Table 3.
Adjusted odds ratio of receipt of definitive treatment, surgery, and perceived quality of health care for men who obtained a second opinion compared to men who did not obtain a second opinion, overall and by the specific reason for obtaining a second opinion
| Outcomes (Odds Ratio; 95% Confidence Interval)* | |||
|---|---|---|---|
| Receipt of definitive treatment | Receipt of surgery among men who received definitive treatment | Perceived quality of prostate cancer care | |
| Obtained second opinion | |||
| No | Ref | Ref | Ref |
| Yes | 0.95 (0.84-1.08) | 1.11 (0.94-1.30) | 1.04 (0.90-1.19) |
| Reason for obtaining second opinion (with not obtaining second opinion as the reference group) ** | |||
| Wanted more information about my cancer | 0.89 (0.68-1.19) | 1.70 (1.24-2.34) | 0.83 (0.64-1.08) |
| Wanted the best doctor | 0.91 (0.67-1.22) | 2.46 (1.72-3.51) | 1.00 (0.76-1.33) |
| Encouraged by family/friends | 0.64 (0.46-0.89) | 2.25 (1.49-3.39) | 0.75 0.55-1.03) |
| Wanted information about treatment not offered by initial doctor | 0.94 (0.64-1.36) | 1.33 (0.91-1.96) | 0.70 (0.49-0.99) |
| Dissatisfaction with initial doctor | 0.49 (0.32-0.73) | 1.51 (0.84-2.72) | 0.84 (0.55-1.28) |
| Other | 0.79 (0.55-1.13) | 1.11 (0.71-1.75) | 1.16 (0.79-1.69) |
Separate models were constructed for obtaining second opinions overall, and for each specific reason for obtaining a second opinion with not obtaining a second opinion as the reference group. All models were adjusted for sociodemographic factors (age, race/ethnicity, education, insurance, marital status), clinical factors (10-year mortality risk, clinical tumor stage, Gleason score), and visit to radiation oncologist
Respondents were able to select more than one reason
Bold indicates statistical significance at p<0.05