PMID- 34519250
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230826
IS  - 2192-5682 (Print)
IS  - 2192-5690 (Electronic)
IS  - 2192-5682 (Linking)
VI  - 13
IP  - 6
DP  - 2023 Jul
TI  - Spine-Related Malpractice Claims in China: A 2-year National Analysis.
PG  - 1566-1575
LID - 10.1177/21925682211041048 [doi]
AB  - STUDY DESIGN: Retrospective cross-sectional study. OBJECTIVE: To investigate the 
      prevalence, characteristics, and risk factors of spine-related malpractice claims 
      in China in a 2-year period. METHODS: The arbitration files of the Chinese 
      Medical Association (CMA) were reviewed for spine-related malpractice claims. 
      Descriptive statistics and correlation analysis were conducted on claim 
      characteristics, clinical data, plaintiff's main allegations, and arbitration 
      outcomes. RESULTS: A total of 288 cases of spinal claims filed in the CMA between 
      January 2016 and December 2017 were included. Most claims were found in lumbar 
      degenerative disorders (59.4%), lumbar trauma (13.2%), and cervical degenerative 
      disorders (11.8%). The most common adverse events (AEs) leading to claims were 
      new neurologic deficit (NND) (47.6%), infection (11.5%), and insufficient symptom 
      relief (10.4%). The most common patient allegation was surgical error (66.0%), 
      although the main arbitrated cause of AEs was disease/treatment itself (49.0%), 
      while providers were judged as mainly responsible in only 47.3% cases. In 
      multivariate regression analysis, cervical spine, misdiagnosis/mistreatment, and 
      unpredictable emergency correlated with more severe damage to patients; minimally 
      invasive surgery was predictive of judgment in plaintiff's favor, while claims in 
      the eastern region and unpredictable emergencies were predictive of defendant's 
      favor; only NND was associated with being arbitrated as surgical error in 
      surgical cases where surgeons accepted major liability. CONCLUSION: The current 
      study provided a descriptive overview and risk factor analysis of spine-related 
      malpractice claims in China. Gaining improved understanding of the facts and 
      causes of malpractice claims may help providers reduce the risk of claims and 
      subsequent litigation.
FAU - Yue, Lei
AU  - Yue L
AUID- ORCID: 0000-0002-8753-5686
AD  - Department of Orthopedics, Peking University First Hospital, Beijing, China. 
      RINGGOLD: 26447
FAU - Sun, Ming-Shuai
AU  - Sun MS
AD  - General Surgery Department, Peking University First Hospital, Beijing, China. 
      RINGGOLD: 26447
FAU - Mu, Guan-Zhang
AU  - Mu GZ
AD  - Department of Orthopedics, Peking University First Hospital, Beijing, China. 
      RINGGOLD: 26447
FAU - Shang, Mei-Xia
AU  - Shang MX
AD  - Department of Medical Statistics, Peking University First Hospital, Beijing, 
      China. RINGGOLD: 26447
FAU - Zhang, Ying-Ze
AU  - Zhang YZ
AD  - Department of Orthopedic Surgery, The Third Hospital of Hebei Medical University, 
      Shijiazhuang, China. RINGGOLD: 74725
FAU - Sun, Hao-Lin
AU  - Sun HL
AD  - Department of Orthopedics, Peking University First Hospital, Beijing, China. 
      RINGGOLD: 26447
FAU - Li, Chun-De
AU  - Li CD
AD  - Department of Orthopedics, Peking University First Hospital, Beijing, China. 
      RINGGOLD: 26447
LA  - eng
PT  - Journal Article
DEP - 20210914
PL  - England
TA  - Global Spine J
JT  - Global spine journal
JID - 101596156
PMC - PMC10448087
COIS- The author(s) declared no potential conflicts of interest with respect to the 
      research, authorship, and/or publication of this article.
EDAT- 2021/09/15 06:00
MHDA- 2021/09/15 06:01
PMCR- 2021/09/14
CRDT- 2021/09/14 08:40
PHST- 2021/09/15 06:01 [medline]
PHST- 2021/09/15 06:00 [pubmed]
PHST- 2021/09/14 08:40 [entrez]
PHST- 2021/09/14 00:00 [pmc-release]
AID - 10.1177_21925682211041048 [pii]
AID - 10.1177/21925682211041048 [doi]
PST - ppublish
SO  - Global Spine J. 2023 Jul;13(6):1566-1575. doi: 10.1177/21925682211041048. Epub 
      2021 Sep 14.