Risk factors for injuries associated with damage claims following groin hernia repair
| Autor: | Larsolof Hafström, Henrik Holmberg, Pär Nordin, H. Johansson, J. Ahlberg |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
Reoperation medicine.medical_specialty medicine.medical_treatment Hernia Inguinal 030230 surgery 03 medical and health sciences Insurance Claim Review 0302 clinical medicine Risk Factors medicine Humans Hernia Registries Groin hernia repair Herniorrhaphy Retrospective Studies Surgical repair Sweden Groin business.industry General surgery Kirurgi Malpractice Retrospective cohort study Liability Legal Middle Aged Hernia repair medicine.disease Hernia Femoral Surgery body regions medicine.anatomical_structure surgical procedures operative 030220 oncology & carcinogenesis Original Article Female Damage claims Complication business Abdominal surgery |
| Zdroj: | Hernia |
| Popis: | Purpose Surgical repair of groin hernia should be carried out with minimal complication rates, and it is important to have regular quality control and accurate means of assessment. The Swedish healthcare system has a mutual insurance company (LÖF) that receives claims from patients who have suffered healthcare-related damage or malpractice. The Swedish Hernia Register (SHR) currently covers around 98% of all Swedish groin hernia operations. The aim of this study was to analyse damage claims following groin hernia repair surgery and link these with entries in the SHR, in order to identify risk factors and causes of injuries and malpractice associated with hernia repair. Methods Data on all 48,574 groin hernia operations registered in the SHR between 2008 and 2010 were compared and linked with data on claims made to the Swedish National Patient Injury Insurance (LÖF). Results Of the 130 damage claims received by LÖF, 26 dealt with bleeding, 20 with testicular injury and 7 with intestinal lesions. Eighty (62%) of the complications were considered malpractice according to the Swedish Patient Injury Act. Acute and recurrent surgery, sutured repair and general anaesthesia were associated with a significantly increased risk for a damage claim independently the patients were compensated or not. Females filed claims in greater proportion than males. There was no significant difference in background factors between claims accepted by LÖF and compensated and those who were rejected compensation. Conclusion Risk factors for filing a damage claim included acute surgery, operation for recurrence, sutured repair and general anaesthesia, whereas local anaesthesia reduced the risk. |
| Databáze: | OpenAIRE |
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