Skip to main content

Table 5 Factors associated with agreement across all pairs of symptom observations (N = 21263)a

From: Health care providers underestimate symptom intensities of cancer patients: A multicenter European study

Factors possibly affecting agreement Health care
provider
underestimation
Good
agreement
Health care
provider
overestimation
Chi-square
   Number % Number % Number %  
Age ≤ 60 1013 10.9 8122 87.7 126 1.4 0.629
  > 60 1268 10.7 10410 88.0 146 1.2  
Body Mass Index < 25 1378 10.3 11855 88.5 169 1.3 0.583
  ≥ 25 693 9.8 6274 88.9 89 1.3  
KPS b < 80 1808 11.1 14110 86.8 347 2.1 0.032
  ≥ 80 474 9.9 4240 88.2 94 2.0  
Mini Mental State,
total score
≤ 23 265 9.5 2455 87.6 81 2.9 < 0.001
  > 23 1927 11.3 14806 86.7 340 2.0  
Time since
diagnosis (months)
≤ 3 550 12.5 3797 86.5 43 1.0 < 0.001
  > 3 1420 9.6 13162 89.0 204 1.4  
Gender Female 1122 11.1 8812 87.5 136 1.4 0.261
  Male 1161 10.5 9727 88.2 136 1.2  
Department Hospitalized patients 1992 12.1 14314 86.7 201 1.2 < 0.001
  Out-patients 291 6.3 4225 92.1 71 1.5  
Status of
opioid treatment
Recently initiated 593 15.4 3219 83.5 43 1.1 < 0.001
  Stable dosing 1679 9.8 15159 88.6 228 1.3  
Previous or ongoing
abuse alcohol
Yes 113 9.8 1017 88.5 19 1.7 0.304
  No 2161 10.9 17477 87.9 252 1.3  
Previous or ongoing
abuse drugs
Yes 19 9.2 180 87.4 7 3.4 0.024
  No 2250 10.8 18283 87.9 267 1.3  
Chemotherapy the
past 24 hours
Yes 331 10.4 2833 88.6 32 1.0 0.180
  No 1952 10.9 15706 87.8 240 1.3  
Profession of health
care provider c
Physician 859 10.6 6970 86.2 261 3.2 < 0.001
  Nurse 1090 10.0 9573 88.1 208 1.9  
Metastases None 406 11.2 3176 87.7 39 1.1 0.430
  One or more 1917 11.0 15352 87.7 233 1.3  
Cancer diagnosis Breast 292 10.0 2609 89.0 31 1.1 < 0.001
  Female reproductive organs 183 11.5 1383 87.2 20 1.3  
  Gastrointestinal 455 9.4 4306 89.4 58 1.2  
  Haematological 142 11.5 1077 87.3 14 1.1  
  Head and neck 148 12.8 983 85.3 21 1.8  
  Lung 481 12.8 3241 86.0 46 1.2  
  Other 198 10.8 1607 87.6 29 1.6  
  Prostate 237 9.4 2233 89.0 40 1.6  
  Unknown origin 53 9.6 491 89.3 6 1.1  
  Urological 171 11.4 1317 87.5 18 1.2  
Country Denmark 3 0.9 304 95.3 11 3.5 < 0.001
  Finland 25 7.7 295 90.8 5 1.5  
  Germany 662 22.4 2231 75.5 61 2.1  
  Greece 5 9.3 48 88.9 1 1.9  
  Iceland 105 6.6 1437 90.3 49 3.1  
  Italy 137 3.1 4196 96.1 34 0.8  
  Lithuania 44 7.5 533 90.5 12 2.0  
  Norway 546 10.5 4578 88.4 54 1.0  
  Sweden 182 14.0 1107 85.3 9 0.7  
  Switzerland 281 22.8 937 76.1 13 1.1  
  United Kingdom 293 9.2 2874 89.8 33 1.0  
  1. aNumber of paired symptom observations. Across one pair of raters and 11 questions for 1933 patients (1 × 11 × 1933 = 21263) (varies due to missing data).
  2. bKarnofsky performance status
  3. cFor 204 patients, the profession of the health care provider was not reported.