[Claims for damages as a result of bile-duct injury during (laparoscopic) cholecystectomy].
OBJECTIVE
To evaluate the frequency of claims for damages initiated by patients referred to a tertiary centre for the treatment of bile-duct injury after a (laparoscopic) cholecystectomy. To determine the relationship between patient characteristics and the initiation of a claim procedure.


METHODS
Descriptive.


METHODS
Between 1 January 1990 and 31 December 2005, 500 patients with a bile-duct injury were referred to the Academic Medical Centre, Amsterdam, 454 of whom in the period up to 31 December 2004. Of these, 403 received a mailed questionnaire about the initiation of legal claims for damages.


RESULTS
The questionnaire was completed and returned by 278 patients (69%), a representative cohort ofthe 500. Of these, 53 (19%) had submitted a claim for damages. The percentage of claims did not increase over the periods 1991-1995 (19%), 1996-2000 (18%) and 2001-2005 (20%). In the univariate analysis, factors associated with the initiation of a claim procedure were: younger age, the severity of the injury, surgical treatment, being employed at the time of the initial cholecystectomy, and having been placed on sick leave. A complete transection of the common bile duct was the only independent predictive factor for starting a claim procedure (odds ratio: 7.5; 95% CI: 1.9-30.6).
de Reuver
P R
PR
Academisch Medisch Centrum/Universiteit van Amsterdam, Afd. Heelkunde, Amsterdam.
Rauws
E A J
EA
Laméris
J S
JS
Sprangers
M A G
MA
Gouma
D J
DJ
D001652:Bile Ducts / Q000293:injuries*; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D002769:Cholelithiasis / Q000601:surgery; D002983:Clinical Competence; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008297:Male; D008318:Malpractice; D008875:Middle Aged; D016017:Odds Ratio; D018570:Risk Assessment; D012307:Risk Factors; D011795:Surveys and Questionnaires