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DOI: 10.1055/s-0044-1791980
Second Opinion in Medical Oncology in the Age of Artificial Intelligence and Telemedicine
Funding The authors declare that they did not receive financial support from agencies in the public, private or non-profit sectors to conduct the present study.

Abstract
The present review explores the role and impact of second opinions in medical oncology, particularly considering the recent advancements in artificial intelligence (AI) and telemedicine. A comprehensive literature search was conducted, and data from various studies were analyzed, highlighting why patients seek a second opinion, the rates of disagreement between the first and second opinions, and the potential barriers to obtaining a second opinion. The results showed that seeking a second opinion is common, with patients often seeking reassurance and a better understanding of their diagnosis and treatment options. However, there is limited evidence on the impact of second opinions on patient outcomes and the cost of care. Additionally, the introduction of Multidisciplinary Molecular Tumor Boards, AI, and telemedicine may improve decision-making and treatment strategies in the context of second opinions. Further research is needed to fully understand the role and implications of second opinions in medical oncology and how these recent technologies impact the second opinion process.
Keywords
referral and consultation - medical oncology - artificial intelligence - telemedicine - interdisciplinary communicationAuthors' Contributions
AG: Collection and assembly of data, conception and design, data analysis and interpretation, final approval of the manuscript, manuscript writing, and provision of study materials or patients; SVS: collection and assembly of data, conception and design, final approval of the manuscript, and manuscript writing; and MUPC: data analysis and interpretation, final approval of the manuscript, and manuscript writing.
Clinical Trials
None.
Publikationsverlauf
Eingereicht: 05. Juli 2024
Angenommen: 16. August 2024
Artikel online veröffentlicht:
30. November 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
Auro del Giglio, Sergio Vicente Serrano, Mateus Uerlei Pereira da Costa. Second Opinion in Medical Oncology in the Age of Artificial Intelligence and Telemedicine. Brazilian Journal of Oncology 2024; 20: s00441791980.
DOI: 10.1055/s-0044-1791980
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References
- 1
Tattersall MHN,
Dear RF,
Jansen J.
et al.
Second opinions in oncology: the experiences of patients attending the Sydney Cancer
Centre. Med J Aust 2009; 191 (04) 209-212 . PMID: 19705981
MissingFormLabel
- 2
Olver I,
Carey M,
Bryant J,
Boyes A,
Evans T,
Sanson-Fisher R.
Second opinions in medical oncology. BMC Palliat Care 2020; 19 (01) 112 . PMID: 32693836;
PMCID: PMC7374890
MissingFormLabel
- 3
Fuchs T,
Hanaya H,
Seilacher E.
et al.
Information Deficits and Second Opinion Seeking - A Survey on Cancer Patients. Cancer
Invest 2017; 35 (01) 62-69
MissingFormLabel
- 4
Loehberg CR,
Meyer J,
Häberle L.
et al.
Analysis of motives and patient satisfaction in oncological second opinions provided
by a certified university breast and gynecological cancer center. Arch Gynecol Obstet
2020; 301 (05) 1299-1306
MissingFormLabel
- 5
Philip J,
Gold M,
Schwarz M,
Komesaroff P.
Second medical opinions: the views of oncology patients and their physicians. Support
Care Cancer 2010; 18 (09) 1199-1205
MissingFormLabel
- 6
Kurian AW,
Friese CR,
Bondarenko I.
et al.
Second Opinions From Medical Oncologists for Early-Stage Breast Cancer: Prevalence,
Correlates, and Consequences. JAMA Oncol 2017; 3 (03) 391-397
MissingFormLabel
- 7
Sikora K.
Second opinions for patients with cancer. BMJ 1995; 311 (7014) 1179-1180
MissingFormLabel
- 8
Cecon N,
Hillen MA,
Pfaff H,
Dresen A,
Groß SE.
Why do newly diagnosed breast cancer patients seek a second opinion? - Second opinion
seeking and its association with the physician-patient relationship. Patient Educ
Couns 2019; 102 (05) 998-1004
MissingFormLabel
- 9
Mellink WA,
Henzen-Logmans SC,
Bongaerts AH,
Ooijen BV,
Rodenburg CJ,
Wiggers TH.
Discrepancy between second and first opinion in surgical oncological patients. Eur
J Surg Oncol 2006; 32 (01) 108-112
MissingFormLabel
- 10
Schook RM,
ter Avest MJ,
van Setten CH,
de Man FF,
Smit EF,
Postmus PE.
Lung Cancer Patients Benefit from Second Opinions by Improvement of Diagnosis and
Therapy. Cancer Clin Oncol 2014; 3 (01) 43-57
MissingFormLabel
- 11
Lipitz-Snyderman A,
Chimonas S,
Mailankody S.
et al.
Clinical value of second opinions in oncology: A retrospective review of changes in
diagnosis and treatment recommendations. Cancer Med 2023; 12 (07) 8063-8072
MissingFormLabel
- 12
Chang HR,
Yang MC,
Chung KP.
Can cancer patients seeking a second opinion get better care?. Am J Manag Care 2013;
19 (05) 380-387
MissingFormLabel
- 13
Tattersall MH.
Can a second medical opinion in a patient with cancer be truly independent?. Asia
Pac J Clin Oncol 2011; 7 (01) 1-3
MissingFormLabel
- 14
Orgerie MB,
Duchange N,
Pélicier N.
et al.
La réunion de concertation pluridisciplinaire en cancérologie ne modifie pas la relation
entre le médecin et son patient. . [Multidisciplinary meetings in oncology do not
impact the physician-patient relationship] Presse Med 2012; 41 (3 pt 1): e87-94 .
French. . Epub 2011 Nov 12. PMID: 22079306 PubMed
MissingFormLabel
- 15
Peier-Ruser KS,
von Greyerz S.
Why Do Cancer Patients Have Difficulties Evaluating the Need for a Second Opinion
and What Is Needed to Lower the Barrier? A Qualitative Study. Oncol Res Treat 2018;
41 (12) 769-773
MissingFormLabel
- 16
Tattersall MH,
Griffin A,
Dunn SM,
Monaghan H,
Scatchard K,
Butow PN.
Writing to referring doctors after a new patient consultation. What is wanted and
what was contained in letters from one medical oncologist?. Aust N Z J Med 1995; 25
(05) 479-482
MissingFormLabel
- 17
Knox R,
Butow PN,
Devine R,
Tattersall MH.
Audiotapes of oncology consultations: only for the first consultation?. Ann Oncol
2002; 13 (04) 622-627
MissingFormLabel
- 18
Stockler M,
Butow PN,
Tattersall MH.
The take-home message: doctors' views on letters and tapes after a cancer consultation.
Ann Oncol 1993; 4 (07) 549-552
MissingFormLabel
- 19
Links M,
Aghmesheh M.
Second opinions: agendas and ego. Acta Oncol 2009; 48 (08) 1210-1213
MissingFormLabel
- 20
Mano MS,
Çitaku FT,
Barach P.
Implementing multidisciplinary tumor boards in oncology: a narrative review. Future
Oncol 2022; 18 (03) 375-384
MissingFormLabel
- 21
Sunami K,
Naito Y,
Saigusa Y.
et al.
A Learning Program for Treatment Recommendations by Molecular Tumor Boards and Artificial
Intelligence. JAMA Oncol 2024; 10 (01) 95-102
MissingFormLabel
- 22
Garcia D,
Spruill LS,
Irshad A,
Wood J,
Kepecs D,
Klauber-DeMore N.
The Value of a Second Opinion for Breast Cancer Patients Referred to a National Cancer
Institute (NCI)-Designated Cancer Center with a Multidisciplinary Breast Tumor Board.
Ann Surg Oncol 2018; 25 (10) 2953-2957
MissingFormLabel
- 23
Fultinavičiūtė U.
It's a match! Connecting patients to clinical trials with AI [Internet]. Clinical
Trials Arena. 2023 May [access in 2024 Apr 18]. Available from: https://www.clinicaltrialsarena.com/features/clinical-trial-matching-ai/
MissingFormLabel
- 24
Sorin V,
Klang E,
Sklair-Levy M.
et al.
Large language model (ChatGPT) as a support tool for breast tumor board. NPJ Breast
Cancer 2023; 9 (01) 44
MissingFormLabel
- 25
Katz AJ,
Haynes K,
Du S,
Barron J,
Kubik R,
Chen RC.
Evaluation of Telemedicine Use Among US Patients With Newly Diagnosed Cancer by Socioeconomic
Status. JAMA Oncol 2022; 8 (01) 161-163
MissingFormLabel
- 26
Shah AP,
Shi S,
Shah S.
Characterization of remote second-opinion oncology patients and associated changes
in management. J Clin Oncol 2022; 40 (16) e18563-e18563
MissingFormLabel
- 27
Mao A,
Meng Y,
Wang Q.
et al.
Outcome Assessment for a Telemedicine-Based Second Opinion Program for Midwest China.
Inquiry 2020; 57: 46958020968788
MissingFormLabel
- 28
Knudsen KE,
Willman C,
Winn R.
Optimizing the Use of Telemedicine in Oncology Care: Postpandemic Opportunities. Clin
Cancer Res 2021; 27 (04) 933-936
MissingFormLabel
- 29
Maruzzo M,
La Verde N,
Russo A.
et al.
Second medical opinion in oncological setting. Crit Rev Oncol Hematol 2021; 160: 103282
MissingFormLabel
- 30
Cortes J,
Perez-García JM,
Llombart-Cussac A.
et al.
Enhancing global access to cancer medicines. CA Cancer J Clin 2020; 70 (02) 105-124
MissingFormLabel
- 31
Shah SC,
Kayamba V,
Peek Jr RM,
Heimburger D.
Cancer Control in Low- and Middle-Income Countries: Is It Time to Consider Screening?.
J Glob Oncol 2019; 5: 1-8
MissingFormLabel
- 32
Jolly S,
Uppal S,
Bhatla N,
Johnston C,
Maturen K.
Improving Global Outcomes in Cervical Cancer: The Time Has Come for International
Federation of Gynecology and Obstetrics Staging to Formally Incorporate Advanced Imaging.
J Glob Oncol 2018; 4: 1-6
MissingFormLabel
- 33
Thiagarajan S,
Poojari V,
Tuljapurkar V.
et al.
National Cancer Grid Virtual Tumor Boards of Head and Neck Cancers: An Innovative
Approach to Multidisciplinary Care. JCO Glob Oncol 2023; 9: e2200348
MissingFormLabel
- 34
Oliveira LF,
Barbosa Ade S,
Alencar Ide C,
Mendes Cde M,
Chaves TVS,
Sampaio Jda S.
Câncer de mama no estado do Piauí: do diagnóstico ao tratamento. Res Soc Dev 2023;
12 (05) e3812541455
MissingFormLabel