{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:14:37Z","timestamp":1753877677551,"version":"3.41.2"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2024,9,12]],"date-time":"2024-09-12T00:00:00Z","timestamp":1726099200000},"content-version":"vor","delay-in-days":11,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Recognising emergent acute pathology in the context of established chronic conditions can be challenging and is often overlooked due to cognitive biases in the physician\u2019s decision making. In the context of Parkinson\u2019s disease (PD), there is a large overlap between the non-motor symptoms of PD, common gastrointestinal symptoms amongst the elderly population, and symptoms associated with acute, severe GI pathology, which can result in diagnostic overshadowing. Here, a 68-year-old man with a background of PD reported nausea, constipation, and abdominal discomfort during routine frailty review by his general practitioner (GP). The patient reported these were common symptoms which usually resolved with laxatives. Aware of the potentially sinister nature of this presentation, the GP arranged transfer to the emergency department where CT subsequently revealed a closed-loop small bowel obstruction. This case highlights how frailty medicine is particularly susceptible to cognitive biases, which are commonly cited sources of medical errors.<\/jats:p>","DOI":"10.1093\/omcr\/omae109","type":"journal-article","created":{"date-parts":[[2024,9,13]],"date-time":"2024-09-13T19:19:50Z","timestamp":1726255190000},"source":"Crossref","is-referenced-by-count":0,"title":["Unmasking bowel obstruction in a Parkinson\u2019s patient: the influence of cognitive bias in frailty medicine"],"prefix":"10.1093","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5768-2300","authenticated-orcid":false,"given":"Harvey","family":"Stevenson","sequence":"first","affiliation":[{"name":"Imperial College School of Medicine , Sir Alexander Fleming Building, Imperial College Road, London SW7 2AZ, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniele","family":"Ramsay","sequence":"additional","affiliation":[{"name":"Imperial College School of Medicine , Sir Alexander Fleming Building, Imperial College Road, London SW7 2AZ, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Waseem","family":"Jerjes","sequence":"additional","affiliation":[{"name":"Hammersmith and Fulham Primary Care Network Research and Development Unit, , Lower Ground Floor, Richford Gate Medical Centre, Richford Street, London W6 7HY, United Kingdom"},{"name":"North End Medical Centre , 160 North End Road, London W14 9PR, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,9,12]]},"reference":[{"key":"2024091309190974200_ref1","doi-asserted-by":"crossref","first-page":"225","DOI":"10.4997\/jrcpe.2018.306","article-title":"Cognitive bias in clinical medicine","volume":"48","author":"O\u2019Sullivan","year":"2018","journal-title":"J R Coll Physicians Edinb"},{"key":"2024091309190974200_ref2","doi-asserted-by":"crossref","first-page":"138","DOI":"10.14802\/jmd.22220","article-title":"Gastrointestinal dysfunction in Parkinson's disease: neuro-gastroenterology perspectives on a multifaceted problem","volume":"16","author":"Tan","year":"2023","journal-title":"J Mov Disord"},{"key":"2024091309190974200_ref3","doi-asserted-by":"crossref","first-page":"2055","DOI":"10.1016\/S0140-6736(09)60492-X","article-title":"Parkinson\u2019s disease","volume":"373","author":"Lees","year":"2009","journal-title":"Lancet"},{"key":"2024091309190974200_ref4","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1002\/mds.26866","article-title":"Constipation in parkinson's disease: subjective symptoms, objective markers, and new perspectives","volume":"32","author":"Knudsen","year":"2017","journal-title":"J Mov Disord"},{"key":"2024091309190974200_ref5","doi-asserted-by":"crossref","first-page":"6757524","DOI":"10.1155\/2019\/6757524","article-title":"Gastrointestinal tract disorders in older age","volume":"2019","author":"Dumic","year":"2019","journal-title":"Can J Gastroenterol Hepatol"},{"key":"2024091309190974200_ref6","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1186\/s12911-016-0377-1","article-title":"Cognitive biases associated with medical decisions: a systematic review","volume":"16","author":"Saposnik","year":"2016","journal-title":"BMC Med Inform Decis Mak"}],"container-title":["Oxford Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2024\/9\/omae109\/59094838\/omae109.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2024\/9\/omae109\/59094838\/omae109.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,13]],"date-time":"2024-09-13T19:19:54Z","timestamp":1726255194000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/omcr\/article\/doi\/10.1093\/omcr\/omae109\/7755718"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,1]]},"references-count":6,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2024,9,1]]}},"URL":"https:\/\/doi.org\/10.1093\/omcr\/omae109","relation":{},"ISSN":["2053-8855"],"issn-type":[{"type":"electronic","value":"2053-8855"}],"subject":[],"published-other":{"date-parts":[[2024,9]]},"published":{"date-parts":[[2024,9,1]]},"article-number":"omae109"}}