{"id":21283,"date":"2021-06-28T12:26:28","date_gmt":"2021-06-28T12:26:28","guid":{"rendered":"https:\/\/f55.01f.myftpupload.com\/effects-of-a-medical-second-opinion-program-on-patients-decision-for-or-against-knee-arthroplasty\/"},"modified":"2025-01-07T18:03:43","modified_gmt":"2025-01-07T18:03:43","slug":"effects-of-a-medical-second-opinion-program-on-patients-decision-for-or-against-knee-arthroplasty","status":"publish","type":"post","link":"https:\/\/mdvisitclinic.com\/vi\/effects-of-a-medical-second-opinion-program-on-patients-decision-for-or-against-knee-arthroplasty\/","title":{"rendered":"\u1ea2nh h\u01b0\u1edfng c\u1ee7a ch\u01b0\u01a1ng tr\u00ecnh \u00fd ki\u1ebfn th\u1ee9 hai v\u1ec1 y t\u1ebf \u0111\u1ed1i v\u1edbi quy\u1ebft \u0111\u1ecbnh c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u1ed1i v\u1edbi ho\u1eb7c ch\u1ed1ng l\u1ea1i ph\u1eabu thu\u1eadt kh\u1edbp g\u1ed1i."},"content":{"rendered":"<p>Tr\u1eebu t\u01b0\u1ee3ng<\/p>\n<p>B\u1ed1i c\u1ea3nh Ph\u00e1p lu\u1eadt x\u00e3 h\u1ed9i \u0110\u1ee9c cho ph\u00e9p b\u1ec7nh nh\u00e2n c\u00f3 quy\u1ec1n c\u00f3 \u00fd ki\u1ebfn th\u1ee9 hai tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt t\u1ef1 ch\u1ecdn v\u00e0 x\u00e1c \u0111\u1ecbnh c\u00e1c ti\u00eau ch\u00ed ch\u1ea5t l\u01b0\u1ee3ng \u0111\u1ec3 ho\u00e0n tr\u1ea3 b\u1eb1ng b\u1ea3o hi\u1ec3m y t\u1ebf theo lu\u1eadt \u0111\u1ecbnh. Tuy nhi\u00ean, \u1ea3nh h\u01b0\u1edfng c\u1ee7a \u00fd ki\u1ebfn th\u1ee9 hai tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt t\u1ef1 ch\u1ecdn ph\u1ea7n l\u1edbn ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft. <span class=\"mdvisit-highlight-content\">Nghi\u00ean c\u1ee9u n\u00e0y \u0111\u00e3 \u0111\u00e1nh gi\u00e1 t\u00e1c \u0111\u1ed9ng c\u1ee7a ch\u01b0\u01a1ng tr\u00ecnh \u00fd ki\u1ebfn th\u1ee9 hai \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111\u1ec1 ngh\u1ecb ph\u1eabu thu\u1eadt kh\u1edbp g\u1ed1i<\/span>. C\u00e1c qu\u1ef9 b\u1ea3o hi\u1ec3m y t\u1ebf theo lu\u1eadt \u0111\u1ecbnh l\u1edbn nh\u1ea5t \u1edf Bavaria \u0111\u00e3 cung c\u1ea5p cho nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb ph\u1eabu thu\u1eadt kh\u1edbp g\u1ed1i c\u01a1 h\u1ed9i tham gia ch\u01b0\u01a1ng tr\u00ecnh \u00fd ki\u1ebfn th\u1ee9 hai, bao g\u1ed3m thuy\u1ebft tr\u00ecnh tr\u1ef1c ti\u1ebfp cho b\u00e1c s\u0129 ph\u1eabu thu\u1eadt \u0111\u1ea7u g\u1ed1i c\u00f3 kinh nghi\u1ec7m. Nghi\u00ean c\u1ee9u thu\u1ea7n t\u1eadp n\u00e0y bao g\u1ed3m c\u00e1c b\u1ec7nh nh\u00e2n li\u00ean ti\u1ebfp t\u1eeb ch\u01b0\u01a1ng tr\u00ecnh \u00fd ki\u1ebfn th\u1ee9 hai n\u00e0y \u0111\u00e3 k\u00fd \u0111\u1ed3ng \u00fd \u0111\u01b0\u1ee3c th\u00f4ng b\u00e1o t\u1eeb ng\u00e0y 07\/10\/2016 \u0111\u1ebfn ng\u00e0y 14\/02\/2020. D\u1eef li\u1ec7u \u0111\u01b0\u1ee3c thu th\u1eadp tr\u01b0\u1edbc v\u00e0 sau chuy\u1ebfn th\u0103m \u00fd ki\u1ebfn th\u1ee9 hai. K\u1ebft qu\u1ea3: T\u1ed5ng c\u1ed9ng c\u00f3 141 (66%) trong s\u1ed1 215 b\u1ec7nh nh\u00e2n tr\u00ecnh b\u00e0y \u00fd ki\u1ebfn th\u1ee9 hai \u0111\u00e3 tham gia v\u00e0o nghi\u00ean c\u1ee9u \u0111\u00e1nh gi\u00e1. <\/p>\n<p> <span class=\"mdvisit-highlight-content\">B\u00e1c s\u0129 \u00fd ki\u1ebfn th\u1ee9 hai \u0111\u1ec1 ngh\u1ecb ph\u1eabu thu\u1eadt kh\u1edbp g\u1ed1i cho 40% b\u1ec7nh nh\u00e2n, sau \u0111\u00f3 ph\u1eabu thu\u1eadt kh\u1edbp g\u1ed1i n\u1ebfu t\u00ecnh tr\u1ea1ng x\u1ea5u \u0111i \u0111\u1ebfn 40% v\u00e0 kh\u00f4ng c\u00f3 ph\u1eabu thu\u1eadt kh\u1edbp g\u1ed1i \u0111\u1ebfn 20%. Sau khi nh\u1eadn \u0111\u01b0\u1ee3c \u00fd ki\u1ebfn th\u1ee9 hai, 28 trong s\u1ed1 56 (41%) b\u1ec7nh nh\u00e2n ch\u01b0a quy\u1ebft \u0111\u1ecbnh th\u00edch ph\u1eabu thu\u1eadt kh\u1edbp g\u1ed1i, 14 ng\u01b0\u1eddi kh\u00f4ng ph\u1eabu thu\u1eadt kh\u1edbp g\u1ed1i v\u00e0 14 ng\u01b0\u1eddi v\u1eabn ch\u01b0a quy\u1ebft \u0111\u1ecbnh. B\u1ed1n trong s\u1ed1 46 b\u1ec7nh nh\u00e2n c\u00f3 s\u1edf th\u00edch &#8220;ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh kh\u1edbp&#8221; \u0111\u00e3 thay \u0111\u1ed5i quy\u1ebft \u0111\u1ecbnh c\u1ee7a h\u1ecd th\u00e0nh &#8220;kh\u00f4ng ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh kh\u1edbp&#8221; v\u00e0 n\u0103m trong s\u1ed1 35 b\u1ec7nh nh\u00e2n \u0111\u00e3 thay \u0111\u1ed5i t\u1eeb &#8220;kh\u00f4ng ph\u1eabu thu\u1eadt kh\u1edbp&#8221; sang &#8220;ph\u1eabu thu\u1eadt kh\u1edbp&#8221;. C\u00e1c b\u1ec7nh nh\u00e2n \u0111\u00e3 t\u1ef1 tin h\u01a1n v\u00e0o quy\u1ebft \u0111\u1ecbnh c\u1ee7a h\u1ecd theo thang \u0111o ni\u1ec1m tin quy\u1ebft \u0111\u1ecbnh   <\/span>  (tr\u01b0\u1edbc: 5,4 \u00b1 3,0; sau: 7,8 \u00b1 2,5; trang &lt; 0,001). H\u1ecd \u0111\u00e1nh gi\u00e1 s\u1ef1 h\u00e0i l\u00f2ng c\u1ee7a h\u1ecd v\u1edbi ch\u01b0\u01a1ng tr\u00ecnh \u00fd ki\u1ebfn th\u1ee9 hai v\u1edbi \u0111i\u1ec3m trung b\u00ecnh l\u00e0 1,35 (\u00b1 0,60) (t\u1ed1t nh\u1ea5t: 1; t\u1ec7 nh\u1ea5t: 6). C\u00e1c ph\u00e2n t\u00edch h\u1ed3i quy logistic cho th\u1ea5y khuy\u1ebfn ngh\u1ecb c\u1ee7a b\u00e1c s\u0129 \u00fd ki\u1ebfn th\u1ee9 hai v\u1ec1 ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh kh\u1edbp c\u00f3 li\u00ean quan \u0111\u1ebfn c\u00e1c ti\u00eau ch\u00ed h\u01b0\u1edbng d\u1eabn: m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng X quang c\u1ee7a vi\u00eam x\u01b0\u01a1ng kh\u1edbp (p = 0,001) v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee5 th\u1ec3 c\u1ee7a kh\u1edbp g\u1ed1i (p = 0,041).  <\/p>\n<p>K\u1ebft th\u00fac<\/p>\n<p>\u00dd ki\u1ebfn th\u1ee9 hai c\u1ee7a m\u1ed9t b\u00e1c s\u0129 ph\u1eabu thu\u1eadt \u0111\u1ea7u g\u1ed1i c\u00f3 kinh nghi\u1ec7m th\u01b0\u1eddng \u0111i ch\u1ec7ch kh\u1ecfi khuy\u1ebfn ngh\u1ecb ban \u0111\u1ea7u cho ph\u1eabu thu\u1eadt kh\u1edbp g\u1ed1i. S\u1ef1 li\u00ean k\u1ebft c\u1ee7a c\u00e1c ti\u00eau ch\u00ed h\u01b0\u1edbng d\u1eabn v\u1edbi khuy\u1ebfn ngh\u1ecb th\u1ee9 hai cho th\u1ea5y ch\u1ea5t l\u01b0\u1ee3ng cao c\u1ee7a \u00fd ki\u1ebfn th\u1ee9 hai. T\u1eeb quan \u0111i\u1ec3m c\u1ee7a b\u1ec7nh nh\u00e2n, \u00fd ki\u1ebfn th\u1ee9 hai l\u00e0m gi\u1ea3m s\u1ef1 kh\u00f4ng ch\u1eafc ch\u1eafn trong quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb c\u1ee7a h\u1ecd.  <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tr\u1eebu t\u01b0\u1ee3ng B\u1ed1i c\u1ea3nh Ph\u00e1p lu\u1eadt x\u00e3 h\u1ed9i \u0110\u1ee9c cho ph\u00e9p b\u1ec7nh nh\u00e2n c\u00f3 quy\u1ec1n c\u00f3 \u00fd ki\u1ebfn th\u1ee9 hai tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt t\u1ef1 ch\u1ecdn v\u00e0 x\u00e1c \u0111\u1ecbnh c\u00e1c ti\u00eau ch\u00ed ch\u1ea5t l\u01b0\u1ee3ng \u0111\u1ec3 ho\u00e0n tr\u1ea3 b\u1eb1ng b\u1ea3o hi\u1ec3m y t\u1ebf theo lu\u1eadt \u0111\u1ecbnh. Tuy nhi\u00ean, \u1ea3nh h\u01b0\u1edfng c\u1ee7a \u00fd ki\u1ebfn th\u1ee9 hai tr\u01b0\u1edbc [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","hide_page_title":"","footnotes":""},"categories":[],"tags":[],"class_list":["post-21283","post","type-post","status-publish","format-standard","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u1ea2nh h\u01b0\u1edfng c\u1ee7a ch\u01b0\u01a1ng tr\u00ecnh \u00fd ki\u1ebfn th\u1ee9 hai v\u1ec1 y t\u1ebf \u0111\u1ed1i v\u1edbi quy\u1ebft \u0111\u1ecbnh c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u1ed1i v\u1edbi ho\u1eb7c ch\u1ed1ng l\u1ea1i ph\u1eabu thu\u1eadt kh\u1edbp g\u1ed1i. - MDVISIT CLINIC<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u1ea2nh h\u01b0\u1edfng c\u1ee7a ch\u01b0\u01a1ng tr\u00ecnh \u00fd ki\u1ebfn th\u1ee9 hai v\u1ec1 y t\u1ebf \u0111\u1ed1i v\u1edbi quy\u1ebft \u0111\u1ecbnh c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u1ed1i v\u1edbi ho\u1eb7c ch\u1ed1ng l\u1ea1i ph\u1eabu thu\u1eadt kh\u1edbp g\u1ed1i. - MDVISIT CLINIC\" \/>\n<meta property=\"og:description\" content=\"Tr\u1eebu t\u01b0\u1ee3ng B\u1ed1i c\u1ea3nh Ph\u00e1p lu\u1eadt x\u00e3 h\u1ed9i \u0110\u1ee9c cho ph\u00e9p b\u1ec7nh nh\u00e2n c\u00f3 quy\u1ec1n c\u00f3 \u00fd ki\u1ebfn th\u1ee9 hai tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt t\u1ef1 ch\u1ecdn v\u00e0 x\u00e1c \u0111\u1ecbnh c\u00e1c ti\u00eau ch\u00ed ch\u1ea5t l\u01b0\u1ee3ng \u0111\u1ec3 ho\u00e0n tr\u1ea3 b\u1eb1ng b\u1ea3o hi\u1ec3m y t\u1ebf theo lu\u1eadt \u0111\u1ecbnh. 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