择期骨科手术的二次会诊意见
Second consultant opinion for elective orthopedic surgery.
作者信息
McCarthy E G, Finkel M L
出版信息
Am J Public Health. 1981 Nov;71(11):1233-6. doi: 10.2105/ajph.71.11.1233.
Abstract
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).
摘要
我们提取了369例患者的记录，这些患者接受择期骨科手术的建议未得到第二位会诊医生的确认。在最初建议手术六个月或更长时间后，82%的患者未进行手术，无论诊断情况以及建议手术的医生的特点如何。会诊医生不确认的原因包括：更适合使用石膏、支具或矫正鞋（26.3%）、症状不够严重（18.4%）以及更适合进行物理治疗/锻炼（17.8%）。
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本文引用的文献
1
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Obstet Gynecol. 1980 Oct;56(4):403-10.
2
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N Engl J Med. 1974 Dec 19;291(25):1331-5. doi: 10.1056/NEJM197412192912506.
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Med Care. 1978 Dec;16(12):984-94. doi: 10.1097/00005650-197812000-00002.
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Ann Surg. 1978 Sep;188(3):323-30. doi: 10.1097/00000658-197809000-00007.
6
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Ann Surg. 1979 Sep;190(3):409-19. doi: 10.1097/00000658-197909000-00017.
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