Ann Pathol. 2005 Apr;25(2):149-71. doi: 10.1016/s0242-6498(05)86183-8.
The "Standards, Options and Recommendations" (SOR) project, which started in 1993, is a collaboration between the French Federation of Cancer Centres (FNCLCC), the 20 French Regional Cancer Centres, and specialists from French public universities, general hospitals and private clinics. The main objective is the development of clinical practice guidelines to improve the quality of health care and the outcome of cancer patients.
To develop good practice guidelines for second opinion in anatomic and surgical pathology in oncology, in collaboration with the French Society for Anatomic and Surgical Pathology.
The methodology is based on a literature review and critical appraisal by a multidisciplinary group of experts who define the CPGs using the definitions of the Standards, Options and Recommendations project. Once the guideline has been defined, the document is submitted to independent reviewers for review.
The working group defined four types of second opinions in anatomic and surgical pathology: personal consultation, inter-institutional consultation, peer review consultation for a scientific survey, intra-departmental consultation in the context of quality control. The main recommendation is that second opinion should respect the patients' rights and the medical ethics code. For each of the four situations defined recommendations have been developed, taking this principle into consideration.
始于1993年的“标准、选项与建议”（SOR）项目，是法国癌症中心联合会（FNCLCC）、20个法国地区癌症中心以及来自法国公立大学、综合医院和私立诊所的专家之间的合作项目。其主要目标是制定临床实践指南，以提高医疗保健质量和癌症患者的治疗效果。
与法国解剖学和外科病理学学会合作，制定肿瘤解剖学和外科病理学二次诊断的良好实践指南。
该方法基于文献综述以及由多学科专家小组进行的批判性评估，这些专家使用“标准、选项与建议”项目的定义来确定临床实践指南。一旦指南确定，该文件将提交给独立评审员进行审核。
工作组确定了解剖学和外科病理学中的四种二次诊断类型：个人会诊、机构间会诊、科学调查的同行评审会诊、质量控制背景下的部门内会诊。主要建议是二次诊断应尊重患者权利和医学道德规范。针对所定义的四种情况中的每一种，均已考虑这一原则制定了相应建议。
