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Intended for Healthcare Professionals
British Journal of General Practice

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The symptom iceberg

David Hannay
British Journal of General Practice 2011; 61 (584): 224. DOI: https://doi.org/10.3399/bjgp11X561339
David Hannay
Kirkdale, Carsluith, DG8 7EA. E-Mail:
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The paper by McAteer et al in the January edition of the BJGP1 provides data on symptom prevalence from a postal survey with a low response rate and including only those of working age. However, the title is misleading because there was no information about whether the symptoms were below the waterline of medical consultation, as described by the editorial.

The symptom iceberg was identified by Last2 and operationally defined by Hannay,3 as the prevalence of significant symptoms in the community that were not referred for professional advice. This latter study included all age groups and was based on personal interviews with a high response rate from those visited.

  • © British Journal of General Practice, January 2011

REFERENCES

  1. ↵
    1. McAteer A,
    2. Elliot AM,
    3. Hannaford PC
    (2011) Ascertaining the size of the symptom iceberg in a UK-wide community based survey. Br J Gen Pract 61(582):12–17.
    OpenUrl
  2. ↵
    1. Last JM
    (1963) The iceberg ‘completing the clinical picture’ in general practice. Lancet 282(7297):28–31.
    OpenUrlCrossRef
  3. ↵
    1. Hannay DR
    (1979) The symptom iceberg (Routledge & Kegan Paul, London).
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British Journal of General Practice: 61 (584)
British Journal of General Practice
Vol. 61, Issue 584
March 2011
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The symptom iceberg
David Hannay
British Journal of General Practice 2011; 61 (584): 224. DOI: 10.3399/bjgp11X561339

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The symptom iceberg
David Hannay
British Journal of General Practice 2011; 61 (584): 224. DOI: 10.3399/bjgp11X561339
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