Journal article
Physician-estimated disease severity in patients with chronic heart or lung disease: a cross-sectional analysis
Health and quality of life outcomes, Vol.4(1), pp.60-60
09/13/2006
DOI: 10.1186/1477-7525-4-60
PMCID: PMC1621061
PMID: 16970808
Abstract
Background: We evaluated how well physicians' global estimates of disease severity correspond to more specific physician-rated disease variables as well as patients' self-rated health and other patient variables. Methods: We analyzed baseline data from 1662 primary care patients with chronic cardiac or pulmonary disease who were enrolled in a longitudinal study of health-related quality of life (HRQoL). Each patient's primary physician rated overall disease severity, estimated the two-year risk of hospitalization and mortality, and reported the use of disease-specific medications, test, and subspecialty referrals. Patient variables included sociodemographic characteristics, psychosocial factors, self-rated health, and both generic and disease-specific HRQoL. Results: Physicians rated 40% of their patients "about average", 309% "worse", and 30% "better" than the typical patient seen with the specific target disorder. The physician's global estimate of disease severity was strongly associated (P < 0.001) with each of the five more specific elements of physician-rated disease severity, but only marginally associated with patient self-rated health. Multivariable regression identified a set of patient variables that explained 16.4% of the variance in physician-rated disease severity. Conclusion: Physicians' global ratings may provide disease severity and prognostic information unique from and complementary to patient self-rated health and HRQoL measures. The elements influencing physician-rated disease severity and its predictive validity for clinical outcomes warrant prospective investigation. © 2006 Kroenke et al; licensee BioMed Central Ltd.
Details
- Title: Subtitle
- Physician-estimated disease severity in patients with chronic heart or lung disease: a cross-sectional analysis
- Creators
- Kurt Kroenke - Regenstrief InstituteKathleen W Wyrwich - Saint Louis UniversityWilliam M Tierney - Indiana UniversityAjit N Babu - Amrita Vishwa VidyapeethamFredric D Wolinsky - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Health and quality of life outcomes, Vol.4(1), pp.60-60
- DOI
- 10.1186/1477-7525-4-60
- PMID
- 16970808
- PMCID
- PMC1621061
- NLM abbreviation
- Health Qual Life Outcomes
- ISSN
- 1477-7525
- eISSN
- 1477-7525
- Publisher
- BioMed Central
- Language
- English
- Date published
- 09/13/2006
- Academic Unit
- Health Management and Policy
- Record Identifier
- 9984363637102771
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