No-Fault Compensation From the Patient Compensation Association in Denmark After Primary Total Hip Replacement in Danish Hospitals 2005-2017
| Autor: | Kim Lyngby Mikkelsen, Michael Mørk Petersen, Nissa Khan, Henrik Morville Schrøder |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Reoperation
medicine.medical_specialty hip no-fault Arthroplasty Replacement Hip Denmark medicine.medical_treatment Total hip replacement Prosthesis Design Prosthesis compensation Danish 03 medical and health sciences 0302 clinical medicine Humans Medicine Orthopedics and Sports Medicine health care economics and organizations 030222 orthopedics business.industry Incidence Compensation (psychology) Incidence (epidemiology) General surgery claims Arthroplasty Hospitals language.human_language Compensation and Redress language arthroplasty Observational study Hip Prosthesis Fault compensation business |
| Zdroj: | Khan, N, Petersen, M M, Mikkelsen, K L & Schrøder, H M 2020, ' No-fault compensation from the Patient Compensation Association in Denmark after primary total hip replacement in Danish hospitals 2005-2017 ', Journal of Arthroplasty, vol. 35, no. 7, pp. 1784-1791 . https://doi.org/10.1016/j.arth.2020.02.042 |
| ISSN: | 0883-5403 |
| Popis: | Background There is an annually rising number of performed total hip arthroplasty (THA) surgeries in Denmark and this is expected to become even more common. However, there are still risks of adverse events, which become the basis for compensation claims. In Denmark, there are no studies available concerning filed claims after THA. The aims of this study are to determine the incidence of claims related to THAs in Denmark, the reasons to claim, which claims lead to compensation, the amount of compensation, and trends over time. Methods In this observational study, we analyzed all closed claims between 2005 and 2017 from the Danish Patient Compensation Association (DPCA). With the intention to contribute to prevention, we have identified the number and outcome of claims. Results There were 2924 cases (ie, 2.5% of all THAs performed in this period). The approval rate was 54%. The number of claims filed was stagnant over time, except for a spike of metal-on-metal (MoM) prosthesis cases. The total payout was USD 29,591,045, and 87% of this was due to nerve damage (USD 9,106,118), infection (USD 6,046,948), MoM prosthesis (USD 4,624,353), insufficient or incorrect treatment (USD 472,500), and fracture (USD 2,088,110). Conclusion In total, 2.5% of all THAs performed between 2005 and 2017 lead to a claim submission at the DPCA. One of 2 claims were approved. The majority of payouts were due to nerve damage, infection, MoM prosthesis, insufficient or incorrect treatment, and fracture. Although DPCA manages claims for patients, the data can also provide beneficial feedback to arthroplasty surgeons with the aim of improving patient care. |
| Databáze: | OpenAIRE |
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