Does Defensive Medicine Change the Behaviors of Vascular Surgeons? A Qualitative Review

Overview

Journal Biomed Res Int

Publisher Wiley

Specialties Biomedical Engineering
Biotechnology
General Medicine

Date 2015 Oct 24

PMID 26495285

Citations 6

Authors

Paola Frati

Francesco Paolo Busardo

Pasqualino Sirignano

Matteo Gulino

Simona Zaami

Vittorio Fineschi

Affiliations

Soon will be listed here.

Abstract

Although in literature few successful claims have been shown in comparison with other medical specialties such as gynaecology and orthopaedics, vascular surgery is included among high-risk specialties. The high-risk of receiving medical claims may lead vascular surgeons to practice defensive medicine, as is normal in several other areas of clinical practice. No studies are available to our knowledge of the incidence of defensive medicine in the field of vascular surgery. Taking into consideration the scarce amount of information, the authors provide a critical discussion regarding the application of defensive medicine behaviour among vascular surgeons.

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References

Jena A, Seabury S, Lakdawalla D, Chandra A . Malpractice risk according to physician specialty. N Engl J Med. 2011; 365(7):629-36. PMC: 3204310. DOI: 10.1056/NEJMsa1012370. View

Campbell W, France F, GOODWIN H . Medicolegal claims in vascular surgery. Ann R Coll Surg Engl. 2002; 84(3):181-4. PMC: 2503812. View

Mello M, Chandra A, Gawande A, Studdert D . National costs of the medical liability system. Health Aff (Millwood). 2010; 29(9):1569-77. PMC: 3048809. DOI: 10.1377/hlthaff.2009.0807. View

Hobson 2nd R, Mackey W, Ascher E, Murad M, Calligaro K, Comerota A . Management of atherosclerotic carotid artery disease: clinical practice guidelines of the Society for Vascular Surgery. J Vasc Surg. 2008; 48(2):480-6. DOI: 10.1016/j.jvs.2008.05.036. View

Sirignano P, Setacci F, Galzerano G, Sirignano A, Fineschi V, Setacci C . What is the present situation of vascular surgery? Considerations and reflections based on real practice. J Cardiovasc Surg (Torino). 2013; 54(5):633-7. View

Ricotta J, AbuRahma A, Ascher E, Eskandari M, Faries P, Lal B . Updated Society for Vascular Surgery guidelines for management of extracranial carotid disease: executive summary. J Vasc Surg. 2011; 54(3):832-6. DOI: 10.1016/j.jvs.2011.07.004. View

Ridic G, Howard T, Ridic O . Medical malpractice in connecticut: defensive medicine, real problem or a red herring - example of assessment of quality outcomes variables. Acta Inform Med. 2013; 20(1):32-9. PMC: 3545325. DOI: 10.5455/aim.2012.20.32-39. View

Tancredi L, Barondess J . The problem of defensive medicine. Science. 1978; 200(4344):879-82. DOI: 10.1126/science.644329. View

Studdert D, Mello M, Brennan T . Medical malpractice. N Engl J Med. 2004; 350(3):283-92. DOI: 10.1056/NEJMhpr035470. View

10.

Dove J, Brush Jr J, Chazal R, Oetgen W . Medical professional liability and health care system reform. J Am Coll Cardiol. 2010; 55(25):2801-3. DOI: 10.1016/j.jacc.2010.03.028. View

11.

Tuers D . Defensive medicine in the emergency department: increasing health care costs without increasing quality?. Nurs Adm Q. 2013; 37(2):160-4. DOI: 10.1097/NAQ.0b013e318286de06. View

12.

Fleisher L . Cardiac risk stratification for noncardiac surgery: update from the American College of Cardiology/American Heart Association 2007 guidelines. Cleve Clin J Med. 2009; 76 Suppl 4:S9-15. DOI: 10.3949/ccjm.76.s4.02. View

13.

Thomas J, Ziller E, Thayer D . Low costs of defensive medicine, small savings from tort reform. Health Aff (Millwood). 2010; 29(9):1578-84. DOI: 10.1377/hlthaff.2010.0146. View

14.

Mitchell E, Arora S, Moneta G, Kret M, Dargon P, Landry G . A systematic review of assessment of skill acquisition and operative competency in vascular surgical training. J Vasc Surg. 2014; 59(5):1440-55. DOI: 10.1016/j.jvs.2014.02.018. View

15.

Markides G, Subar D, Al-Khaffaf H . Litigation claims in vascular surgery in the United Kingdom's NHS. Eur J Vasc Endovasc Surg. 2008; 36(4):452-7. DOI: 10.1016/j.ejvs.2008.06.018. View

16.

Sirignano P, Setacci F, Galzerano G, Sirignano A, Setacci C . Claimants in vascular surgery. J Cardiovasc Surg (Torino). 2012; 53(6):715-7. View

17.

Hermer L, Brody H . Defensive medicine, cost containment, and reform. J Gen Intern Med. 2010; 25(5):470-3. PMC: 2855004. DOI: 10.1007/s11606-010-1259-3. View

18.

Setacci C, Sirignano P, Setacci F . Impact of new technologies on vascular surgery. Int J Surg. 2014; 11 Suppl 1:S11-5. DOI: 10.1016/S1743-9191(13)60006-0. View