Causes of Breast Cancer Malpractice Litigation
作者： Kenneth A. Kern
DOI: 10.1001/ARCHSURG.1992.01420050062008
关键词: Breast cancer 、 Surgery 、 Malpractice 、 Civil court 、 Mammography 、 Medicine 、 Painless Mass 、 Delayed diagnosis 、 Mean age
摘要: • To determine objectively the patient and physician factors that lead to breast cancer malpractice litigation, a review was undertaken of all cases tried in US federal state civil court system over 20-year period from 1971 through 1990. Forty-five were identified involved delayed diagnosis (the mean delay 15 months). The patients young (mean age, 40 years). Of 45 studied, majority (37 [82%]) found painless mass by self-examination breast. Only 22 (49%) had further workup, mostly mammography (20 [44%]). results 16 mammograms (80%) read as normal. Obstetricians gynecologists greatest number (21 [50%]), followed family practitioners internists (17 [41%]), general surgeons (12 [28%]), radiologists (4 [10%]). (Arch Surg. 1992;127:542-547)
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