Bringing Value at the Physical and Mental Health Interface: A Retrospective Record-based Research of Diagnostic Concordance between Physicians/Surgeons and Psychiatrists
Introduction: Consultation-liaison psychiatry (CLP) serves as a vital bridge between psychiatric and medical specialties, offering expert opinions and educational support. Despite high psychiatric comorbidities, referral rates in most parts of the world remain low. Poor psychiatric awareness, stemmi...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-04-01
|
| Series: | Annals of Indian Psychiatry |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/aip.aip_55_24 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850133993701244928 |
|---|---|
| author | Yogender Kumar Malik Adwitiya Ray Sujata Sethi Rajiv Gupta |
| author_facet | Yogender Kumar Malik Adwitiya Ray Sujata Sethi Rajiv Gupta |
| author_sort | Yogender Kumar Malik |
| collection | DOAJ |
| description | Introduction:
Consultation-liaison psychiatry (CLP) serves as a vital bridge between psychiatric and medical specialties, offering expert opinions and educational support. Despite high psychiatric comorbidities, referral rates in most parts of the world remain low. Poor psychiatric awareness, stemming from inadequate undergraduate psychiatric training, may contribute to the difficulty in detecting these symptoms. Studying concordance between psychiatric diagnoses made by referring doctors and psychiatrists can shed light on this area.
Aims:
This study aims to explore the concordance between diagnoses made by physicians and psychiatrists.
Settings and Design:
A 3-year retrospective record-based research was conducted at a tertiary care center.
Methods:
The study focused on in-patient referrals to the CLP unit. Data from 2917 referral calls included demographic profiles, referral reasons, and diagnoses. The Concordance was assessed using kappa statistics, with interpretation based on Landis and Koch’s criteria.
Results:
Delirium emerged as the most frequent psychiatric diagnosis, followed by depressive disorders, alcohol dependence, adjustment disorder, and opioid dependence. Referral patterns showed limited use of specific psychiatric terms by physicians (5.9%). Concordance varied across diagnoses, with substance use and intentional self-harm displaying substantial agreement, while delirium and depression had lower concordance.
Conclusion:
The study highlights the prevalence of delirium in CLP referrals and emphasizes the need for collaboration between CLPs and physicians. It also reveals a limited use of specific psychiatric diagnoses by referring doctors, suggesting potential gaps in psychiatric awareness. The findings underscore the importance of targeted educational interventions and increased collaboration to enhance diagnostic accuracy and patient outcomes. |
| format | Article |
| id | doaj-art-7e10fe1900bc4c5bb28003cbaf48d3e2 |
| institution | OA Journals |
| issn | 2588-8358 2588-8366 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Indian Psychiatry |
| spelling | doaj-art-7e10fe1900bc4c5bb28003cbaf48d3e22025-08-20T02:31:50ZengWolters Kluwer Medknow PublicationsAnnals of Indian Psychiatry2588-83582588-83662025-04-019213714110.4103/aip.aip_55_24Bringing Value at the Physical and Mental Health Interface: A Retrospective Record-based Research of Diagnostic Concordance between Physicians/Surgeons and PsychiatristsYogender Kumar MalikAdwitiya RaySujata SethiRajiv GuptaIntroduction: Consultation-liaison psychiatry (CLP) serves as a vital bridge between psychiatric and medical specialties, offering expert opinions and educational support. Despite high psychiatric comorbidities, referral rates in most parts of the world remain low. Poor psychiatric awareness, stemming from inadequate undergraduate psychiatric training, may contribute to the difficulty in detecting these symptoms. Studying concordance between psychiatric diagnoses made by referring doctors and psychiatrists can shed light on this area. Aims: This study aims to explore the concordance between diagnoses made by physicians and psychiatrists. Settings and Design: A 3-year retrospective record-based research was conducted at a tertiary care center. Methods: The study focused on in-patient referrals to the CLP unit. Data from 2917 referral calls included demographic profiles, referral reasons, and diagnoses. The Concordance was assessed using kappa statistics, with interpretation based on Landis and Koch’s criteria. Results: Delirium emerged as the most frequent psychiatric diagnosis, followed by depressive disorders, alcohol dependence, adjustment disorder, and opioid dependence. Referral patterns showed limited use of specific psychiatric terms by physicians (5.9%). Concordance varied across diagnoses, with substance use and intentional self-harm displaying substantial agreement, while delirium and depression had lower concordance. Conclusion: The study highlights the prevalence of delirium in CLP referrals and emphasizes the need for collaboration between CLPs and physicians. It also reveals a limited use of specific psychiatric diagnoses by referring doctors, suggesting potential gaps in psychiatric awareness. The findings underscore the importance of targeted educational interventions and increased collaboration to enhance diagnostic accuracy and patient outcomes.https://journals.lww.com/10.4103/aip.aip_55_24consultation-liaison psychiatrydiagnostic concordancekappa statisticsphysical and mental health interfacephysicians/surgeons |
| spellingShingle | Yogender Kumar Malik Adwitiya Ray Sujata Sethi Rajiv Gupta Bringing Value at the Physical and Mental Health Interface: A Retrospective Record-based Research of Diagnostic Concordance between Physicians/Surgeons and Psychiatrists Annals of Indian Psychiatry consultation-liaison psychiatry diagnostic concordance kappa statistics physical and mental health interface physicians/surgeons |
| title | Bringing Value at the Physical and Mental Health Interface: A Retrospective Record-based Research of Diagnostic Concordance between Physicians/Surgeons and Psychiatrists |
| title_full | Bringing Value at the Physical and Mental Health Interface: A Retrospective Record-based Research of Diagnostic Concordance between Physicians/Surgeons and Psychiatrists |
| title_fullStr | Bringing Value at the Physical and Mental Health Interface: A Retrospective Record-based Research of Diagnostic Concordance between Physicians/Surgeons and Psychiatrists |
| title_full_unstemmed | Bringing Value at the Physical and Mental Health Interface: A Retrospective Record-based Research of Diagnostic Concordance between Physicians/Surgeons and Psychiatrists |
| title_short | Bringing Value at the Physical and Mental Health Interface: A Retrospective Record-based Research of Diagnostic Concordance between Physicians/Surgeons and Psychiatrists |
| title_sort | bringing value at the physical and mental health interface a retrospective record based research of diagnostic concordance between physicians surgeons and psychiatrists |
| topic | consultation-liaison psychiatry diagnostic concordance kappa statistics physical and mental health interface physicians/surgeons |
| url | https://journals.lww.com/10.4103/aip.aip_55_24 |
| work_keys_str_mv | AT yogenderkumarmalik bringingvalueatthephysicalandmentalhealthinterfacearetrospectiverecordbasedresearchofdiagnosticconcordancebetweenphysicianssurgeonsandpsychiatrists AT adwitiyaray bringingvalueatthephysicalandmentalhealthinterfacearetrospectiverecordbasedresearchofdiagnosticconcordancebetweenphysicianssurgeonsandpsychiatrists AT sujatasethi bringingvalueatthephysicalandmentalhealthinterfacearetrospectiverecordbasedresearchofdiagnosticconcordancebetweenphysicianssurgeonsandpsychiatrists AT rajivgupta bringingvalueatthephysicalandmentalhealthinterfacearetrospectiverecordbasedresearchofdiagnosticconcordancebetweenphysicianssurgeonsandpsychiatrists |