{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T07:13:34Z","timestamp":1789456414382,"version":"build-2803163510"},"reference-count":41,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100005002","name":"California Department of Public Health","doi-asserted-by":"publisher","award":["103885"],"award-info":[{"award-number":["103885"]}],"id":[{"id":"10.13039\/100005002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The role of second surgical opinions (SSOs) in gastrointestinal (GI) cancer care is not well\u2010defined. While SSOs are common, the impact may depend on whether patients ultimately undergo resection with the same surgeon or with a different surgeon after the SSO. We sought to characterize perioperative outcomes relative to SSO among older adults with GI cancers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using SEER\u2013Medicare data (2000\u20132019), patients aged 66\u201390 with primary GI were identified. Cancer\u2010directed resections were categorized into three claims\u2010observed pathways: surgery without SSO, SSO with same\u2010surgeon resection, and SSO with different\u2010surgeon resection. Multivariable regression models assessed the association between operative pathway and perioperative outcomes including complications, extended length of stay (LOS), 90\u2010day readmission and mortality, discharge disposition, and achievement of a composite \u201ctextbook outcome.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 40,603 surgical patients, 56.2% underwent surgery without SSO, 5.3% underwent SSO with same\u2010surgeon resection, and 38.5% underwent SSO with different\u2010surgeon resection. Compared with no SSO, SSO followed by resection with a different surgeon was associated with lower odds of 90\u2010day readmission (aOR 0.92, 95%CI 0.88\u20130.97), any complications (aOR 0.90, 95%CI 0.84\u20130.95), extended LOS (aOR 0.93, 95%CI 0.88\u20130.98), and mortality (aOR 0.67, 95%CI 0.58\u20130.78), as well as higher discharge\u2010home (aOR 1.05, 95%CI 1.01\u20131.12) and textbook outcome (aOR 1.12, 95%CI 1.07\u20131.17). In contrast, SSO with same\u2010surgeon resection was associated with higher complications (aOR 1.14, 95%CI 1.01\u20131.29), longer LOS (aOR 1.21, 95%CI1.09\u20131.35), and lower home discharge (aOR 0.77, 95%CI 0.70\u20130.85) with no survival advantage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Among older adults undergoing GI cancer surgery, SSO followed by resection with a different surgeon was associated with improved perioperative safety and recovery, whereas SSO followed by resection with the same surgeon was not associated with similar benefit. These findings suggest that the value of SSO may lie in its role as a pathway to a different surgical team when clinically appropriate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jso.70313","type":"journal-article","created":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T08:01:51Z","timestamp":1782720111000},"page":"508-517","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Tale of Two Pathways: Same\u2010Surgeon Versus Different\u2010Surgeon Resection After Second Surgical Opinion"],"prefix":"10.1002","volume":"134","author":[{"given":"Areesh","family":"Mevawalla","sequence":"first","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Selamawit","family":"Woldesenbet","sequence":"additional","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azza","family":"Sarfraz","sequence":"additional","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qaidar","family":"Alizai","sequence":"additional","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meher","family":"Angez","sequence":"additional","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulaziz","family":"Elemosho","sequence":"additional","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Odysseas P.","family":"Chatzipanagiotou","sequence":"additional","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7994-9870","authenticated-orcid":false,"given":"Timothy M.","family":"Pawlik","sequence":"additional","affiliation":[{"name":"Department of Surgery The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,29]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2020.02.068"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2022.942035"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21820"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.37349\/emed.2021.00063"},{"key":"e_1_2_7_6_1","unstructured":"Rankings Of Most Common and Deadly Cancer Types Will Shift Over Next Two Decades \u2010 Pancreatic Cancer Action Network. accessed August 24 2025.https:\/\/pancan.org\/press-releases\/rankings-of-most-common-and-deadly-cancer-types-will-shift-over-next-two-decades\/."},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7819-3-78"},{"key":"e_1_2_7_8_1","unstructured":"M. C.Camargo PhD CSA PhD. Incidence and Survival Outcomes of Gastrointestinal Stromal Tumors | Gastroenterology and Hepatology | JAMA Network Open | JAMA Network accessed August 24 2025.https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2822397."},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers15061881"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.5598"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2024.04.025"},{"key":"e_1_2_7_12_1","unstructured":"Patient\u2010Driven Second Opinions in Oncology: A Systematic Review | Request PDF accessed August 24 2025.https:\/\/www.researchgate.net\/publication\/317562013_Patient-Driven_Second_Opinions_in_Oncology_A_Systematic_Review."},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics13213300"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1155\/2011\/915078"},{"key":"e_1_2_7_15_1","unstructured":"Surgeon Subspecialty as a Factor in Improving Long\u2010term Outcomes for Gastric Cancer: Twenty Years of Experience in Korea | Gastroenterology | JAMA Surgery | JAMA Network accessed August 24 2025.https:\/\/jamanetwork.com\/journals\/jamasurgery\/fullarticle\/518721."},{"key":"e_1_2_7_16_1","unstructured":"SEER\u2010Medicare Linked Data Resource accessed August 27.2025.https:\/\/healthcaredelivery.cancer.gov\/seermedicare\/."},{"key":"e_1_2_7_17_1","unstructured":"Variation in Cost Centers Following Gastrointestinal Cancer Surgery. | Annals of Surgical Oncology accessed August 27 2025.https:\/\/link.springer.com\/article\/10.1245\/s10434-024-16531-y."},{"key":"e_1_2_7_18_1","unstructured":"CMS. SPECIALTY CODES\/HEALTHCARE PROVIDER TAXONOMY."},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2022.09.008"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/XCS.0000000000001213"},{"key":"e_1_2_7_21_1","volume-title":"Calculation of the Charlson Comorbidity Index score. In: Recommended Summary Plan for Emergency Care and Treatment: ReSPECT a Mixed\u2010Methods Study [Internet]","author":"Perkins G. D.","year":"2022"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-025-16904-x"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198801000-00003"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gassur.2025.102110"},{"key":"e_1_2_7_25_1","doi-asserted-by":"crossref","unstructured":"Impact of Social Vulnerability and Allostatic Load on Postoperative Outcomes. | Annals of Surgical Oncology accessed August 24 2025.https:\/\/doi.org\/10.1245\/s10434-025-18144-5.","DOI":"10.1245\/s10434-025-18144-5"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjsopen\/zrac149"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.21037\/hbsn-21-18"},{"key":"e_1_2_7_28_1","doi-asserted-by":"crossref","unstructured":"M. A.Hillen N. M.Medendorp J. G.Daams andE. M. A.SmetsPatient\u2010Driven Second Opinions in Oncology: A Systematic Review. Published online2017.","DOI":"10.1634\/theoncologist.2016-0429"},{"key":"e_1_2_7_29_1","unstructured":"Journal of the American College of Surgeons accessed August 23 2025.https:\/\/journals.lww.com\/journalacs\/fulltext\/2025\/03000\/surgical_second_opinion_for_pancreatic_cancer.5.aspx."},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.21037\/cco-21-161"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa035205"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599815620558"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.26712"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-008-9929-7"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2023.05.040"},{"key":"e_1_2_7_36_1","unstructured":"Care Fragmentation in the Postdischarge Period: Surgical Readmissions Distance of Travel and Postoperative Mortality. | Surgery | JAMA Surgery | JAMA Network accessed August 27 2025.https:\/\/jamanetwork.com\/journals\/jamasurgery\/fullarticle\/1984240."},{"key":"e_1_2_7_37_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.11023"},{"key":"e_1_2_7_38_1","unstructured":"R. G. N.SamuelandF.Robert Jr.Patient Preferences for Location of Care Implications for Regionalization accessed August 24 2025.https:\/\/journals.lww.com\/lww-medicalcare\/fulltext\/1999\/02000\/patient_preferences_for_location_of_care_.10.aspx."},{"key":"e_1_2_7_39_1","unstructured":"Lisa M andC. T. W.Schwartz. Choosing Where to Have Major Surgery | Request PDF accessed August 24 2025.https:\/\/www.researchgate.net\/publication\/6435424_Choosing_Where_to_Have_Major_Surgery."},{"key":"e_1_2_7_40_1","unstructured":"M.TimothyandA. Y.PawlikA Systematic Review of the Factors that Patients Use to Choose their Surgeon | Request PDF accessed August 24 2025.https:\/\/www.researchgate.net\/publication\/281712700_A_Systematic_Review_of_the_Factors_that_Patients_Use_to_Choose_their_Surgeon."},{"key":"e_1_2_7_41_1","unstructured":"What Telemedicine Software is Best for Remote Second Opinions.?2025.https:\/\/www.purview.net\/blog\/what-telemedicine-software-is-best-for-remote-second-opinions."},{"key":"e_1_2_7_42_1","first-page":"1068","volume-title":"Geographic Disparities in Residential Proximity to Colorectal and Cervical Cancer Care Providers, Cancer","author":"Hung P.","year":"2020"}],"container-title":["Journal of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jso.70313","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jso.70313","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jso.70313","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T06:53:54Z","timestamp":1789455234000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jso.70313"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,29]]},"references-count":41,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/jso.70313"],"URL":"https:\/\/doi.org\/10.1002\/jso.70313","archive":["Portico"],"relation":{},"ISSN":["0022-4790","1096-9098"],"issn-type":[{"value":"0022-4790","type":"print"},{"value":"1096-9098","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,29]]},"assertion":[{"value":"2025-12-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}