Medical malpractice and the thyroid gland.
BACKGROUND
A medical malpractice litigation "crisis" exists in this country. Analyzing litigation trends through verdict summaries may help understand causes.


METHODS
Jury verdict reviews from 1987-2000 were obtained from a computerized database. Reviews compile data on defendants, plaintiffs, allegations of wrongdoing, and verdict summaries.


RESULTS
Thirty suits from nine states occurred. Plaintiffs were women in 80% of the cases, with a median age of 41. Fifty percent of patients (15 of 30) had a bad outcome, (9 of 30 dead, 4 of 30 with neurologic deficits, 1 blind, and 1 alive with cancer). Thirty percent alleged surgical complications, mostly recurrent laryngeal nerve injury, and 75% of cancer patients alleged a delay, either through falsely negative biopsies or no biopsy taken. Respiratory events occurred in 43% and frequently resulted in large awards.


CONCLUSIONS
The liberal use of fine-needle aspiration and documentation of surgical risks may help reduce litigation. Complications and bad outcomes do not indicate negligence. Analysis may contribute to risk management strategies or litigation reform.
Lydiatt
Daniel D
DD
Department of Otolaryngology, University of Nebraska Medical Center and Methodist Cancer Center, Omaha, Nebraska 68198-1225, USA. dlydiatt@unmc.edu
D017677:Age Distribution; D016208:Databases, Factual; D005104:Expert Testimony / Q000331:legislation & jurisprudence; D005260:Female; D006801:Humans; D016365:Liability, Legal; D008297:Male; D008318:Malpractice / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D019300:Medical Errors / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D008875:Middle Aged; D011183:Postoperative Complications; D017678:Sex Distribution; D013959:Thyroid Diseases / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy*; D013997:Time Factors; D014481:United States