ReviewUpdates in surgery2015
Consequences of defensive medicine, second victims, and clinical-judicial syndrome on surgeons' medical practice and on health service.
Review in Updates in surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Defensive Medical Practice in Dentistry: A Dual-Perspective Cross-Sectional Analysis of Dentists and Patients in Romania.Healthcare (Basel, Switzerland) · 2026Article
- The current state of defensive medicine and its association with empathy: a cross-sectional study among graduate students in Guangxi, China.BMC medical education · 2025Article
- Two decades of dental malpractice litigations in Türkiye: a retrospective matched cohort study analyzing legal and clinical outcomes.BMC oral health · 2025Article
- Understanding the Second Victim Phenomenon Among Healthcare Workers in an Italian Hospital.European journal of investigation in health, psychology and education · 2024Article
- The influence of fears of perceived legal consequences on general practitioners' practice in relation to defensive medicine - a cross-sectional survey in Germany.BMC primary care · 2024Article
- Article
- The European Researchers' Network Working on Second Victim (ERNST) Policy Statement on the Second Victim Phenomenon for Increasing Patient Safety.Public health reviews · 2024Article
- Policy Options for Reducing Defensive Medicine Behaviors: A Multi-Method Study.Medical journal of the Islamic Republic of Iran · 2024Article
- Practice of defensive medicine among surgeons in Ethiopia: cross-sectional study.BMC medical ethics · 2023Article
- Predictors of Defensive Practices among Italian Psychiatrists: Additional Findings from a National Survey.Medicina (Kaunas, Lithuania) · 2023Article
- Defensive medicine through the lens of the managerial perspective: a literature review.BMC health services research · 2023Review
- Exploring defensive medicine: examples, underlying and contextual factors, and potential strategies - a qualitative study.BMC medical ethics · 2023Article
- Collateral Victims of Defensive Medical Practice.Healthcare (Basel, Switzerland) · 2023Article
- The practice of defensive medicine among Jordanian physicians: A cross sectional study.PloS one · 2023Article
- The Effect of Second-Victim-Related Distress and Support on Work-Related Outcomes in Tertiary Care Hospitals in Kelantan, Malaysia.International journal of environmental research and public health · 2022Article
- Translation and Validation of the Malay Revised Second Victim Experience and Support Tool (M-SVEST-R) among Healthcare Workers in Kelantan, Malaysia.International journal of environmental research and public health · 2022Article
- The Impact of Patient Deaths on General Surgeons' Psychosocial Well-Being and Surgical Practices.Frontiers in surgery · 2022Article
- Personalized decision-making for acute cholecystitis: Understanding surgeon judgment.Frontiers in digital health · 2022Article
- Defensive medicine in Danish general practice. Types of defensive actions and reasons for practicing defensively.Scandinavian journal of primary health care · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Increased knowledge in disease causes and progression, along with technological and technical advancements in their diagnosis and treatment, have led to increased expectations from physicians by patients and their relatives. The condition of "second victim" is known to affect caregivers that commit an error, and seriously impairs private life and subsequent practice. Besides, a condition has been described, the clinical-judicial syndrome, affecting caregivers at any moment during a medical litigation. In this scenario, physicians have started to practice "defensive medicine", aimed at protect themselves from liability rather than actually advancing care of patients. This paper represents the first review on defensive medicine with specific focus on surgery in an Italian setting. We reviewed the literature on the topic, with particular focus on surgeons and Italian current status, and provide the readers with a snapshot on these relevant issues, proposing strategies to prevent and reduce the practice of defensive medicine, and to support patients and physicians suffering from medical errors.
Indexed as
Identifiers
26650202What OpenQuestion holds
Registered trials
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.