Possible explanations
Patients
tendency to “please the doctor”,
based on gratitude
certain symptoms too
embarrassing to report
level of distress caused by the
symptoms is rated
(highly subjective)
psychological coping strategies
(dissimulating / aggravating
symptoms)
Physicians
more emphasis on identifying
severe G3/G4 morbidity than
milder morbidity
limited time to fully explore
symptoms
(general questions about any
symptoms vs. systematical
assessment of each symptom)
continuum of severity along which
a patient is put into context
Kirchheiner et al. 2012
Vistad et al. 2008
Atkinson et al. 2012