text: Dyspnea was severe and prevalent within our study 
  group; however, it remained undiagnosed. A study 
  conducted by Stefan et al32 revealed that physicians 
  underestimated their patients’ dyspnea 37.9% of the 
  time, whereas nurses underestimated it 3.5% of the time. 
  Moreover, many patients limit their physical activities, 
  which lead them to downplay the extent of their 
  dyspnea.19 Patient underreporting of symptoms, coupled 
  
  Funding/Support 
  This study is supported by the Canadian Institutes of 
  Health Research [FDN Grant 154322]. 
  
  Financial/Nonﬁnancial Disclosures 
  None declared. 