The Value of a Second Opinion at the Mayo Clinic
kaneb at TCD.IE
Wed Apr 5 07:49:03 UTC 2017
One of the questions for me is “are we assuming that the second opinion is the gold standard?”
Or how can we identify the truth, i.e. the correct diagnosis?
Is there a stronger placebo effect following a second opinion, I wonder?
Does anyone have any research on this, by chance?
> On 4 Apr 2017, at 16:02, Mark Graber <Mark.Graber at IMPROVEDIAGNOSIS.ORG> wrote:
> Just coming out – this study from the Mayo Clinic <https://www.washingtonpost.com/national/health-science/20-percent-of-patients-with-serious-conditions-are-first-misdiagnosed-study-says/2017/04/03/e386982a-189f-11e7-9887-1a5314b56a08_story.html?utm_term=.11d4a1346899> finds that 20% of referred patients end up with a very different diagnosis. The findings are very similar to the results from the second opinion program at Best Doctors, as referenced in the Mayo Clinic article. In both cases, however, these are not randomly selected patients being studied – they are patients who were concerned enough about their initial diagnosis (or lack thereof) to seek out the second opinion.
> Mark L Graber MD FACP
> President, SIDM
> Senior Fellow, RTI International
> Professor Emeritus, Stony Brook University
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