Evidence map›Paper›PMID 33194298›Full record

ArticleSurgical neurology international2020

The market landscape of online second opinion services for spine surgery.

Brian V Lien, Nolan J Brown, Sandra Gattas, Elliot H Choi, Ronald Sahyouni, Jessica K Campos, Angie Zhang, Michael Y Oh

Abstract read
In one paragraph

Article in Surgical neurology international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Second opinions for spinal surgery: a scoping review.BMC health services research · 2022
    Article
  2. Outpatient stereotactic brain biopsies.Neurosurgical review · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Brian V LienDepartment of Neurological Surgery, Irvine Medical Center, San Diego, La Jolla, CA, United States.
Nolan J BrownDepartment of Neurological Surgery, Irvine Medical Center, San Diego, La Jolla, CA, United States.
Sandra GattasDepartment of Neurological Surgery, Irvine Medical Center, San Diego, La Jolla, CA, United States.
Elliot H ChoiDepartment of Neurological Surgery, Irvine Medical Center, San Diego, La Jolla, CA, United States.
Ronald SahyouniDepartment of Neurological Surgery, University of California, San Diego, La Jolla, CA, United States.
Jessica K CamposDepartment of Neurological Surgery, Irvine Medical Center, San Diego, La Jolla, CA, United States.
Angie ZhangDepartment of Neurological Surgery, Irvine Medical Center, San Diego, La Jolla, CA, United States.
Michael Y OhDepartment of Neurological Surgery, Irvine Medical Center, San Diego, La Jolla, CA, United States.

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007250 · NIGMS · CASE WESTERN RESERVE UNIVERSITY · PI HUANG, ALEX YEE-CHEN · 1985 to 2023
$33.4M
Neocortical-Hippocampal Circuits Underlying Pattern Separation in HumansF30AG069406 · NIA · UNIVERSITY OF CALIFORNIA-IRVINE · PI GATTAS, SANDRA · 2020 to 2023
$136k
NIA NIH HHS F30 AG069406NIGMS NIH HHS T32 GM007250
6 · The paper itself

Abstract

backgroundThe aim of this study was to identify patient interest in second opinion services online and identify the options patients have in obtaining second opinions from spine surgeons in the United States.

methodsWe utilized Google Trends (i.e., search data since 2010) to ascertain the level of interest in receiving second opinions for spinal surgery. In addition, we contacted the top 30 hospitals for neurology and neurosurgery in the U.S. News rankings by phone to obtain information regarding when/how and at what cost they provide second opinions for spine surgery.

resultsThe cost of the second surgical opinions averaged $493 (±$343) USD (range $90-$1,300); the time to receive a second opinion averaged 20 (±19) days (range 1 day-5 months). Remote or "online second opinion" programs charged an average of $643 (±$259) USD (range $100-$850), and the time to receive an "online second opinion" averaged 14 (±7) days (range 1-4 weeks).

conclusionAlthough second opinions have been shown to be beneficial to patients, ambiguous or high costs and long wait times may serve as barriers for certain groups (i.e., uninsured or underinsured) and potentially diminish the quality of care.

Indexed as

Online second opinionSecond opinionSpine surgery

Identifiers

PMID33194298
PMCPMC7656044

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.