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Literature DB >> 25947932

Second opinion in spine surgery: a Brazilian perspective.

Abstract

The authors present their experience in a programme for second opinion evaluation of spine surgery candidates within a cohort of patients from a healthcare provider in Brazil. Ninety-four patients were evaluated, and the second opinion was divided in complete agreement, partial disagreement, and complete disagreement. Patients with complete disagreement were referred for a third medical opinion. A complete agreement was found in 22 cases, partial disagreement in 28 cases, and complete disagreement in 44 cases. The majority of the discrepancies between first and second opinion were found in lumbar degenerative disorders, with a reduction of 50% in the amount of surgical procedures and a 50% reduction in the rate of instrumentation within this subset of patients. Within 1 year of the index evaluation, only two patients who followed the proposed treatment guidelines were reoperated, giving an estimate of the adequacy of this second opinion programme.

Entities: Disease Species

Mesh：

Year: 2015 PMID： 25947932 DOI： 10.1007/s00590-015-1640-3

Source DB: PubMed Journal: Eur J Orthop Surg Traumatol ISSN： 1633-8065

18 in total

1. Use of bone morphogenetic proteins in spinal fusion surgery for older adults with lumbar stenosis: trends, complications, repeat surgery, and charges.

Authors: Richard A Deyo; Alex Ching; Laura Matsen; Brook I Martin; William Kreuter; Jeffrey G Jarvik; Heather Angier; Sohail K Mirza
Journal: Spine (Phila Pa 1976) Date: 2012-02-01 Impact factor: 3.468

2. Surgical trends in the treatment of diseases of the lumbar spine in Utah's Medicare population, 1984 to 1990.

Authors: D S Nilasena; R J Vaughn; M Mori; J L Lyon
Journal: Med Care Date: 1995-06 Impact factor: 2.983

3. Factors that affect surgical rates in Iowa.

Authors: S M McGuire; K T Phillips; J N Weinstein
Journal: Spine (Phila Pa 1976) Date: 1994-09-15 Impact factor: 3.468

4. Increasing rates of cervical and lumbar spine surgery in the United States, 1979-1990.

Authors: H Davis
Journal: Spine (Phila Pa 1976) Date: 1994-05-15 Impact factor: 3.468

5. Primary care referral of patients with low back pain to physical therapy: impact on future health care utilization and costs.

Authors: Julie M Fritz; John D Childs; Robert S Wainner; Timothy W Flynn
Journal: Spine (Phila Pa 1976) Date: 2012-12-01 Impact factor: 3.468

6. Surgeon attitudes toward nonphysician screening of low back or low back-related leg pain patients referred for surgical assessment: a survey of Canadian spine surgeons.

Authors: Jason W Busse; John J Riva; Jennifer V Nash; Sandy Hsu; Charles G Fisher; Eugene K Wai; David Brunarski; Brian Drew; Jeffery A Quon; Stephen D Walter; Paul B Bishop; Raja Rampersaud
Journal: Spine (Phila Pa 1976) Date: 2013-04-01 Impact factor: 3.468

7. Lumbar spine arthroplasty: early results using the ProDisc II: a prospective randomized trial of arthroplasty versus fusion.

Authors: Jack E Zigler; Timothy A Burd; Emiliano N Vialle; Barton L Sachs; Ralph F Rashbaum; Donna D Ohnmeiss
Journal: J Spinal Disord Tech Date: 2003-08

8. Trends in inpatient setting laminectomy for excision of herniated intervertebral disc: Population-based estimates from the US nationwide inpatient sample.

Authors: Brian P Walcott; Brian W Hanak; James R Caracci; Navid Redjal; Brian V Nahed; Kristopher T Kahle; Jean-Valery C E Coumans
Journal: Surg Neurol Int Date: 2011-01-24

Second opinion in spine surgery: a Brazilian perspective.

1. Use of bone morphogenetic proteins in spinal fusion surgery for older adults with lumbar stenosis: trends, complications, repeat surgery, and charges.

2. Surgical trends in the treatment of diseases of the lumbar spine in Utah's Medicare population, 1984 to 1990.

3. Factors that affect surgical rates in Iowa.

4. Increasing rates of cervical and lumbar spine surgery in the United States, 1979-1990.

5. Primary care referral of patients with low back pain to physical therapy: impact on future health care utilization and costs.

6. Surgeon attitudes toward nonphysician screening of low back or low back-related leg pain patients referred for surgical assessment: a survey of Canadian spine surgeons.

7. Lumbar spine arthroplasty: early results using the ProDisc II: a prospective randomized trial of arthroplasty versus fusion.

8. Trends in inpatient setting laminectomy for excision of herniated intervertebral disc: Population-based estimates from the US nationwide inpatient sample.

9. LUMBAR DISC HERNIATION.

10. Are recommended spine operations either unnecessary or too complex? Evidence from second opinions.

Review 1. Second opinion in spine surgery: A scoping review.

2. Second opinion for degenerative spinal conditions: an option or a necessity? A prospective observational study.

Review 3. Second opinions for spinal surgery: a scoping review.

4. The market landscape of online second opinion services for spine surgery.