Key result
Referring physicians overestimate chest pain frequency and severity compared to patient self-reports.
Why the study?
Does a behavioral analysis of chest pain using patient self-reports differ from referring physicians' judgments in patients suspected of having coronary artery disease?
Observational (n=83)
No
Does a behavioral analysis of chest pain using patient self-reports differ from referring physicians' judgments in patients suspected of having coronary artery disease?
Referring physicians significantly overestimate the frequency and severity of chest pain episodes and inaccurately characterize symptoms compared to patient self-reports, suggesting behavioral analysis may improve clinical assessment.
No takes yet. Share an insight, caveat, or question.
May prompt clinicians to seek patient self-reports for chest pain; leaves open effects on diagnostic accuracy in suspected CAD.
Engel et al. (1985) conducted an observational in Chest pain suspected of coronary artery disease (n=83). Patient self-reported chest pain characteristics vs. Referring physicians' judgments was evaluated on Frequency, severity, antecedents, and concomitants of chest pain episodes. Referring physicians significantly overestimated the frequency and severity of their patients' chest pain episodes and were inaccurate in characterizing typical sensations compared to patient self-reports.
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