Multidisziplinäre  Tumorkonferenzen  in Deutschland

Hermes-Moll, et al.

doi:10.24945/mvf.05.21.1866-0533.2346

Cited by 2 publications

(2 citation statements)

References 27 publications

(36 reference statements)

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“…For the group of HE only women were included. Patients with malignant disease underlying the surgery were excluded, because the Second Opinion Directive does not apply to these patients [17,23,24]. The sample was made up of insured persons at AOK Nordost.…”

Section: Sample Characteristics and Survey Administrationmentioning

confidence: 99%

Decision for elective surgery - how well informed are patients and how easy is the decision for them?

Prediger,

Könsgen,

Schlumberger

et al. 2024

Preprint

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Background: Decisions for elective surgery are difficult for many patients and some regret them afterwards. The aim of this survey of patients who have undergone elective tonsillectomy/tonsillotomy (TE/TT), hysterectomy (HE) or shoulder arthroscopy (SA) was to investigate the decision process, need for information and need for second opinion. Methods: In October 2020, n=8,862 persons insured at AOK Nordost who had undergone TE/TT, HE and SA were invited by post to participate. A reminder was sent in November 2020. Results were analysed descriptively. Results: A total of n=1,633 responses were received (participation rate 18%). Around half (54 %) of the participants felt that the decision to undergo surgery was (very) easy. Overall, the participants felt (very) well informed about the benefits of surgery (79%), the disease (76%), treatment alternatives (66%) and the risks/ side effects of surgery (67%) after the consultation with the physician recommending surgery, 29 % sought a second opinion. Conclusion: The majority of respondents seemed well informed after the consultation with the physician recommending surgery. Information about treatment alternatives and risks/ side effects of the surgery might be improvable. Prospective studies looking at the decision process before surgery would allow a clearer statement about contribution of aspects to an informed decision.

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Section: Sample Characteristics and Survey Administrationmentioning

confidence: 99%

Decision for elective surgery - how well informed are patients and how easy is the decision for them?

Prediger,

Könsgen,

Schlumberger

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…We included patients who had undergone elective tonsillectomy (TE), hysterectomy (HE), or shoulder arthroscopy (SA) for non-malignant underlying diseases. In alignment with the eligibility criteria for the SOD [4,8], patients with malignant diseases were excluded because multidisciplinary oncological care services (e.g., tumor conferences) are widely implemented in Germany [24]. Patients with a tonsillotomy were excluded because this procedure is predominantly performed on underage children and children are excluded from the sample.…”

Section: Participantsmentioning

confidence: 99%

Second opinion opportunity declined: patient typology and experiences regarding the decision-making process preceding elective surgeries in Germany

May

Bruch

Muehlensiepen

et al. 2022

BMC Health Serv Res

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Background To address the problem of overuse of elective surgery and to support patients in their decision-making process, a Second Opinion Directive was introduced in Germany, which enables patients with statutory health insurance to obtain a second opinion for certain surgical indications. The study aims to identify, based on the experiences of patients who have undergone elective surgery, the role of seeking a second opinion in reaching their decision. Methods Sixty-two patients who had undergone an elective surgery (hysterectomy, tonsillectomy, shoulder arthroscopy) were recruited using purposive sampling and interviewed during October to December 2020. The transcribed interviews were analysed using a framework analysis to create a typology from the patient’s perspective. Results The time spent by patients in making the decision to undergo surgery varies between individuals, and is influenced by factors such as the type of physician-patient relationship, individual patient aspects, prior experiences in the health care system, as well as information needs. Within the framework of the analysis, we were able to identify three patterns of patient types based on the three different time-points or phases when decisions were typically made, with one type being divided into two subtypes: Type 1a: Quick decision making, Type 1b: Overwhelmed quick decision making, Type 2: Time to consider, Type 3: Struggling with the decision. Conclusions Patients who followed a recommendation for elective surgery appreciate having the possibility to seek a second opinion. However, various factors influenced their opting for a second opinion during the decision-making process. Patients have differing information needs, such that a one-size-fits-all second opinion service may not fit adequately for all patients.

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Multidisziplinäre Tumorkonferenzen in Deutschland

Cited by 2 publications

References 27 publications

Decision for elective surgery - how well informed are patients and how easy is the decision for them?

Decision for elective surgery - how well informed are patients and how easy is the decision for them?

Second opinion opportunity declined: patient typology and experiences regarding the decision-making process preceding elective surgeries in Germany

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