title: [Evaluation of requests for a second medical opinion by patients with lung cancer].
abstract: BACKGROUND
  Getting a second opinion seems common in oncology, even though the management of these serious diseases results from a multidisciplinary approach. Our aim was to determine the incidence of requests for a second opinion in thoracic oncology at the university hospital of Nancy, since the establishment of the Cancer Plan in 2003. This plan formalized multidisciplinary staff meetings, which should help to reassure patients and therefore reduce the recourse to additional consultations.
  
  
  METHODS
  A detailed and anonymous questionnaire was conducted on 77 patients suffering from lung cancer, followed-up over 2years in the respiratory department of the University Hospital of Nancy. The socio-economic characteristics were collected from the medical records.
  
  
  RESULTS
  Recourse to a second practitioner was reported by 14 % of the patients suffering from lung cancer. It concerned more women than men and more patients with a higher educational level and socio-professional category.
  
  
  CONCLUSIONS
  Requests for a second opinion by patients with lung cancer are not as frequent as expected. However, when they are made, it is more frequently by women and patients with a higher socio-economic status.
authors.affiliation: Service de pneumologie, hôpitaux de Brabois, CHU de Nancy, rue du Morvan, 54511 Vandœuvre-lès-Nancy, France. Electronic address: maeva55@club-internet.fr.
authors.forename: M
authors.initials: M
authors.lastname: Zysman
authors.affiliation: Service de pneumologie, hôpitaux de Brabois, CHU de Nancy, rue du Morvan, 54511 Vandœuvre-lès-Nancy, France.
authors.forename: C
authors.initials: C
authors.lastname: Clément-Duchène
authors.affiliation: Fédération de cancérologie, CHU de Nancy, 54511 Vandœuvre-lès-Nancy, France.
authors.forename: P L
authors.initials: PL
authors.lastname: Nguyen-Thi
authors.affiliation: Service de pneumologie, hôpitaux de Brabois, CHU de Nancy, rue du Morvan, 54511 Vandœuvre-lès-Nancy, France.
authors.forename: C
authors.initials: C
authors.lastname: Carnin
authors.affiliation: Service de pneumologie, hôpitaux de Brabois, CHU de Nancy, rue du Morvan, 54511 Vandœuvre-lès-Nancy, France.
authors.forename: Y
authors.initials: Y
authors.lastname: Martinet
mesh_terms: D000368:Aged; D001294:Attitude to Health; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D011795:Surveys and Questionnaires
keywords: Cancer broncho-pulmonaire; Deuxième avis; Lung cancer; Multidisciplinary staff meetings; Patient-physician relationship; Relation médecin–malade; Réunion de concertation pluridisciplinaire; Second opinion; Socio-economic status; Statut socio-économique