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Table 3 Class of diseases where at least four cases had divergent second opinions

From: Predictive factors of diagnostic and therapeutic divergence in a nationwide cohort of patients seeking second medical opinion

Class of Diseases Convergent (n) Divergent (n) Divergence rate (%)
Orthopedics and rhumatological diseases
 Herniated lumbar disc 51 13 20.3 %
 Degenerative disc disease 31 10 24.4 %
 Lumbago (chronic lumbar pain) 12 10 45.5 %
 Lumbar arthritis 7 6 46.2 %
 Ankle impingement (bone or tissue) 5 5 50.0 %
 Cervical arthritis 3 4 57.1 %
 Fracture of the humerus (consequences included) 7 4 36.4 %
 Fracture of the wrist or forearm (consequences included) 6 4 40.0 %
 Meniscal lesions 15 4 21.1 %
Cardiovascular diseases
 Coronary artery disease 4 8 66.7 %
 Reproductive diseases    
 Female infertility 51 16 23.9 %
 Azoospermia 4 4 50.0 %
Nervous system and sensory organ diseases
 Adult epilepsy 4 6 60.0 %
 Herniated cervical disc 18 5 21.7 %
 Multiple sclerosis 6 5 45.5 %
Digestive system diseases
 Crohn’s disease 3 5 62.5 %
Tumour, cancer, hematological diseases    
 Prostate cancer 30 16 34.8 %
 Bladder cancer 8 4 33.3 %
Endocrine and metabolic diseases
 Goitre or thyroid nodules 7 5 41.7 %
 Hyperthyroidism 10 5 33.3 %
Gynecological diseases
 Endometriosis 90 137 60.4 %
 Uterine fibroma 12 11 47.8 %
Respiratory diseases
 Chronic obstructive pulmonary disease 3 4 57.1 %
Urological diseases
 Prostate adenoma 14 14 50.0 %
Total 401 305 43.3 %