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Related Experiment Videos

Second opinion for urologic surgery.

S M Schlossberg, M L Finkel, E D Vaughan

    The Journal of Urology
    |February 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

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    Second opinion programs for urologic surgery confirm the need for procedures in 74.3% of cases. However, a significant portion of patients, even those confirmed, do not proceed with surgery, highlighting the value of expert consultation.

    Area of Science:

    • Urology
    • Health Services Research

    Background:

    • Second opinion programs offer consultations with specialists for patients recommended elective surgery.
    • These programs aim to validate surgical recommendations and optimize patient care pathways.

    Purpose of the Study:

    • To evaluate the impact and outcomes of a second opinion program specifically for urologic surgery cases.
    • To determine the rate of confirmation and non-confirmation for recommended urologic procedures.

    Main Methods:

    • Analysis of data from 931 individuals seeking a second opinion for urologic surgery.
    • Categorization of reasons for non-confirmation and tracking of subsequent surgical decisions.

    Main Results:

    • The need for urologic surgery was confirmed in 74.3% (692/931) and not confirmed in 25.7% (239/931) of cases.

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  • Transurethral resection of the prostate was the most common procedure not confirmed.
  • Reasons for non-confirmation included need for further testing, alternative medical treatments, and insufficient symptom severity.

    • Conclusions:

    • Second urologic surgery opinions play a crucial role in validating or reconsidering surgical necessity.
    • A notable percentage of patients, both confirmed and not confirmed for surgery, ultimately did not undergo the procedure, underscoring the program's impact on surgical utilization.