{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T04:19:10Z","timestamp":1747196350551,"version":"3.40.5"},"reference-count":13,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T00:00:00Z","timestamp":1697155200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"State Clinical Research Fund (VTR) of Kuopio University Hospital","award":["13.11.2014\/19\u00a7"],"award-info":[{"award-number":["13.11.2014\/19\u00a7"]}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>The primary aim of revascularization in stable coronary artery disease (CAD) is symptom relief. The severity of symptoms is usually evaluated by the physician, not by the patient. We examined the agreement between physician- and patient-reported Canadian Cardiovascular Society (CCS) scores among patients scheduled for elective coronary angiography in a cross-sectional study. Patients (n = 650) and cardiologists evaluated the severity of angina symptoms by filling the CCS questionnaire before coronary angiography. Patients were divided into those without CAD (stenosis diameter &lt;50%, n = 445) and those with CAD (stenosis diameter &gt;50%, n = 205). CAD patients were further divided into three groups according to disease severity (single-, double- or triple-vessel disease). The mean age of the patients was 67.6 (9.9) years and 50.6% were women. In 51.8% (95% CI 44.5%\u201359.0%) of patients with CAD and 51.9% (95% CI 47.0%\u201356.8%) of those without, physician- and patient reported CCS scores agreed. The physician reported better CCS scores in 33.9% (95% CI 27.6%\u201340.7%) of patients with CAD and 36.2% (95% CI 31.8%\u201341.0%) of patients without CAD. The proportions of full or partial agreement between physician- and patient reported CCS scores were similar across the CAD severity groups. To summarize, we observed a significant discrepancy between the physician- and patient-reported symptom severity in patients with or without CAD scheduled for angiography. The physician underestimated the symptoms in third of the cases. Thus, patient-reported symptom severity, rather than physician\u2019s evaluation, should be the cornerstone of treatment decisions.<\/jats:p>","DOI":"10.1371\/journal.pone.0292058","type":"journal-article","created":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T17:30:51Z","timestamp":1697218251000},"page":"e0292058","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Agreement between physician- and patient-reported Canadian cardiovascular society scores among patients undergoing elective coronary angiography\u2013The CATS study"],"prefix":"10.1371","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3560-8860","authenticated-orcid":true,"given":"Piia","family":"Lavikainen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juha","family":"Hartikainen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heikki","family":"Miettinen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marketta","family":"Viljakainen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janne","family":"Martikainen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna-Maija","family":"Tolppanen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Risto P.","family":"Roine","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2023,10,13]]},"reference":[{"key":"pone.0292058.ref001","doi-asserted-by":"crossref","first-page":"c5707","DOI":"10.1136\/bmj.c5707","article-title":"Outcome selection and role of patient reported outcomes in contemporary cardiovascular trials: systematic review","volume":"341","author":"K Rahimi","year":"2010","journal-title":"BMJ"},{"issue":"3","key":"pone.0292058.ref002","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1161\/circ.54.3.947585","article-title":"Grading of angina pectoris","volume":"54","author":"L. 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Revisiting the Canadian Cardiovascular Society grading of stable angina pectoris after a quarter of a century of use","volume":"18","author":"GR Dagenais","year":"2002","journal-title":"Can J Cardiol"},{"journal-title":"Guidance for industry patient-reported outcomes measures: Use in medical product development to support labelling claims.","year":"2009","author":"U.S. Department of Health and Human Services Food and Drug Administration","key":"pone.0292058.ref011"},{"issue":"4","key":"pone.0292058.ref012","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1016\/j.jval.2015.02.018","article-title":"Methods for Developing Patient-Reported Outcome-Based Performance Measures (PRO-PMs).","volume":"18","author":"E Basch","year":"2015","journal-title":"Value Health."},{"issue":"2","key":"pone.0292058.ref013","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1093\/ehjqcco\/qcx038","article-title":"Does routinely collected patient-reported outcome data represent the actual case-mix of elective coronary revascularization patients?","volume":"4","author":"S Oinasmaa","year":"2018","journal-title":"Eur Heart J Qual Care Clin Outcomes"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0292058","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T17:31:17Z","timestamp":1697218277000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0292058"}},"subtitle":[],"editor":[{"given":"Gorica","family":"Maric","sequence":"first","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2023,10,13]]},"references-count":13,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2023,10,13]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0292058","relation":{},"ISSN":["1932-6203"],"issn-type":[{"type":"electronic","value":"1932-6203"}],"subject":[],"published":{"date-parts":[[2023,10,13]]}}}