• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文学位 >Patient and physician discordance in reporting symptoms of angina: Insights from the Angina Prevalence and Provider Evaluation of Angina Relief (APPEAR) study.
【24h】

Patient and physician discordance in reporting symptoms of angina: Insights from the Angina Prevalence and Provider Evaluation of Angina Relief (APPEAR) study.

机译：病人和医生在报告心绞痛症状时的不一致性：心绞痛患病率和心绞痛缓解者（APPEAR）研究提供者的见解。

获取原文
获取原文并翻译 | 示例
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

A principal goal of treating patients with coronary artery disease (CAD) is to minimize their angina and optimize their quality of life. In order to accomplish this, physicians must accurately assess the presence and frequency of patients' angina. The accuracy with which cardiologists estimate their patients' angina in contemporary, busy outpatient clinics across the United States (US) is unknown.;Patients with an established diagnosis of CAD were enrolled across 25 US cardiology outpatient practices. These patients completed the Seattle Angina Questionnaire (SAQ) prior to their visit, which assesses the patient's angina and quality of life over the prior 4 weeks. The SAQ angina frequency (AF) domain categorized patients' angina as daily/weekly (SAQ AF Score ?60), monthly (SAQ AF Score=61-99), or none (SAQ AF Score=100). Immediately after the visit, cardiologists estimated the frequency of their patients' angina using the same categories. A Cohen weighted kappa statistic was used to assess the agreement between patient-reported and cardiologist-estimated angina.;Among 1257 outpatients with CAD, 67% reported no angina over the 4 weeks prior to the office visit, 25% reported monthly angina, and 8% daily/weekly angina. Agreement between patients' and cardiologists' reports, as assessed by the kappa statistic, was 0.39 indicating a modest agreement. When patients reported no angina, cardiologists accurately estimated this 93% of the time. However, when patients reported monthly or daily/weekly angina symptoms, cardiologists agreed 17% and 69% of the time, respectively. In addition, among patients with daily/weekly angina, 26% were noted as having no angina by their treating physicians.;Among outpatients with stable CAD, there is substantial discordance between patient-reported and cardiologist-estimated burden of angina. Inclusion of patient-reported health status measures in routine clinical care may support better recognition of patients' symptoms by physicians.
机译：治疗冠心病（CAD）患者的主要目标是最大程度地减少其心绞痛并优化其生活质量。为了做到这一点，医生必须准确评估患者心绞痛的存在和频率。在美国（US）繁忙的现代门诊中，心脏病学家估计其患者心绞痛的准确性尚不明确。；在美国25种心脏病门诊实践中，已入选诊断为CAD的患者。这些患者在就诊之前完成了西雅图心绞痛问卷（SAQ），评估了患者在过去4周内的心绞痛和生活质量。 SAQ心绞痛频率（AF）域将患者的心绞痛分为每天/每周（SAQ AF得分≥60），每月（SAQ AF得分= 61-99）或无（SAQ AF得分= 100）。拜访后，心脏病专家立即使用相同的类别来估计患者的心绞痛发生率。使用Cohen加权kappa统计量来评估患者报告的和心脏病专家估计的心绞痛之间的一致性。;在1257名患有CAD的门诊患者中，有67％的人在办公室就诊前4周没有心绞痛，有25％的人报告每月心绞痛，并且每天/每周心绞痛8％。由卡伯统计量评估，患者和心脏病专家报告之间的一致性为0.39，表明一致性较低。当患者未报告心绞痛时，心脏病专家会准确地估计出93％的时间。但是，当患者报告每月或每天/每周心绞痛症状时，心脏病专家分别同意17％和69％的时间。此外，在每天/每周心绞痛的患者中，主治医生指出没有心绞痛的患者为26％。；在具有稳定CAD的门诊患者中，患者报告的心绞痛与心脏病专家估计的心绞痛负担之间存在很大差异。在常规临床护理中纳入患者报告的健康状况指标可能有助于医师更好地识别患者的症状。

著录项

  • 作者

    Shafiq, Ali.;

  • 作者单位

    University of Missouri - Kansas City.;

  • 授予单位 University of Missouri - Kansas City.;
  • 学科 Medicine.;Health care management.
  • 学位 M.S.
  • 年度 2016
  • 页码 43 p.
  • 总页数 43
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号