PMID: 490854Nov 30, 1979Paper

An analysis of nonconfirmation rates. Experiences of a surgical second opinion program

JAMA : the Journal of the American Medical Association
M ParisL Berenson

Abstract

A review was conducted of the first 12 months' experience with a voluntary second opinion surgery consultation program. The program covers approximately 950,000 persons: employees of the city of New York, retirees, and their dependents. On a simple yes or no basis, the program's surgical nonconfirmation rate was 25%. More detailed analysis of consultants' narrative suggestions for patient care showed that a firm rejection of surgical intervention occurred in only 8% of the cases reviewed. Nonconfirmation rates were found to be unsatisfactory measures of program success in preventing potentially unnecessary surgery. Data from second surgical opinion programs should not be used to estimate the prevalence of unnecessary surgery in a community. The key benefit of such programs may be to facilitate and to encourage patient-physician communication.

Citations

Feb 16, 2013·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Sawako OkamotoYujiro Tanaka
Nov 24, 2005·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·W A M MellinkT H Wiggers

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