Second medical opinion in oncological setting

Maruzzo, Marco; Verde, Nicla La; Russo, Antonio; Marchetti, Paolo; Scagnoli, Simone; Gonzato, Ornella; Maïo, Massimo Di; Zagonel, Vittorina; Galvano, Antonio; Lanzetta, Gaetano; Perrone, Francesco; Beretta, Giordano Domenico; Comandone, Alessandro; Cinieri, Saverio; Nicolis, F. B.; Gori, Stefania

doi:10.1016/j.critrevonc.2021.103282

Cited by 3 publications

(1 citation statement)

References 43 publications

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“…Additionally, patients with poor knowledge and comprehension of their cancer symptoms were found more likely to delay treatment. Furthermore, seeking a second opinion can empower patients grappling with a new, potentially life-threatening diagnosis [ 9 – 13 ]. However, this process may further contribute to indecision surrounding their condition.…”

Section: Medical Ethics and Origins Of Dpmentioning

confidence: 99%

Decision Paralysis: Recognition and Patient-Centered Discourse

Schreidah

Fahmy

Lapolla

et al. 2023

Dermatol Ther (Heidelb)

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Decision paralysis (DP) can be defined as a patient’s inability to commit to a physician and/or initiate appropriate treatment for their condition. An incessant search for greater physician opinions often leads to treatment delay, disease progression, and initiation of care at more advanced stages. Despite the harms associated with DP, a dearth of research on the issue remains. There are no guidelines that assist in both recognition and rectification of DP, leaving patients with chronic illnesses and diagnoses without well-characterized treatment algorithms especially vulnerable. This paper analyzes why patients are inclined toward DP and the clinical implications. Review of the literature affirms that the patient–physician relationship holds considerable influence; physicians identifying DP can improve therapeutic outcomes for their patients. Using these findings, we then propose a framework for broaching this topic with a method that supports patients while respecting their autonomy. A practical approach to both recognition and patient-centered discourse is introduced, providing a foundation for physicians to host these conversations and understand their patients’ perspectives. This approach toward recognition and discourse on DP holds clinical importance, given that there is a paucity of established guidance. A future uniform approach may generate optimal patient care recommendations, which will hold far-reaching impact on both the patient–physician relationship and overall patient outcomes.

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Section: Medical Ethics and Origins Of Dpmentioning

confidence: 99%

Decision Paralysis: Recognition and Patient-Centered Discourse

Schreidah

Fahmy

Lapolla

et al. 2023

Dermatol Ther (Heidelb)

View full text Add to dashboard Cite

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The relevance of a second opinion

Lang,

Eickhoff,

Neumann

2023

best practice onkologie

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Current Status Concerning the Retention of a Second Opinion in Patients with Thoracic Malignancies

Higashiyama

Yoshida

Shirasawa

et al. 2021

JJLC

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━━ Objective. A second opinion has potential advantages of leading to the appropriate diagnosis and treatment plan for patients with cancer and medical oncologist. However, whether or not the second opinion influences the diagnosis and treatment policy of patients with thoracic malignancies remains unclear. Methods. We retrospectively investigated patients with thoracic malignancies who asked for a second opinion at the National Cancer Center Hospital in 2019. Results. A total of 540 patients asked for a second opinion, including 341 (63.1%) patients with non-small-cell lung cancer, 38 (7.0%) patients with small-cell lung cancer, 68 (12.6%) patients with thymic epithelial tumor, 16 (3.0%) patients with pleural mesothelioma, and 77 (14.3%) patients with other thoracic malignancies. Different treatment advice from that received at the referring hospital was received by 147 (27.2%) patients at the second opinion. The details concerning the proposed treatment policies included a change in the chemotherapy regimen in 51 (34.7%) patients, a change to best supportive care (BSC) in 28 (19.0%) patients, a change from BSC to chemotherapy in 24 (16.3%) patients, and a change to surgery in 12 (8.2%) patients. Conclusion. The second opinion can result in different treatment advice, including curable treatments, such as surgery, for patients with thoracic malignancies.

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Second medical opinion in oncological setting

Cited by 3 publications

References 43 publications

Decision Paralysis: Recognition and Patient-Centered Discourse

Decision Paralysis: Recognition and Patient-Centered Discourse

The relevance of a second opinion

Current Status Concerning the Retention of a Second Opinion in Patients with Thoracic Malignancies

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