McCarthy E G, Finkel M L
Obstet Gynecol. 1980 Oct;56(4):403-10.
Medical records of 516 patients not confirmed for previously recommended elective gynecologic surgery were abstracted. All had participated in the Cornell second opinion elective surgery program between 1972 and 1979. Gynecology was selected because previous analyses consistently have shown that this subspecialty has one of the highest nonconfirmation rates. Moreover, the majority of program participants follow the advice of the second opinion consultant; hence, it was deemed important to look at reasons for nonconfirmation. Findings showed that in 51% of the cases, the consultants believed either that the patient's clinical symptoms were not severe enough to warrant surgery or that further evaluation was needed. In 14.3% of the cases, no pathologic justification for surgery was evident.
对516例未被确认适合之前推荐的择期妇科手术的患者的病历进行了摘要分析。所有患者均在1972年至1979年期间参与了康奈尔大学的第二意见择期手术项目。选择妇科是因为之前的分析一直表明，这个亚专业的未确认率是最高的之一。此外，大多数项目参与者听从了第二意见顾问的建议；因此，研究未被确认的原因被认为很重要。研究结果显示，在51%的病例中，顾问们认为要么患者的临床症状不够严重，不值得进行手术，要么需要进一步评估。在14.3%的病例中，没有明显的手术病理依据。
