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Do Doctors and Patients Agree?: Views of the Outcome of Transurethral Resection of the Prostate

1991; Cambridge University Press; Volume: 7; Issue: 4 Linguagem: Inglês

10.1017/s0266462300007091

1471-6348

Nick Black, Mark Petticrew, M Ginzler, Ann Barry Flood, Joe Smith, Grant Williams, Jane C. Davies, Helen Doll, Klim McPherson,

Prostate Cancer Diagnosis and Treatment

In an attempt to establish the extent to which patients and doctors agree on the outcome of health care, the pre- and postoperative states of health of 388 men undergoing transurethral resection of the prostate for benign disease were studied. Generally, high levels of concordance (greater than 70%) were obtained. The strongest agreement was for clearly defined events, such as episodes of acute retention (95%); the weakest agreement occurred over the most subjective symptoms, prognostic expectations, and ambiguous terms (around 60%). The level of agreement was not associated with any characteristics of the patient, surgeon, or treatment.