ONCO 2nd OPINION
Why seek a second medical opinion.
You do not need to seek a second opinion if you are in complete agreement with the diagnosis and treatment options your doctor has discussed with you.
However, when you are diagnosed with cancer, it is normal to feel overwhelmed and confused. You may have doubts about the accuracy of the diagnosis, or you may find it difficult to choose between the treatments your doctor has suggested. Or you may wonder if there are other options for treating the cancer you have.
A second opinion can confirm that all the necessary tests have been carried out and that the results have been interpreted correctly.
Hearing what another doctor has to say may help you feel better and make your decisions more confident.
What is RCP ?
The RCP bring together healthcare professionals from different disciplines whose skills are essential to make a decision granting patients the best possible care based on the state of science. During RCP, patient records are discussed collegially. The decision made is traced, then submitted and explained to the patient. Decisions can relate to any aspect of a case:
♦ Establishment of a diagnostic strategy,
♦ Validation of the diagnosis,
♦ Establishment of an initial or secondary care strategy,
♦ See decision on palliative strategy.
How to set up a RCP ?
There is a strict legislative framework for oncology RCP.
First of all, it is important to set clear objectives for the RCP so that participants are assiduous and the PCR is sustainable.
The following are the main elements to be specified:
◊ Title of the RCP: this is what will define the domain of the CPR.
◊ Definition of stakeholders:
- A coordinator who organises and leads the meetings,
- Doctors representing each specialty necessary for the multidisciplinary nature of the RCP: medical oncologists, radiotherapists, organ specialists, internists …
- The other health professionals involved in the patient’s care: psychologists, physiotherapists, social workers, nurses, etc.
◊ Definition of the periodicity of meetings
◊ Definition of the selection criteria for the files studied: diagnostic or therapeutic problems or interest in teaching the community for example.
The RCP brings together health professionals from different disciplines whose skills are required to adopt the individualised management proposal best suited to each patient, according to assessable quality criteria. These quality criteria are the national recommendations if they exist, and the recommendations and guidelines of learned societies.
It records the therapeutic plan envisaged for each cancer patient under care, as well as any significant changes in therapeutic orientation.
It was made compulsory by Article 31 of the 2003-2007 Cancer Plan, in all health establishments, groups of health establishments, cancer networks or in the context of cancer coordination. This is one of the technical conditions for the operation of the cancer treatment activity. The only exception concerns clinical situations that are the subject of standard management of indisputable validity: in this case, the therapeutic project is implemented without waiting for the RCP.
It is mentioned in article D. 6124-131 of the public health code. In November 2017, the HAS drew up a “Multidisciplinary consultation meeting” sheet.
The RCP can also be organised, on an optional basis, in specialities other than oncology, particularly for complex treatments (multiple sclerosis, bariatric surgery, etc.).
Who participates in CPR ?
The coordinator establishes the list of patients whose files are to be analysed and notifies the members of the PCR (permanent staff and referring physician).
The diagnostic or therapeutic RCP must be attended by at least three doctors from different specialties who work with cancer patients, to ensure a relevant opinion on all the procedures envisaged.
If one of the specialists whose presence is required is missing, the case must be presented again at the meeting as soon as possible.
The patient’s treating physician may attend, but is not required to be present.
If you have any questions, please do not hesitate to contact us.
– 1 Parvis de la Défense 92044 Paris, La Défense.
– 6 Rue Massenet 94500 Champigny-sur-Marne
+ (33) 01 48 80 02 02
+ (33) 07 56 82 78 33