Evidence map›Paper›PMID 28352812›Full record

ArticleOpen medicine (Warsaw, Poland)2016

Medicolegal implications of surgical errors and complications in neck surgery: A review based on the Italian current legislation.

Andrea Polistena, Pierpaolo Di Lorenzo, Alessandro Sanguinetti, Claudio Buccelli, Giovanni Conzo, Adelaide Conti, Massimo Niola, Nicola Avenia

Abstract read
In one paragraph

Article in Open medicine (Warsaw, Poland), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Clinical students' reflections on the preclinical anatomy learning experience.Journal of Taibah University Medical Sciences · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Andrea PolistenaUniversity of Perugia, Medical School, Endocrine Surgery Unit, S. Maria University Hospital, Terni, Italy.
Pierpaolo Di LorenzoDepartment of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy.
Alessandro SanguinettiUniversity of Perugia, Medical School, Endocrine Surgery Unit, S. Maria University Hospital, Terni, Italy.
Claudio BuccelliDepartment of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy.
Giovanni ConzoDepartment of Anesthesiological, Surgical and Emergency Sciences, Second University of Naples, Naples, Italy.
Adelaide ContiDepartment of Surgery, Radiology and Public Health, Public Health and Humanities Section, University of Brescia - Centre of Bioethics Research, Brescia, Italy.
Massimo NiolaDepartment of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy.
Nicola AveniaUniversity of Perugia, Medical School, Endocrine Surgery Unit, S. Maria University Hospital, Terni, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim of the present paper is the review of the principal complications associated to endocrine neck surgery considering how expertise, full adoption of guidelines, appropriate technology and proper informed consent may limit the medicolegal claims at the light of the incoming new regulation of the medical professional legal responsibility. A literature search, using the Medline/PubMed database for full-length papers, was used. Postoperative recurrent laryngeal nerve (RLN) palsy and hypoparathy-roidism remain the principal causes of surgical malpractice claims . In the procedure of neck lymphadenctomy intra-operative haemorrhage, thoracic duct injury, injuries to loco-regional nerves can be observed and can be source of claims. After many years of increased medicolegal litigations, the Italian government is proposing a drastic change in the regulations of supposed medical malpractice in order to guarantee the patient's right to a safe treatment and in the meantime to defend clinicians from often unmotivated and prejudicial legal cases. Surgical errors and complications in neck surgery are a relevant clinical issue. Only the combination of surgical and clinical expertise, application of guidelines, appropriate technology and a routinely use of specific informed consent can contain potential medicolegal implications.

Indexed as

ComplicationsMalpracticeMedicolegal claimsNeck lymphadenectomyParathyroidectomyThyroidectomy

Identifiers

PMID28352812
PMCPMC5329845

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.