Information Deficits and Second Opinion Seeking – A Survey on Cancer Patients

Fuchs, Tobias A.; Hanaya, Hani; Seilacher, Eckart; Koester, Marie-Jolin; Keinki, Christian; Liebl, Patrick; Huebner, Jutta

doi:10.1080/07357907.2016.1242012

Cited by 18 publications

(11 citation statements)

References 21 publications

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“…The present study group and the data presented are consistent with other research studies on oncological second opinions, in which it was shown that the typical secondopinion patient is female, about 50 years old, and has breast cancer [13][14][15][16]. The reasons reported for obtaining a second opinion in these studies were in some cases different, but the hope that first and second opinions might differ was often a major motivation.…”

Section: Discussionsupporting

confidence: 91%

“…In addition, some patients requested a second opinion out of dissatisfaction with communications between them and the initial physicians [12]. Many patients wanted a second specialist opinion in view of the exceptional situation they were in due to their cancer, and some of the patients interviewed obtained a second opinion to confirm that the first physician's diagnosis and/or proposed treatment options were correct, so that they were reassured about the diagnosis and proposed treatment options [13][14][15][16].…”

Section: Discussionmentioning

confidence: 99%

“…A major motivation is often the hope that the diagnosis or proposed treatment options in the first opinion will differ from the second opinion, particularly to avoid over-or undertreatment. Another important reason is dissatisfaction with communications between patients and their initial physicians [12][13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

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Analysis of motives and patient satisfaction in oncological second opinions provided by a certified university breast and gynecological cancer center

Loehberg

Meyer

Häberle

et al. 2020

Arch Gynecol Obstet

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Purpose Second opinions in oncology are becoming increasingly important in an era of more complex treatments and a growing demand for information by patients. Therefore, we analyzed their effects and influencing factors like patients' motives, subjective extent of information and satisfaction with communications. Methods This prospective study evaluated second opinions for patients with breast cancer or gynecological malignancy. The patients received a questionnaire before and two months after, which inquired expectations, reasons, and satisfaction with the second opinion and the attending physicians. Results A total of 164 patients were included and the majority had breast cancer (75.0%). Receiving the second opinion made 89.7% feel better informed, their need for information decreased (from 75.3% to 39.2%, P < 0.0001), and satisfaction with doctor-patient communications increased (from 61.9 to 91.8%, P = 0.0002). There were various reasons for requesting a second opinion, e.g., the extremely stressful situation of a cancer diagnosis, hope for change in the treatment recommendation or dissatisfaction with the initial physicians. Conclusions Second opinions can lead to significantly greater patient satisfaction, meeting the need for information and leading to better management of patients in the extremely stressful situation of a cancer diagnosis. Doctor-patient communications play a key role.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

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Analysis of motives and patient satisfaction in oncological second opinions provided by a certified university breast and gynecological cancer center

Loehberg

Meyer

Häberle

et al. 2020

Arch Gynecol Obstet

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“…Second medical opinions (SOs) can help patients better understand their diagnoses and gain more con dence when deciding between different treatment options [1,2]. Furthermore, SOs are used to validate diagnosis and treatment recommendations [3,4] and decrease the number of surgeries [4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Telemedical Second Opinions in Germany – a Customer Survey of an Online Portal

Könsgen

Prediger

Schlimbach

et al. 2021

Preprint

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BackgroundSecond medical opinions (SOs) can strengthen patients’ certainty in decision-making. Since 2019, statutory health insured German residents have the right to obtain an SO for selected indications according to the SO Directive. Additionally, several health insurers offer SO programs often in cooperation with telemedical SO providers. Telemedical SO programs are mostly based on documents only. Our aim was to analyze the characteristics of people who obtained telemedical SOs, their experiences made during the SO process, and their assessment of SOs in general and of the different routes of SO delivery (personally/by phone/documents only).MethodsGerman residents who obtained an SO via an online portal between January 2016 and February 2019 (n=1247) were contacted by post between August and November 2019 up to three times. The results were analyzed descriptively.ResultsThe 368 participants (response rate 30%) were 54% male, 95% statutory health insured and 61 years old (median; interquartile range 51-72). Most participants reported having an orthopedic condition (87%) or had been recommended surgery (78%). The most common reason for seeking an SO in general was the need for more information on further treatment recommendations (64%). A telemedical SO was mainly chosen because it was offered by the health insurer (82%). Disagreements between first opinions and SOs occurred in 55% of the participants. Approximately 60% of the participants with disagreements followed the treatment recommendation of the SO. For 67% of the participants, the SO (rather) enhanced the certainty in decision-making. Approximately 75% were (rather) satisfied with obtaining the SO via the online portal, and 95% would seek another SO (irrespective of the online portal). The most preferred route of SO delivery was a personally delivered SO, which 80% would (rather) consider, followed by 70% (rather) considering SOs based on documents only and 48% (rather) considering SOs by phone.ConclusionSOs were generally appreciated. Although our results show that SOs (based on documents only) support patients and that patient satisfaction was high, personally delivered SOs were still preferred. Future research on the use of SOs based on documents only (in which patient population and in what situations) is needed.

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“…Das Beziehungsverhältnis zwischen Leitlinien und ZM-Richtlinien wird darüber hinaus kontrovers diskutiert [18,[23][24][25]. Auch Tumorboards genügen nicht den Ansprüchen des Patienten nach Information [26][27][28][29].…”

Section: Introductionunclassified

Zweitmeinungsverfahren für die Tonsillektomie und Tonsillotomie: eine Analyse der rechtfertigenden quantitativen und qualitativen Voraussetzungen

Franzen¹,

Windfuhr

Bruch³

2021

Laryngorhinootologie

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Zusammenfassung Einleitung Der Gemeinsame Bundesausschuss hat im Jahr 2017 Tonsillotomie, Tonsillektomie und Hysterektomie für ein Zweitmeinungsverfahren ausgewählt. Die vorliegende Untersuchung prüfte die rechtfertigende qualitative wie quantitative Grundlage dieses bundesweiten Verfahrens. Material und Methoden Die Daten des Statistischen Bundesamtes zur Fallzahlentwicklung wurden erfasst; Zahl und Standortverteilung der HNO-Zweitmeiner wurden über die Websites der Kassenärztlichen Vereinigungen ausgewertet. Ergebnisse: Zwischen 2005 und 2018 nahm die Zahl der (Adeno-) Tonsillektomien von 119 808 auf 42 548 ab; die Zahl der Tonsillotomien stieg von 4659 (2007) auf 18 369. Unabhängig davon bleiben signifikante Unterschiede zwischen den Bundesländern bestehen. 218 HNO-Ärzte in 142 Städten sind derzeit als Zweitmeiner tätig; entsprechend der Operationszahlen von 2018 entfielen auf einen Zweitmeiner ca. 280 Patienten (1:90–1:800). Schlussfolgerungen Bei sinkender Prävalenz der ausgewählten Eingriffe – die Tonsillektomie gehört seit 2013 nicht mehr zu den 50 am häufigsten in Deutschland durchgeführten Operationen – kann von einer „Mengenanfälligkeit“ nicht ausgegangen werden. Die Umsetzung des Zweitmeinungsverfahrens, nicht zuletzt der Ausgleich regionaler Unterschiede der Operationsindikation, ist außerdem durch die regionale Verteilung der Zweitmeiner kompromittiert. Eine wissenschaftliche Begleitung der bereits initiierten Zweitmeinungsverfahren und die Prüfung des tatsächlichen Bedarfs erscheinen sinnvoll.

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Information Deficits and Second Opinion Seeking – A Survey on Cancer Patients

Abstract: Seeking a second opinion may help cancer patients in coping with the disease. As data on benefits are missing, other strategies, such as qualified first opinion and a sound physician-patient communication, may be advisable.

Cited by 18 publications

References 21 publications

Analysis of motives and patient satisfaction in oncological second opinions provided by a certified university breast and gynecological cancer center

Analysis of motives and patient satisfaction in oncological second opinions provided by a certified university breast and gynecological cancer center

Telemedical Second Opinions in Germany – a Customer Survey of an Online Portal

Zweitmeinungsverfahren für die Tonsillektomie und Tonsillotomie: eine Analyse der rechtfertigenden quantitativen und qualitativen Voraussetzungen

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