Evidence map›Paper›PMID 30742599›Full record

ArticleOtology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology2019

Medical Malpractice of Vestibular Schwannoma: A 40-Year Review of the United States Legal Databases.

Jack Birkenbeuel, Kimberly Vu, Brandon M Lehrich, Mehdi Abouzari, Dillon Cheung, Pooya Khosravi, Ronald Sahyouni, Kasra Ziai, Omid Moshtaghi, Sammy Sahyouni and 1 more

Abstract read
In one paragraph

Article in Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Risk Recall of Complications Associated with Vestibular Schwannoma Treatment.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2019
    Article
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

11 authors.

Jack BirkenbeuelDepartment of Otolaryngology-Head and Neck Surgery.
Kimberly VuDepartment of Otolaryngology-Head and Neck Surgery.
Brandon M LehrichDepartment of Otolaryngology-Head and Neck Surgery.
Mehdi AbouzariDepartment of Otolaryngology-Head and Neck Surgery.
Dillon CheungDepartment of Otolaryngology-Head and Neck Surgery.
Pooya KhosraviDepartment of Otolaryngology-Head and Neck Surgery.
Ronald SahyouniDepartment of Otolaryngology-Head and Neck Surgery.
Kasra ZiaiDepartment of Otolaryngology-Head and Neck Surgery.
Omid MoshtaghiDepartment of Otolaryngology-Head and Neck Surgery.
Sammy SahyouniDepartment of Otolaryngology-Head and Neck Surgery.
Hamid R DjalilianDepartment of Otolaryngology-Head and Neck Surgery.

Funding

University of California Health Participation in the National COVID Cohort Collaborative (N3C)UL1TR001414 · NCATS · UNIVERSITY OF CALIFORNIA-IRVINE · PI COOPER, DAN M, VILAIN, ERIC J. · 2015 to 2023
$35.1M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM008620 · NIGMS · UNIVERSITY OF CALIFORNIA-IRVINE · PI GOLDIN, ALAN L · 1999 to 2023
$8.1M
NCATS NIH HHS UL1 TR001414NIGMS NIH HHS T32 GM008620
6 · The paper itself

Abstract

objectivesTo analyze medical malpractice lawsuit trends pertaining to cases of vestibular schwannomas (VS).

methodsTwo major computerized legal databases (LexisNexis and WestLaw) were queried and reviewed for evaluation of all the US state and federal court records from civil trials alleging malpractice between 1976 and 2016.

resultsA total of 32 VS cases were identified. Allegations were divided into four categories: misdiagnosis/delayed diagnosis (47%), postoperative complications (44%), failure of informed consent or information sharing (16%), and other (3%). Postoperative complications included facial nerve paralysis, myocardial infarction, meningitis, and intracranial hemorrhage. Judgment amounts ranged from $300,000 to $2,000,000. The specialist type was specified for 24 of the 32 cases (75%): neurosurgeons (n = 9; 37%), neurotologists (n = 6; 25%), general otolaryngologists (n = 5; 21%), primary care physicians (n = 4; 17%), neurologists (n = 3; 12%), radiologists (n = 3; 12%), anesthesiologists (n = 2; 8%), radiation oncologists (n = 1; 4%), and general surgeon (n = 1; 4%). Of these 24 cases, (n = 9; 37%) two or more physicians were named as defendants in the lawsuit.

conclusionsEnhanced physician-patient communication, ensuring proper and adequate patient consent procedures, and proper documentation are good practices that may decrease the likelihood of lawsuits.

Indexed as

Neuroma, AcousticDatabases, FactualHumansMalpracticeUnited States

Identifiers

PMID30742599
PMCPMC6382000

What OpenQuestion holds

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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.