine":[124],"further":[126],"examination.":[127],"After":[128],"this":[129],"consultation,":[130],"new":[131,185],"possible":[132,186],"diagnoses":[133,187],"generated":[135],"eight":[137,143],"(66.7%).":[139],"Six":[140],"(75.0%)":[145],"wall":[150],"pain":[151],"(anterior":[152],"cutaneous":[153],"nerve":[154],"entrapment":[155],"syndrome,":[156],"n":[157,162,167,174],"=":[158,163,168,175],"3;":[159],"myofascial":[160],"1;":[164,169],"falciform":[165],"herpes":[171],"zoster":[172],"non-herpeticus;":[173],"1).":[176],"Consultation":[177],"generalists":[182],"could":[183],"generate":[184],"in":[188],"approximately":[189],"70%":[190]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":2}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2021-09-13T00:00:00"}
