择期手术第二意见项目
The Elective Surgery Second Opinion Program.
作者信息
Grafe W R, McSherry C K, Finkel M L, McCarthy E G
出版信息
Ann Surg. 1978 Sep;188(3):323-30. doi: 10.1097/00000658-197809000-00007.
Abstract
The results of the Cornell Elective Surgery Second Opinion Program are presented. From February 1972 to January 1978, 7053 patients were evaluated for proposed elective surgery, and in 27.6% of these, the operations were not approved. The subspecialties of orthopedics and gynecology demonstrated the highest rates of non-confirmation, while that for general surgery was 18%. A group of 318 patients with general surgical diagnosis are reviewed. The percentage of nonconfirmed surgery for this group was 15 percent. The most common reasons for not approving the operations were absence of pathology and failure to utilize medical therapy when indicated.
摘要
本文展示了康奈尔选修手术第二意见项目的结果。1972年2月至1978年1月期间，对7053例拟行选修手术的患者进行了评估，其中27.6%的手术未获批准。骨科和妇科亚专业的手术未获批准率最高，而普通外科的这一比例为18%。回顾了一组318例普通外科诊断患者。该组手术未获批准的比例为15%。不批准手术的最常见原因是缺乏病理依据以及在有指征时未采用药物治疗。
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