Hip Arthroplasty Malpractice Claims in the Netherlands: Closed Claim Study 2000-2012
Hip Arthroplasty Malpractice Claims in the Netherlands: Closed Claim Study 2000-2012
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DOI：
10.1016/j.arth.2016.02.055
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发表时间：
2016-09-01
影响因子：
3.5
通讯作者：
Bos, P. Koen
中科院分区：
文献类型：
--
作者：
Zengerink, Imme;Reijman, Max;Bos, P. Koen
背景：全髋关节置换术（THA）是一种成功、可靠的手术，并发症很少。然而，这些并发症确实构成了索赔的潜在来源。在荷兰，没有关于 THA 后提交的索赔的研究。本研究的目的是确定荷兰与 THA 相关的索赔发生率以及索赔原因、哪些索赔会导致赔偿、保险公司涉及的费用以及索赔人的人口统计数据。 方法：在这项观察性研究中，我们分析了 2000 年至 2012 年全国最大的医疗责任保险公司的所有已结案索赔，并将其与荷兰国家植入登记处的数据进行比较。为了促进预防，我们确定了索赔人的人口统计数据、提出索赔的原因以及索赔结果。结果：总体而言，THA 后 280 份已关闭的索赔文件中表达了 516 项索赔。索赔最常与坐骨神经损伤有关（19.6%）。大多数索赔人是女性（71.6%），平均年龄为 63.1 岁。每次赔偿索赔的中位费用为 (原文如此)5.921。结论：索赔人更有可能是女性，并且比接受 THA 的平均患者更年轻。 THA 后索赔的发生率为 0.14%-0.30%。神经损伤是申请赔偿的最常见原因。索赔理由的分布与文献中的全髋关节置换术后并发症发生率不同。这项研究的结果可用于改善患者护理、安全性和成本。 (C) 2016 Elsevier Inc. 保留所有权利。
Background: A total hip arthroplasty (THA) is a successful and reliable operation with few complications. These complications however, do form a potential source for compensation claims. In the Netherlands, there are no studies available concerning filed claims after THA. The aim of this study was to determine the incidence of claims related to THAs in the Netherlands and the reasons to claim, which claims lead to compensation, the costs involved for the insurer, and the demographics of the claimants.Methods: In this observational study, we analyzed all closed claims from 2000 to 2012 from the national largest insurer of medical liability and compared it to data from our national implant registry in the Netherlands. With the intention to contribute to prevention, we have identified the demographics of the claimant, the reasons for filing claims, and the outcome of claims.Results: Overall, 516 claims were expressed in 280 closed claim files after THA. Claims were most often related to sciatic nerve injury (19.6%). Most claimants were women (71.6%) with an average age of 63.1 years. The median cost per compensated claim is (sic)5.921.Conclusion: The claimant is more likely to be female and to be younger than the average patient receiving a THA. The incidence of a claim after a THA is 0.14%-0.30%. Nerve damage is the most common reason to file for compensation. The distribution in reasons to claim does not resemble the complication rate in literature after a THA. The outcome of this study can be used to improve patient care, safety, and costs. (C) 2016 Elsevier Inc. All rights reserved.