ArticleAmerican journal of clinical pathology2015
Medical malpractice concerns and defensive medicine: a nationwide survey of breast pathologists.
Article in American journal of clinical pathology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- How defensive medicine is defined in European medical literature: a systematic review.BMJ open · 2022Pooled it
- Prevalence of defensive medicine behaviors, associated risk factors and its mitigation strategies among physicians in Gaza Strip, palestine: a mixed method study.BMC medical ethics · 2025Article
- The forensic medical evaluation of medical malpractice claims in the field of medical pathology.Forensic science, medicine, and pathology · 2025Article
- Misdiagnosis in breast imaging: a statement paper from European Society Breast Imaging (EUSOBI)-Part 1: The role of common errors in radiology in missed breast cancer and implications of misdiagnosis.European radiology · 2025Review
- Colonoscopy quality measures and adherence to follow-up guidelines among endoscopists participating in a U.S. endoscopy registry.Gastrointestinal endoscopy · 2025Article
- The Chinese version of Defensive Medicine Scale (DMS): reliability and validity test among physicians.BMC psychology · 2024Article
- Defensive medicine practices as a result of malpractice claims and workplace physical violence: a cross-sectional study from Egypt.Scientific reports · 2023Article
- The Asian Thyroid Working Group, from 2017 to 2023.Journal of pathology and translational medicine · 2023Review
- Use of modifying phrases in surgical pathology reports: is there a different understanding between pathologists and treating physicians?Virchows Archiv : an international journal of pathology · 2022Article
- End-to-End diagnosis of breast biopsy images with transformers.Medical image analysis · 2022Article
- The occurrence, types, reasons, and mitigation strategies of defensive medicine among physicians: a scoping review.BMC health services research · 2022Article
- Article
- Malpractice and Patient Safety Concerns.American journal of clinical pathology · 2020Article
- Trends in frequency and outcome of high-risk breast lesions at core needle biopsy in women recalled at biennial screening mammography, a multiinstitutional study.International journal of cancer · 2019Article
- Malpractice Concerns, Defensive Medicine, and the Histopathology Diagnosis of Melanocytic Skin Lesions.American journal of clinical pathology · 2018Article
- Complexities of perceived and actual performance in pathology interpretation: A comparison of cutaneous melanocytic skin and breast interpretations.Journal of cutaneous pathology · 2018Observational
- Evidence of a positive association between malpractice climate and thyroid cancer incidence in the United States.PloS one · 2018Article
- Article
- Analysis of Factors Associated With Rhytidectomy Malpractice Litigation Cases.JAMA facial plastic surgery · 2017Article
- A Randomized Study Comparing Digital Imaging to Traditional Glass Slide Microscopy for Breast Biopsy and Cancer Diagnosis.Journal of pathology informatics · 2017Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectives"Assurance behaviors" in medical practice involve providing additional services of marginal or no medical value to avoid adverse outcomes, deter patients from filing malpractice claims, or ensure that legal standards of care were met. The extent to which concerns about medical malpractice influence assurance behaviors of pathologists interpreting breast specimens is unknown.
methodsBreast pathologists (n = 252) enrolled in a nationwide study completed an online survey of attitudes regarding malpractice and perceived alterations in interpretive behavior due to concerns of malpractice. Associations between pathologist characteristics and the impact of malpractice concerns on personal and colleagues' assurance behaviors were determined by χ(2) and logistic regression analysis.
resultsMost participants reported using one or more assurance behaviors due to concerns about medical malpractice for both their personal (88%) and colleagues' (88%) practices, including ordering additional stains, recommending additional surgical sampling, obtaining second reviews, or choosing the more severe diagnosis for borderline cases. Nervousness over breast pathology was positively associated with assurance behavior and remained statistically significant in a multivariable logistic regression model (odds ratio, 2.5; 95% confidence interval, 1.0-6.1; P = .043).
conclusionsPracticing US breast pathologists report exercising defensive medicine by using assurance behaviors due to malpractice concerns.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.