Trial-based designs may under-recognise the weak boundaries separating context and intervention, and the multiple interactions that take place between them.
4 Patients often under-recognise the significance of respiratory symptoms, 5 and clinicians frequently miss opportunities to diagnose COPD at primary care consultations.
Other studies suggest that primary health providers often underestimate the difficulty young people have in discussing mental health and under-recognise mood disorders and suicidality among youth [ 5].
There is considerable evidence that physicians and nursing staff under-recognise depression in oncology patients (Hardman et al, 1989; Ford et al, 1994; Newell et al, 1998; Passik et al, 1998; McDonald et al, 1999).
It is possible that hepatic tuberculosis (IRIS) may be similarly under recognised.
These latter groups are under recognised for their contributions, and could be incorporated more formally into the portfolio [ 58].
The importance of antenatal depression has been largely under recognised with the focus of research and treatment programs on postnatal depression.
Some have suggested that mental health is under recognised as a cause of disability pension on the expense of physical diagnoses, such as musculoskeletal diseases [ 13, 14].
Hurling players can often continue to compete despite minor-to-moderate hand injury and so the extent and consequences of hand trauma may be under recognised.
Cardiac anomalies were also under recognised in the past, and several studies have shown subclinical structural and functional abnormalities of the heart in patients with common mtDNA mutations.
The purpose of this correspondence article is to report opinion amongst experts in the delirium field as to why, despite on-going training for all health professionals, delirium continues to be under recognised.
