Prospective randomized evaluation of patient- and physician-reported pain concordance in flexible cystoscopy: impact of experience and anxiety.
G Ozgur, C Ozdemiroglu, M Kars et al.
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In 30 seconds
This prospective randomized controlled trial evaluated pain concordance between patients and physicians during flexible cystoscopy in 120 male patients. Results indicated that postoperative pain scores were slightly higher than preoperative scores (2 vs. 1.5; p < 0.001), but this difference was clinically negligible. The study found a significant correlation between patient and physician-reported pain (r = 0.487, p < 0.01).
Key findings
- Postoperative VAS-pain scores were 2 compared to preoperative scores of 1.5 (p < 0.001).
- A significant correlation was found between patient and physician-reported pain (r = 0.487, p < 0.01).
- Less experienced physicians showed stronger concordance with patient pain reports (r = 0.798).
- HADS-anxiety scores correlated positively with both preoperative and postoperative pain levels (r = 0.194-0.404, p < 0.05).
Why it matters
Understanding the relationship between patient-reported pain and physician assessments can improve communication and pain management strategies during procedures like flexible cystoscopy. Addressing preoperative anxiety may enhance patient comfort and satisfaction.