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Second consultant opinion for elective orthopedic surgery.

E G McCarthy and M L Finkel

We abstracted records of 369 patients whose recommendations for elective orthopedic surgery were not confirmed by a second opinion consultant. Six months or more after the initial recommendation for surgery, 82 per cent had not had the operation performed, irrespective of the diagnosis and the characteristics of the physician recommending surgery. Reasons for consultant non-confirmation included: use of a cast, brace, or corrective footwear preferable (26.3 per cent), symptoms not severe enough (18.4 per cent), and physical therapy/exercises preferable (17.8 per cent).

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				P. A. Lindsey and J. P. Newhouse The Cost and Value of Second Surgical Opinion Programs: A Critical Review of the Literature Journal of Health Politics Policy and Law, September 1, 1990; 15(3): 543 - 570. [Abstract] [PDF]