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Related Experiment Videos

Second consultant opinion for elective orthopedic surgery

E G McCarthy, M L Finkel

    American Journal of Public Health
    |November 1, 1981
    PubMed
    Summary

    Most patients recommended for elective orthopedic surgery do not have the operation after a second opinion consultant disagrees. Non-confirmation often leads to alternative treatments like bracing or physical therapy.

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    Area of Science:

    • Orthopedic Surgery
    • Medical Decision Making
    • Health Services Research

    Background:

    • Elective orthopedic surgery recommendations are common.
    • Second opinions play a crucial role in validating surgical necessity.

    Purpose of the Study:

    • To investigate the outcomes of orthopedic surgery recommendations not confirmed by a second opinion.
    • To identify reasons for non-confirmation in elective orthopedic procedures.

    Main Methods:

    • Retrospective review of 369 patient records.
    • Analysis of cases where initial surgery recommendations were not confirmed by a consultant.

    Main Results:

    • 82% of patients did not undergo surgery at 6+ months post-recommendation.
    • Key reasons for non-confirmation included preference for conservative treatments (cast, brace, footwear), insufficient symptom severity, and suitability of physical therapy.

    Conclusions:

    • Second opinions significantly alter the course of elective orthopedic surgery.
    • Conservative management and symptom assessment are critical factors in surgical decision-making for orthopedic conditions.

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