Differences between physician and patient in the perception of symptoms and their severity in COPD
| Autor: | Jaume Ferrer, Marc Miravitlles, J. Galera, Eva Baró, Marta Lleonart |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine Pediatrics medicine.medical_specialty Attitude of Health Personnel Concordance Vital Capacity Anxiety Chest pain Severity Pulmonary Disease Chronic Obstructive Quality of life Forced Expiratory Volume medicine COPD Humans Fatigue Depression (differential diagnoses) Pulmonologists Aged Physician-Patient Relations Patient business.industry Pulmonologist medicine.disease Cross-Sectional Studies Dyspnea Cough Physician Symptoms Female Perception medicine.symptom business Attitude to Health |
| Zdroj: | Respiratory Medicine. 107:1977-1985 |
| ISSN: | 0954-6111 |
| DOI: | 10.1016/j.rmed.2013.06.019 |
| Popis: | SummaryChronic Obstructive Pulmonary Disease (COPD) impairs quality of life and presents symptoms that affect the lives of patients. Our study analysed the degree of concordance between the patients and their pulmonologists in the perception of the severity of symptoms. A cross-sectional, descriptive, multicentre study was conducted in patients with COPD. From a list of 10 symptoms (cough, dry mouth, chest pain, expectoration, wheezing/whistling in the lungs, depression/sadness/discouragement, fatigue/tiredness/general lack of energy, anxiety/nervousness, breathlessness/shortness of breath upon exertion and difficulty sleeping/sleep disorders) each investigator and patient assessed those which, in their opinion, most concerned or affected the patient. A total of 450 patients were included in the study (91.3% males, 66.7 years old (SD = 10.2), FEV1(%) 51.7% (SD = 12.7%)). At an aggregate level, breathlessness/shortness of breath, fatigue/tiredness and coughing were identified by patients and physicians as being the most relevant symptoms. However, according to the concordance analysis conducted with individual pairs (each pulmonologist with his/her patient), only 52.8% coincided when identifying the symptom that most concerned or affected the life of the patient. The concordance analysed by the Kappa index between patients and physicians was poor ( |
| Databáze: | OpenAIRE |
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