<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2182-5173</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Medicina Geral e Familiar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port Med Geral Fam]]></abbrev-journal-title>
<issn>2182-5173</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Medicina Geral e Familiar]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2182-51732024000600563</article-id>
<article-id pub-id-type="doi">10.32385/rpmgf.v40i6.13825</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Sinais e sintomas ICPC-2 indevidamente colocados como problema crónico em medicina geral e familiar]]></article-title>
<article-title xml:lang="en"><![CDATA[ICPC-2 signs and symptoms unduly registered as chronic problems in general practice/family medicine]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calisto]]></surname>
<given-names><![CDATA[Bruno]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliveiros]]></surname>
<given-names><![CDATA[Barbara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pestana]]></surname>
<given-names><![CDATA[João]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santiago]]></surname>
<given-names><![CDATA[Luiz Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade de Coimbra Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade de Coimbra Faculdade de Medicina Laboratório de Bioestatística e Informática Médica]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,ULS Coimbra USF Penacova ]]></institution>
<addr-line><![CDATA[Penacova ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidade de Coimbra Faculdade de Medicina Clínica Universitária de Medicina Geral e Familiar]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidade de Coimbra Centro de Estudos e Investigação em Saúde ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>40</volume>
<numero>6</numero>
<fpage>563</fpage>
<lpage>571</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2182-51732024000600563&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2182-51732024000600563&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2182-51732024000600563&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivo:  Verificar a frequência de classificações inapropriadas de sinais e sintomas como problema crónico (CIC), em medicina geral e familiar (MGF), no concelho de Coimbra.  Métodos:  Estudo observacional transversal dos dados de amostra aleatória das Unidades de Saúde Familiar (USF) do concelho de Coimbra, uma por cada um dos seis centros de saúde. Os dados foram recebidos por USF, desconhecendo-se a identificação do médico ou pessoas estudadas em função do aprovado pela Comissão de Ética da Administração Regional de Saúde do Centro. Obtiveram-se dados de onze classificações pré-selecionadas (A01, A03, A04, L03, L13, L15, K01, K06, P01, P03 e P20) das listas de problemas crónicos dos inscritos nas USF em 31/dezembro/2022.  Resultados:  Num universo de 59.152 inscritos verificaram-se as CIC selecionadas em 8.548 (14,5%). As quatro mais frequentes foram L03 - Sintoma/Queixa da Região Lombar (22,6%), P01 - Sensação de Ansiedade/Nervosismo/Tensão (22,1%) e L15 - Sintoma/Queixa do Joelho (14,3%) e A04 - Debilidade/Cansaço Geral (10,0%). Verificaram-se diferenças significativas por sexos com maior frequência no feminino (64%, p&lt;0,001) e por faixa etária, a dos 35 aos 64 anos com maior frequência (43,9%, p&lt;0,001). O modelo de USF não revelou diferença significativa (p=0,564).  Discussão:  CIC em MGF é algo a evitar, sendo obrigação dos médicos e do sistema informático a tal obviar.  Conclusão:  Verificou-se frequência de 14,5% de CIC em USF com elevada responsabilidade na saúde e na formação pré e pós-graduada em MGF. A melhoria do sistema informático, a formação contínua de médicos de MGF em ICPC-2, a revisão periódica dos problemas crónicos e a sua validação por pares podem ser táticas para a melhoria, bem como a adesão à ICPC-3.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective:  To quantify the frequency of ICPC-2 signs and symptoms inappropriately registered as chronic health problems (CIC), in general practice/family medicine (GP/FM), in the Coimbra&#8217;s council.  Methods:  Cross-sectional observational study of data from a random sample of GP/FM practices of Coimbra, Centre of Portugal, one by each of the six health centres, anonymously about the GP/FM doctors. Data of eleven pre-defined ICPC-2 signs and symptoms (A01, A03, A04, L03, L13, L15, K01, K06, P01, P03 e P20) were informatically obtained from the lists of chronic health problems of all patients they attended at December the 31st, 2022.  Results:  In a universe of 59,152 patients, pre-defined CIC was verified in 8,548 (14.5%) patients. The four more frequent ones were L03 (22.6%), P01 (22.1%), L15 (14.3%) and A4 (10.0%). Significant differences were found for sex, more frequent in females (64%, p&lt;0.001), and by age, more frequent between 35 and 64 years (43.9%, p&lt;0.001). As for the type of primary care health unit no differences were found (p=0.564).  Discussion:  CIC in GP/FM must be avoided as an obligation of GP/FM doctors and of the e. Registration program.  Conclusion:  A CIC frequency of 14.5% was found in a county with high responsibilities in pre- and post-graduate GP/FM. The update of the informatic registration program, continuous medical education and development in ICPC-2, periodic re-appraisal of chronic health problems, and its peer-validation, can be adequate tactics for improvement as well as the adoption of ICPC-3.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Medicina geral e familiar]]></kwd>
<kwd lng="pt"><![CDATA[Registos clínicos]]></kwd>
<kwd lng="pt"><![CDATA[Classificações]]></kwd>
<kwd lng="pt"><![CDATA[ICPC-2]]></kwd>
<kwd lng="pt"><![CDATA[Sinais e sintomas]]></kwd>
<kwd lng="en"><![CDATA[General practice]]></kwd>
<kwd lng="en"><![CDATA[Family medicine]]></kwd>
<kwd lng="en"><![CDATA[Clinical registrations]]></kwd>
<kwd lng="en"><![CDATA[Classifications]]></kwd>
<kwd lng="en"><![CDATA[ICPC-2]]></kwd>
<kwd lng="en"><![CDATA[Signs and symptoms]]></kwd>
</kwd-group>
</article-meta>
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