Andy
Retired committee member
CFS is converted to chronic fatigue in the rest of the article.
Table of contents for this "themed edition" can be seen here, https://www.rcpjournals.org/content/clinmedicine/21/1/
Open access, https://www.rcpjournals.org/content/clinmedicine/21/1/1There is a high prevalence of patients with medically unexplained symptoms (MUS) in primary and secondary care settings. Persistence of MUS is common, with a study based in secondary care identifying half of all referred patients having no clear diagnosis yet have an associated impaired quality of life.1 Beyond the personal costs to these patients with functional disorders, there is accompanying impaired work productivity (approximated at £14 billion in the UK) and increased healthcare costs (estimated £2.9 billion to the NHS).2 The irony is that the need for a multidisciplinary approach integrating physical and mental healthcare services has been established for some time, but has proved elusive in practice. The articles in this themed edition of Clinical Medicine are directed towards helping the clinician find their own style of managing these common presentations, recognising the multi-system nature of the problem and finding their own way of understanding this and communicating it with patients.
Table of contents for this "themed edition" can be seen here, https://www.rcpjournals.org/content/clinmedicine/21/1/