Do patients’ and doctors’ perceptions about cardiovascular outcomes coincide? A one-to-one survey at in-hospital and outpatient level
Objectives Cardiovascular (CV) diseases are associated with adverse outcomes. However, attention has typically focused on outcomes considered relevant by doctors, whereas the potential gap in perception and relative importance of outcomes that may exist between patients and doctors has been scarcely...
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BMJ Publishing Group
2025-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/15/7/e104788.full |
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| author | Giuseppe Ambrosio Federico Fortuni Giulio Spinucci Alessio Gili Maria Mascelloni Isabella Tritto Francesca Jacoangeli Athanasios Manolis Giovanni Carreras Erberto Carluccio |
| author_facet | Giuseppe Ambrosio Federico Fortuni Giulio Spinucci Alessio Gili Maria Mascelloni Isabella Tritto Francesca Jacoangeli Athanasios Manolis Giovanni Carreras Erberto Carluccio |
| author_sort | Giuseppe Ambrosio |
| collection | DOAJ |
| description | Objectives Cardiovascular (CV) diseases are associated with adverse outcomes. However, attention has typically focused on outcomes considered relevant by doctors, whereas the potential gap in perception and relative importance of outcomes that may exist between patients and doctors has been scarcely explored. Evidence available reports the views of either patients or doctors alone, and data are analysed in aggregate. We investigated this issue by surveying for the first time patients’ and doctors’ opinions simultaneously, on a one-to-one basis.Design Survey involving patients with different CV diseases. Each patient and their attending doctor were asked to simultaneously but independently gauge the importance each attached to a predetermined set of outcomes, filling out disease-specific questionnaires. Results were analysed by compositional analysis.Setting Inpatients and outpatients being seen by cardiologists and internal medicine specialists at hospitals affiliated with the National Health System in Umbria, Italy.Participants All-comer patients, presenting with one of the following conditions: atrial fibrillation (AF), myocardial infarction (MI), heart failure (HF) or considered at high CV risk.Main outcome measures Importance attached to outcomes relative to life path, quality of life, future clinical events.Results From 337 paired questionnaires returned, significant differences between patients’ and doctors’ perspectives emerged. Specifically: (1) patients with AF were significantly less concerned about the risk of stroke than doctors; (2) worsening of HF was a greater concern for doctors than patients, whereas patients weighed the risk of disability more; (3) patients with a previous MI, or at high CV risk, weighed the risk of hospitalisation less relevant than doctors, but were significantly more concerned about the risk of disability.Conclusions Simultaneous, one-to-one assessment of patients’ and doctors’ opinion shows remarkable differences between patients’ perception and physicians’ judgement concerning the relevance of major CV outcomes. Appreciation and sharing of these issues may inform better tailoring of cardiac care. |
| format | Article |
| id | doaj-art-6950daa07cb548b188df05d9ece04bb5 |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-6950daa07cb548b188df05d9ece04bb52025-08-20T02:37:21ZengBMJ Publishing GroupBMJ Open2044-60552025-07-0115710.1136/bmjopen-2025-104788Do patients’ and doctors’ perceptions about cardiovascular outcomes coincide? A one-to-one survey at in-hospital and outpatient levelGiuseppe Ambrosio0Federico Fortuni1Giulio Spinucci2Alessio Gili3Maria Mascelloni4Isabella Tritto5Francesca Jacoangeli6Athanasios Manolis7Giovanni Carreras8Erberto Carluccio9Department of Cardiology, Universita degli Studi di Perugia, Perugia, ItalyDepartment of Cardiology, University of Perugia, Perugia, ItalyDepartment of Cardiology, University of Perugia, Perugia, ItalyDepartment of Life Sciences, Health and Health Professions, Link Campus University, Rome, ItalyDepartment of Cardiology, University of Perugia, Perugia, ItalyDepartment of Cardiology, University of Perugia, Perugia, ItalyDepartment of Cardiologia riabilitativa e prevenzione patologie cardiovascolari, USL Umbria 1, Perugia, ItalyDepartment of Cardiology, Asklepieion General Hospital, Athens, GreeceDepartment of Cardiology, Santa Maria University Hospital, Terni, ItalyDepartment of Cardiology, University of Perugia, Perugia, ItalyObjectives Cardiovascular (CV) diseases are associated with adverse outcomes. However, attention has typically focused on outcomes considered relevant by doctors, whereas the potential gap in perception and relative importance of outcomes that may exist between patients and doctors has been scarcely explored. Evidence available reports the views of either patients or doctors alone, and data are analysed in aggregate. We investigated this issue by surveying for the first time patients’ and doctors’ opinions simultaneously, on a one-to-one basis.Design Survey involving patients with different CV diseases. Each patient and their attending doctor were asked to simultaneously but independently gauge the importance each attached to a predetermined set of outcomes, filling out disease-specific questionnaires. Results were analysed by compositional analysis.Setting Inpatients and outpatients being seen by cardiologists and internal medicine specialists at hospitals affiliated with the National Health System in Umbria, Italy.Participants All-comer patients, presenting with one of the following conditions: atrial fibrillation (AF), myocardial infarction (MI), heart failure (HF) or considered at high CV risk.Main outcome measures Importance attached to outcomes relative to life path, quality of life, future clinical events.Results From 337 paired questionnaires returned, significant differences between patients’ and doctors’ perspectives emerged. Specifically: (1) patients with AF were significantly less concerned about the risk of stroke than doctors; (2) worsening of HF was a greater concern for doctors than patients, whereas patients weighed the risk of disability more; (3) patients with a previous MI, or at high CV risk, weighed the risk of hospitalisation less relevant than doctors, but were significantly more concerned about the risk of disability.Conclusions Simultaneous, one-to-one assessment of patients’ and doctors’ opinion shows remarkable differences between patients’ perception and physicians’ judgement concerning the relevance of major CV outcomes. Appreciation and sharing of these issues may inform better tailoring of cardiac care.https://bmjopen.bmj.com/content/15/7/e104788.full |
| spellingShingle | Giuseppe Ambrosio Federico Fortuni Giulio Spinucci Alessio Gili Maria Mascelloni Isabella Tritto Francesca Jacoangeli Athanasios Manolis Giovanni Carreras Erberto Carluccio Do patients’ and doctors’ perceptions about cardiovascular outcomes coincide? A one-to-one survey at in-hospital and outpatient level BMJ Open |
| title | Do patients’ and doctors’ perceptions about cardiovascular outcomes coincide? A one-to-one survey at in-hospital and outpatient level |
| title_full | Do patients’ and doctors’ perceptions about cardiovascular outcomes coincide? A one-to-one survey at in-hospital and outpatient level |
| title_fullStr | Do patients’ and doctors’ perceptions about cardiovascular outcomes coincide? A one-to-one survey at in-hospital and outpatient level |
| title_full_unstemmed | Do patients’ and doctors’ perceptions about cardiovascular outcomes coincide? A one-to-one survey at in-hospital and outpatient level |
| title_short | Do patients’ and doctors’ perceptions about cardiovascular outcomes coincide? A one-to-one survey at in-hospital and outpatient level |
| title_sort | do patients and doctors perceptions about cardiovascular outcomes coincide a one to one survey at in hospital and outpatient level |
| url | https://bmjopen.bmj.com/content/15/7/e104788.full |
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