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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