Discrepancies between physician-assessed and patient-reported complications after cystectomy – a prospective analysis - Summary - MDSpire

Discrepancies between physician-assessed and patient-reported complications after cystectomy – a prospective analysis

  • By

  • Benedikt Ebner

  • Judith Hirsch

  • Annkathrin Holz

  • Yannic Volz

  • Lennert Eismann

  • Julian Hermans

  • Nikolaos Pyrgidis

  • Marc Kidess

  • Marie Semmler

  • Isabel Brinkmann

  • Can Aydogdu

  • Michael Chaloupka

  • Andrea Katharina Lindner

  • Philipp Weinhold

  • Christian G. Stief

  • Gerald B. Schulz

  • February 10, 2025

  • 0 min

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Objective:

To assess discrepancies between physician-assessed and patient-reported complications following cystectomy and evaluate factors influencing these discrepancies, highlighting the importance of understanding these differences for improved patient care.

Key Findings:
  • 172 patients underwent cystectomy; 154 consented to participate, and 111 completed the follow-up interview, with specific statistics on the nature of discrepancies noted.
  • The median patient age was 71.3 years, with 85% male and 89% having oncological indications.
  • Discrepancies were noted between physician-assessed and patient-reported complications, highlighting differing perceptions of severity.
Interpretation:

Understanding patient perspectives on complications is crucial for improving doctor-patient relationships and addressing dissatisfaction, with implications for clinical practice.

Limitations:
  • The study was limited to a single institution, which may affect generalizability.
  • Only in-hospital complications were evaluated, potentially overlooking long-term complications and biases in patient reporting.
Conclusion:

This study is the first to explore patient perspectives on complications after cystectomy, revealing significant discrepancies that warrant further investigation, particularly in areas such as long-term outcomes and patient education.

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