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Table 3 International classification of primary care second edition (ICPC-2) category of the final diagnosis of patients referred to the General Medicine Department (n = 408)

From: Investigation of diseases that cause diagnostic difficulty for Japanese general physicians

ICPC-2 organ system category Referred by general physicians Referred by other physicians  
n (%) n (%) P value
A. General & Unspecified 35 (20.7) 26 (10.9) 0.007
B. Blood, Blood Forming Organs & Immune Mechanism 11 (6.5) 11 (4.6) 0.505
D. Digestive 20 (11.8) 20 (8.4) 0.311
F. Eye 0 (0) 2 (0.8) 0.514
H. Ear 6 (3.6) 6 (2.5) 0.564
K. Cardiovascular 6 (3.6) 14 (5.9) 0.356
L. Musculoskeletal 21 (12.4) 29 (12.1) 1.000
N. Neurological 10 (5.9) 18 (7.5) 0.558
P. Psychological 31 (18.3) 69 (28.9) 0.019
R. Respiratory 11 (6.5) 10 (4.2) 0.364
S. Skin 3 (1.8) 10 (4.2) 0.254
T. Endocrine/Metabolic & Nutritional 8 (4.7) 8 (3.3) 0.606
U. Urological 2 (1.2) 6 (2.5) 0.478,
W. Pregnancy, Childbearing, Family Planning 0 (0) 0 (0) NA
X. Female Genital (including breasts) 3 (1.4) 4 (1.7) 1.000
Y. Male Genital 0 (0) 0 (0) NA
Z. Social Problems 0 (1.4) 3 (1.3) 0.270
Uncertain diagnosis 2 (1.4) 3 (1.3) 1.000
Total 169 239  
  1. Data were analyzed by Fisher’s exact test with a post hoc Bonferroni test and significance was accepted at P < 0.0028. NA: not available.
  2. General physicians: physicians working at general internal medicine clinics.
  3. Other physicians: physicians working at specialist clinics or hospital physicians.
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