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Table 2 Attitudes towards HRQOL assessment

From: Assessing health-related quality of life in urology – a survey of 4500 German urologists

Clinical Importance   Not important Important  
Absolutely not important Slightly important Fairly important Very important More or less important
 Is HRQOL assessment important for clinical work? % (N) 0.3 (5) 2.0 (29) 44.8 (659) 41.7 (614) 11.2 (165) [9.6–12.8]
% 2.3 [1.5–3.1] 86.5 [84.7–88.3]
 Perception of HRQOL   Disagree Agree  
Absolutely disagree Slightly disagree Fairly agree Absolutely agree Cannot estimate
 To me HRQOL is a vague term. % (N) 0.6 (9) 5.4 (84) 29.2 (453) 64.0 (992) 0.7 (11) [0.3–1.1]
% 6.0 [4.8–7.2] 93.3 [92.1–94.5]
 The difference between HRQOL assessment and symptom rating is not apparent. % (N) 55.1 (849) 32.4 (499) 8.0 (123) 2.7 (42) 1.9 (29) [1.2–2.6]
% 87.4 [85.7–89.1] 10.7 [9.2–12.2]
 I regard HRQOL assessment as not suitable for daily use. % (N) 15.7 (243) 46.4 (717) 28.1 (435) 5.5 (85) 4.3 (66) [3.3–5.3]
% 62.1 [59.7–64.5] 33.6 [31.2–36.0]
Integrity of HRQOL
 HRQOL assessments are valuable in patient consultations. % (N) 0.5 (8) 3.3 (51) 23.6 (366) 71.2 (1.103) 1.4 (22) [0.8–2.0]
% 3.8 [2.8–4.8] 94.8 [93.7–95.9]
HRQOL assessments are valuable in therapy follow-ups. % (N) 0.9 (14) 2.8 (43) 24.2 (375) 71.2 (1.106) 0.9 (14) [0.4–1.4]
% 3.7 [2.8–4.6] 95.4 [94.4–96.4]
 Verbal HRQOL assessment is generally sufficient. % (N) 5.9 (92) 37.7 (585) 36.1 (559) 19.1 (296) 1.2 (18) [0.7–1.7]
% 43.6 [41.1–46.1] 55.2 [52.7–57.7]
 Validated HRQOL instruments are useful for HRQOL assessment. % (N) 2.7 (42) 21.7 (337) 32.9 (511) 39.5 (613) 3.2 (50) [2.3–4.1]
% 24.4 [22.3–26.5] 72.4 [70.2–74.6]
Barriers for HRQOL assessment
 My patients do not accept HRQOL questionnaires. % (N) 36.0 (558) 43.6 (675) 10.0 (155) 2.7 (41) 7.7 (120)
[6.4–9.0]
% 79.6 [77.6–81.6] 12.7 [11.0–14.4]
 I prefer not to pay for HRQOL questionnaires. % (N) 5.0 (77) 5.8 (90) 13.1 (203) 64.1 (989) 12.0 (185) [10.4–13.6]
% 10.8 [9.3–12.3] 77.2 [75.1–79.3]
 The effort is too extensive to assess HRQOL in clinical routine. % (N) 10.4 (161) 37.7 (585) 34.7 (538) 16.2 (251) 1.0 (16)
[0.5–1.5]
% 48.1 [45.6–50.6] 50.9 [48.4–53.4]
 HRQOL questionnaires are disadvantageous due to their length. % (N) 4.2 (66) 23.5 (363) 36.8 (569) 15.5 (240) 20.0 (309)
[18.0–22.0]
% 27.7 [25.5–29.9] 52.3 [49.8–54.8]
 HRQOL questionnaires are disadvantageous due to the complexity of their interpretation. % (N) 5.2 (81) 25.0 (386) 34.2 (528) 13.9 (214) 21.7 (335) [19.6–23.8]
% 30.2 [27.9–32.5] 48.1 [45.6–50.6]
 I am not sufficiently trained to assess HRQOL. % (N) 39.7 (617) 46.5 (722) 9.6 (149) 1.9 (29) 2.3 (36) [1.6–3.0]
% 86.2 [84.5–87.9] 11.5 [9.9–13.1]
 I cannot invoice HRQOL assessment due to a missing number in the medical-fee schedule. % (N) 6.9 (105) 5.5 (84) 8.0 (122) 40.7 (619) 38.9 (593) [36.5–41.3]
% 12.4 [10.7–14.1] 48.7 [46.2–51.2]
  1. % = composite score in percent
  2. […] = 95% CI