[Second opinion in tumor surgery. Valuable--but needing improvement].
In complicated oncological cases, a second opinion is desirable, also in the view of the care-providing surgeon. It serves interdisciplinary therapeutic planning, and helps improve the quality of treatment. In the case of highly consequential interventions, the patient has a legal right to a second opinion. On a practical level, however, the implementation of this possibility encounters problems: organizational shortcomings, incomplete patient documentation, the stresses of patient transportation, loss of valuable time, in particular in the case of postal consultation, following consultation in a center the carrying out of treatment there, whether at the urging of the doctors there or the patient himself, lack of remuneration for the efforts of the consultants. Today, however, all the necessary technical facilities are in place to enable various experts to be consulted, virtually simultaneously, on any case, via video-conferencing.
Feussner
H
H
Chirurgische Klinik und Poliklinik, Klinikum rechts der Isar der Technischen Universität München. feussner@nt1.chir.med.tu-muenchen.de
Wilhelm
D
D
Etter
M
M
Siewert
J R
JR
D005858:Germany; D006801:Humans; D007400:Interprofessional Relations; D009369:Neoplasms / Q000601:surgery*; D010348:Patient Care Team; D012017:Referral and Consultation; D019114:Remote Consultation
Die zweite Meinung in der Tumorchirurgie. Sinnvoll--aber verbesserungswürdig.