Evidence map›Paper›PMID 32764863›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2020

Malpractice Litigation in Ophthalmic Trauma.

Stephanie B Engelhard, Sherveen S Salek, Grant A Justin, Austin J Sim, Fasika A Woreta, Ashvini K Reddy

Abstract read
In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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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

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Stephanie B EngelhardDepartment of Ophthalmology, New York-Presbyterian/Weill Cornell Medical College, New York, NY, USA.
Sherveen S SalekDepartment of Ophthalmology, Kaiser Permanente Washington, Silverdale, WA, USA.ORCID 0000-0001-7234-5196
Grant A JustinDepartment of Ophthalmology, Brooke Army Medical Center, San Antonio, TX, USA.ORCID 0000-0001-6084-6399
Austin J SimDepartment of Radiation Oncology, Moffitt Cancer Center, Tampa, FL, USA.
Fasika A WoretaDepartment of Ophthalmology, Wilmer Eye Institute, Johns Hopkins University, Baltimore, MD, USA.ORCID 0000-0001-9401-4283
Ashvini K ReddyAthena Eye Institute, San Antonio, TX, USA.ORCID 0000-0003-3509-2390

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo report and analyze the causes and outcomes of malpractice litigation in ophthalmic trauma.

methodsThe Westlaw

resultsForty-four ophthalmic trauma cases were included. Of these cases, 90.9% of ophthalmic trauma plaintiffs were male compared to 54.8% of plaintiffs in ophthalmology as a whole (P=<0.001); 34.1% of cases involved minor plaintiffs compared to 6.4% in ophthalmology as a whole (P=<0.001). Cases involving minors were more likely to be resolved in favor of the plaintiff than cases involving adult plaintiffs (53.3% vs 37.9%); however, this was not found to statistically significant (P=0.35). Overall, 54.5% of cases were resolved in favor of defendants; 40.9% of cases were resolved via jury trial with 50.0% resulting in payments to plaintiffs compared to the 29.6% rate of plaintiff verdicts in ophthalmology as a whole. Open globe injuries represented 61.4% of cases; 55.6% of these cases had intraocular foreign bodies and 37.0% developed endophthalmitis. Most cases (63.6%) alleged insufficient intervention. Of these cases, 31.8% of cases involved surgical or procedural claims, and 4.5% involved medical claims only.

conclusionMales and minors were overrepresented among plaintiffs in ocular trauma litigation. Most cases involved open globe injuries, often complicated by retained intraocular foreign bodies and endophthalmitis. Analysis of malpractice litigation in ophthalmic trauma calls attention to commonly litigated scenarios to improve clinical practice and to inform risk management.

Indexed as

endophthalmitisintraocular foreign bodylitigationmalpracticeopen globeorbital fracturerisktrauma

Identifiers

PMID32764863
PMCPMC7367728

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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.