Gynae BT 2017

Possible explanations

Patients

Physicians

➢ 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)

➢ 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