Motives for seeking a second opinion in orthopaedic surgery

Dalen, Ineke van; Groothoff, Johan; Stewart, Roy; Spreeuwenberg, Peter; Horn, J.R. van

doi:10.1258/1355819011927486

Cited by 56 publications

(56 citation statements)

References 12 publications

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“…Patients may even fear negative repercussions in terms of their subsequent care if they were to raise such concerns. Orthopaedic surgeons might do well to consider the potential ramifications associated with concerns of this nature; for example, recent work from The Netherlands showed that 30% of new patients visiting an orthopaedic surgical outpatient clinic were seeking a second opinion 17 and that these patients were often motivated not by doubts about the competency of the treating consultant but by a lack of trust in, or dissatisfaction with, the consultant who provided the first opinion. Because the number of secondopinion consultations in orthopaedic surgery is increasing rapidly 18,19 , it is important to consider the patients' motivations for seeking them.…”

Section: Discussionmentioning

confidence: 99%

Older Patientsʼ Unexpressed Concerns About Orthopaedic Surgery

Hudak

Armstrong

Braddock

et al. 2008

The Journal of Bone and Joint Surgery-American Volume

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Section: Discussionmentioning

confidence: 99%

Older Patientsʼ Unexpressed Concerns About Orthopaedic Surgery

Hudak

Armstrong

Braddock

et al. 2008

The Journal of Bone and Joint Surgery-American Volume

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“…The majority of oncologists evaluate monthly between 1 and 5 patients for second opinions and roughly one third of patients with advanced cancer seek the second medical opinion, to improve at least patient-physician communication, enhanced information, and reassurance [42,[45][46][47].…”

Section: Second Medical Opinion Network In Oncologymentioning

confidence: 99%

The “Second Opinion Medical Network”

Palmieri¹

2017

Int J Pathol Clin Res

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The "Second Opinion Medical Network" is a consultation referral web and medical office system recruiting a wide panel of real-time available specialists, to whom any patient affected by any disease or syndrome and not satisfied with the diagnosis or therapy can apply for an individual clinical audit. Due to the physician-patient communication gap, most of the patients usually wander around the medical websites looking for proper answers to their health problems. However, this search often becomes compulsive and obsessive and frequently ambiguous and frustrating. Palmieri, et al. defines this borderline or even pathological behavior as the "Web Babel Syndrome"-psychological imbalance affecting young and elderly patients, often with multiple synchronous diseases receiving by their care givers heterogeneous and misleading informations or advices, as well as, confused, contradictory statements and prescriptions. To deal with this problem, the "Second Opinion Medical Network" aims to be a useful "problem-solving" support revisiting each conflictual diagnostic and therapeutic step and properly re-addressing tailored treatments and prognoses, preventing unnecessary investigations and unhelpful and expensive medical and surgical interventions.The aim of this editorial is to describe the role and benefits of such a medical network in our web connected health care system. KeywordsSecond opinion, Network, Surgery, Cancer, EconomyIn 2002, a survey of 4,530 people in Europe and USA showed that 32% of Europeans and 43% of Americans preferred to use health web sites, sponsored by BBC and Yahoo, for health information [3]. However, the internet sites are often lacking of adequate information concerning disease complications and aftercare [4]. This web-searching behaviour is often continuous, compulsory, somehow obsessive, leading to the "Web Babel Syndrome", defined as a physician-patient communication gap frequently occurring when the patient affected by multiple synchronous pathologies, feeds back heterogeneous and misleading informations and prescriptions with the risk to drop in a confusionary state [5][6][7][8].In 1999, the Institute of Medicine report cited fatal medical errors in some 40,000-98,000 Americans PER year [8] supporting once more the concept that a further consultation or specialistic second opinion may be useful antidote to lethal misdiagnosis [9].The term "second opinion" has been widely reported also in histology [10,11] and pathology (e.g. thyroid pathology) [12][13][14][15][16][17][18][19][20] where the diagnosis is often difficult, misunderstood and strongly based on the healthcare professionals' experience. It has been defined as a qualified, interdisciplinary medical opinion, based on medical evidence, of an experienced medical specialist or a team [21]. An effective and helpful second opinion strategy in various pathologies (e.g. oral pathology) is the use of smartphones and software applications, such as WhatsApp Messenger, a crossplatform mobile messaging application that allows the exchang...

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“…Concern over the competence of the treating specialist is usually not the reason for seeking a second opinion. One study has indicated that the best predictor for a patient seeking a second opinion lies in the patient's relationship with their first-opinion consultant [9]. First-opinion consultants are often not aware of communication issues [9].…”

Section: Referencesmentioning

confidence: 99%

“…One study has indicated that the best predictor for a patient seeking a second opinion lies in the patient's relationship with their first-opinion consultant [9]. First-opinion consultants are often not aware of communication issues [9]. Other studies have addressed the legal and ethical issues involved [7,10].…”

Section: Referencesmentioning

confidence: 99%