Second opinions often result in diagnosis or treatment changes — 5 key points

Practice Management

Patient-initiated second opinions led to recommended changes in diagnosis or treatment, according to a study published in the American Journal of Medicine.

Here are five key points:

 

1. Researchers independently examined data collected from Jan. 1, 2011 to Dec. 31, 2012 from a second-opinion program called Best Doctors, Inc., that allows employee-beneficiaries to request free second opinions.

 

2. Around 6,791 patient-initiated second opinions were completed across a number of medical specialties.

 

3. Approximately 41.3 percent of patients primarily sought second opinions for help choosing treatment options and 34.8 percent for diagnostic concerns.

 

4. Second opinions resulted in

 

•    Changes in diagnosis in 14.8 percent of the cases
•    Changes in treatment in 37.4 percent of the cases
•    Changes in either diagnosis or treatment in 41.5 percent of the cases
•    Changes in both in around 10.6 percent of the cases

 

5. Clinical impact was estimated as moderate/major in 20.9 percent of cases for diagnosis and 30.7 percent of cases for treatment.

 

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