1532-1533 / 1778
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