1582 / 1726
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