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

Published online by Cambridge University Press:  10 March 2009

Nick Black ,
Mark Petticrew ,
Maria Ginzler ,
Ann Flood ,
Joe Smith ,
Grant Williams ,
Jane Davies ,
Helen Doll  and
Klim Mcpherson
Nick Black
Affiliation:
London School of Hygiene and Tropical Medicine
Mark Petticrew
Affiliation:
London School of Hygiene and Tropical Medicine
Maria Ginzler
Affiliation:
London School of Hygiene and Tropical Medicine
Ann Flood
Affiliation:
University of Illinois
Joe Smith
Affiliation:
Churchill Hospital, Oxford
Grant Williams
Affiliation:
Harley Street Clinic, London
Jane Davies
Affiliation:
University of Oxford
Helen Doll
Affiliation:
University of Oxford
Klim Mcpherson
Affiliation:
University of Oxford
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Abstract

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 (>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.

Type
General Essays
Information
International Journal of Technology Assessment in Health Care , Volume 7 , Issue 4 , Fall 1991 , pp. 533 - 544
Copyright
Copyright © Cambridge University Press 1991

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