Analysis of Oncological Second Opinions in a Certified University Breast and Gynecological Cancer Center Regarding Consensus between the First and Second Opinion and Conformity with the Guidelines

Lux MP, Wasner S, Meyer J, Häberle L, Hack C, Jud S, Hein A, Wunderle M, Emons J, Gaß P, Fasching P, Egloffstein S, Krebs J, Erim Y, Beckmann M, Löhberg C (2020)

Publication Type: Journal article

Publication year: 2020

Journal

Breast Care Karger

DOI: 10.1159/000509127

Abstract

Introduction: Oncological second opinions are becoming increasingly important in the era of complex treatments and established certified cancer centers. Oncological guidelines with the highest levels of evidence are available, but these can only be effective to the extent that they are implemented. Therefore, we analyzed the effects of second opinions with regard to their agreement with first opinions and conformity with guidelines. Methods: In 164 patients with a diagnosis of breast cancer or gynecological malignancy who requested a second opinion, the first and second opinions, established at the interdisciplinary tumor conference, and conformity with the guidelines were evaluated. Results: The first opinion was not in agreement with the guidelines in 34.8% (15.2% diagnosis, 12.8% surgical therapy, 13.4% systemic therapy, and 5.5% radiotherapy), and the recommendations were optimized in the second opinion in 56.7% (28.7% diagnosis, 15.9% surgical therapy, 30.5% systemic therapy, and 8.5% radiotherapy). Conclusions: Oncological second opinions showed significant effects and one-third of first opinions were not in conformity with the guidelines. In a significant proportion of cases, the existing treatment plan was changed or supplemented to allow modern and individualized treatment approaches.

Authors with CRIS profile

Sonja Wasner Department of Obstetrics and Gynaecology Carolin Hack Medizinische Fakultät Sebastian Jud Department of Obstetrics and Gynaecology Alexander Hein Department of Obstetrics and Gynaecology Marius Wunderle Department of Obstetrics and Gynaecology Paul Gaß Department of Obstetrics and Gynaecology Peter Fasching Professur für Translationale Frauenheilkunde und Geburtshilfe Jessica Krebs Professur für Psychosomatik und Psychotherapie Yesim Erim Professur für Psychosomatik und Psychotherapie Matthias Beckmann Lehrstuhl für Geburtshilfe und Frauenheilkunde Christian Löhberg Medizinische Fakultät

How to cite

APA:

Lux, M.P., Wasner, S., Meyer, J., Häberle, L., Hack, C., Jud, S.,... Löhberg, C. (2020). Analysis of Oncological Second Opinions in a Certified University Breast and Gynecological Cancer Center Regarding Consensus between the First and Second Opinion and Conformity with the Guidelines. Breast Care. https://doi.org/10.1159/000509127

MLA:

Lux, Michael P., et al. "Analysis of Oncological Second Opinions in a Certified University Breast and Gynecological Cancer Center Regarding Consensus between the First and Second Opinion and Conformity with the Guidelines." Breast Care (2020).

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