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Satisfaction With Specific and Nonspecific Diagnoses.

Janna S E Ottenhoff1, Lindy Derkzen1, Lee M Reichel1

  • 1Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, TX.

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Summary
This summary is machine-generated.

Nonspecific diagnoses for upper extremity pain were found to be as satisfying as specific diagnoses on average. However, patients with nonspecific diagnoses reported slightly greater pain intensity.

Keywords:
Patient satisfactionhealth literacynonspecific diagnosisoutpatientsunexplained symptoms

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Area of Science:

  • Musculoskeletal health
  • Diagnostic uncertainty
  • Patient-reported outcomes

Background:

  • Nonspecific upper extremity illnesses lack objective pathology and are common.
  • These diagnoses can lead to patient mistrust and disappointment.

Purpose of the Study:

  • To compare patient satisfaction with specific versus nonspecific diagnoses for upper extremity conditions.
  • To identify factors associated with patient satisfaction and nonspecific diagnoses.

Main Methods:

  • A study tested the hypothesis that there is no difference in mean overall satisfaction between patients receiving specific and nonspecific diagnoses.
  • Factors associated with satisfaction and nonspecific diagnoses were assessed.

Main Results:

  • Bivariate analysis showed no significant difference in mean satisfaction between diagnostic groups.
  • However, 22% of patients with nonspecific diagnoses reported lower satisfaction (score ≤8) compared to 11% with specific diagnoses.
  • Greater pain intensity and first visit were associated with nonspecific diagnoses in bivariate analysis, but not in multivariable models.

Conclusions:

  • Nonspecific diagnoses were, on average, no less satisfying than specific diagnoses, despite potential frustration.
  • Nonspecific diagnoses were associated with slightly greater pain intensity.
  • Further research is needed to explore how nonspecific diagnoses, combined with compassionate care, contribute to patient satisfaction.