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Discordance in perception of disease severity between patient and physicians

  • Valencia Long
    Correspondence
    Corresponding authors at: Choi Ci En Ellie, 5 Lower Kent Ridge Rd, Singapore, 119074. Valencia Long, 5 Lower Kent Ridge Rd, Singapore, 119074
    Affiliations
    Division of Dermatology, Department of Medicine, National University Hospital, Singapore
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  • Xer Min Nicole Lau
    Affiliations
    Yong Loo Lin School of Medicine, National University of Singapore, Singapore
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  • Clara Xinyi Ng
    Affiliations
    Yong Loo Lin School of Medicine, National University of Singapore, Singapore
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  • Phillip Phan
    Affiliations
    Yong Loo Lin School of Medicine, National University of Singapore, Singapore

    Johns Hopkins Carey Business School, Baltimore, MD, USA

    Department of Medicine, Johns Hopkins Medicine, Baltimore, MD, USA
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  • Ci En Ellie Choi
    Correspondence
    Corresponding authors at: Choi Ci En Ellie, 5 Lower Kent Ridge Rd, Singapore, 119074. Valencia Long, 5 Lower Kent Ridge Rd, Singapore, 119074
    Affiliations
    Division of Dermatology, Department of Medicine, National University Hospital, Singapore

    Yong Loo Lin School of Medicine, National University of Singapore, Singapore
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Published:November 13, 2022DOI:https://doi.org/10.1016/j.ejim.2022.11.010

      Highlights

      • Discordant symptom burden and severity grading (DSG) refers to a state where patients with similar observed disease states do perceive similar symptom burdens as their physicians.
      • Factors and behaviors which drive positive and negative discordance are distinct.
      • Recognizing the presence of DSG, understanding its causes, and bridging the gap can help improve shared decision making and patient-centered care.

      Keywords

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      References

        • Page M.J.
        • McKenzie J.E.
        • Bossuyt P.M.
        • Boutron I.
        • Hoffmann T.C.
        • Mulrow C.D.
        • et al.
        The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.
        BMJ. 2021 Mar 29; 372: n71
        • Nyaga V.N.
        • Arbyn M.
        • Aerts M.
        Metaprop: a Stata command to perform meta-analysis of binomial data.
        72. Arch Public Health, 2014: 39 (Nov 10)
        • StataCorp
        (Stata Statistical Software: Release 17).
        StataCorp LLC, College Station, TX2021
      1. Critical Appraisal Tools.
        JBI [Internet]. 2022; ([citedOct 23]. Available from:)
        • Choi C.E.E.
        • Yee M.Y.F.
        • Tan L.Y.L.
        • Phan P.
        A qualitative study of dermatology patients and providers to understand discordant perceptions of symptom burden and disease severity.
        J Dermatol Treat. 2021; (Aug 9): 1-8
        • Kvrgic Z.
        • Asiedu G.B.
        • Crowson C.S.
        • Ridgeway J.L.
        • Davis J.M.
        Like No One Is Listening to Me”: a qualitative study of patient-provider discordance between global assessments of disease activity in rheumatoid arthritis.
        Arthritis Care Res. 2018; 70: 1439-1447