Evidence map›Paper›PMID 32715328›Full record

Observational studyEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2021

Claims in orthopedic foot/ankle surgery, how can they help to improve quality of care? A retrospective claim analysis.

Fay R K Sanders, Patricia Wimmer-Boelhouwers, Onno X Dijt, Gino M M J Kerkhoffs, Tim Schepers

Abstract readObservational Study
In one paragraph

Observational study in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
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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

5 authors.

Fay R K SandersTrauma Unit, Amsterdam Movement Sciences, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105AZ, Amsterdam, The Netherlands. f.r.sanders@amsterdamumc.nl.ORCID http://orcid.org/0000-0002-5479-418X
Patricia Wimmer-BoelhouwersMediRisk, Van Deventerlaan 20, 3503 RK, Utrecht, The Netherlands.
Onno X DijtMediRisk, Van Deventerlaan 20, 3503 RK, Utrecht, The Netherlands.
Gino M M J KerkhoffsOrthopedic Surgery Department, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105AZ, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0001-7910-7123
Tim SchepersTrauma Unit, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105AZ, Amsterdam, The Netherlands. t.schepers@amsterdamumc.nl.ORCID http://orcid.org/0000-0003-1172-4939

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOrthopedic foot/ankle surgery is a high risk specialty when it comes to malpractice claims. This study aims to evaluate the incidence, characteristics and outcome of claims in this area.

methodsThis was a retrospective, 10-year claim analysis, with data from an anonymous database. Baseline claim/claimant characteristics were collected from all orthopedic foot/ankle-related cases.

resultsOf 460 claims in total, most were related to delay in/wrong diagnosis or to (complications of) elective surgical procedures. Whether a claim was settled was related to type of injury (fracture) and type of claim (diagnostic mistake). Median amount disbursed in settled claims was €12,549. Claim incidence did not increase over the years.

conclusionMissed fracture diagnosis and "failed"/disappointing results of elective surgical procedures were the most common causes for claims. Sufficient knowledge of missed (foot) fractures and clear communication/expectation management before elective procedures could help to improve quality of healthcare and patient satisfaction.

Indexed as

MalpracticeOrthopedic ProceduresQuality of Health CareAdultAgedAnkleElective Surgical ProceduresFemaleFootHumansMaleMiddle AgedRetrospective StudiesAnkleFootMalpractice claimsOrthopedic surgeryTrauma surgery

Identifiers

PMID32715328
PMCPMC7815606

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Registered trials

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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.