title: [Surgical procedures involved in claims for alleged defects in praxis].
abstract: Medical professional liability and adverse events in health care are major concerns worldwide and the analysis of claims for alleged defects in praxis is a potential source of knowledge. High rates of adverse events and complaints have been reported in surgical procedures. This article analyzes the claims registered by the Council of Medical Colleges in Catalonia between 1986 and 2012, and explores surgical procedures claimed (ICD- 9-CM coding), as well as the final outcome of the claim. Among the 5,419 records identified on surgical procedures, the interventions of the musculoskeletal system and skin and integument showed the highest frequencies. Interventions related to "non-curative" medicine should be emphasized because of their higher rates of economical agreement or condemnation outcomes, which were significantly higher for mastopexia. The results underscore the importance of the surgical area in medical professional liability and the high risk of payouts among those procedures belonging to the so-called "non-curative" medicine.
authors.affiliation: Servicio de Responsabilidad Profesional. Área de Praxis. Colegio de Médicos de Barcelona. Consejo de Colegios de Médicos de Cataluña. Barcelona. España; Unidad de Medicina Legal y Forense. Departamento de Salud Pública. Facultad de Medicina. Universitat de Barcelona. Barcelona. España. Electronic address: josep.arimany@comb.cat.
authors.forename: Josep
authors.initials: J
authors.lastname: Arimany-Manso
authors.affiliation: Servicio de Responsabilidad Profesional. Área de Praxis. Colegio de Médicos de Barcelona. Consejo de Colegios de Médicos de Cataluña. Barcelona. España.
authors.forename: J
authors.initials: J
authors.lastname: Benet-Travé
authors.affiliation: Servicio de Responsabilidad Profesional. Área de Praxis. Colegio de Médicos de Barcelona. Consejo de Colegios de Médicos de Cataluña. Barcelona. España.
authors.forename: M
authors.initials: M
authors.lastname: Bruguera-Cortada
authors.affiliation: Servicio de Responsabilidad Profesional. Área de Praxis. Colegio de Médicos de Barcelona. Consejo de Colegios de Médicos de Cataluña. Barcelona. España.
authors.forename: R
authors.initials: R
authors.lastname: Torné-Escasany
authors.affiliation: Servicio de Responsabilidad Profesional. Área de Praxis. Colegio de Médicos de Barcelona. Consejo de Colegios de Médicos de Cataluña. Barcelona. España; Servicio de Medicina Intensiva. Hospital Universitari Germans Trias i Pujol. Badalona. Barcelona. España.
authors.forename: J
authors.initials: J
authors.lastname: Klamburg-Pujol
authors.affiliation: Servicio de Responsabilidad Profesional. Área de Praxis. Colegio de Médicos de Barcelona. Consejo de Colegios de Médicos de Cataluña. Barcelona. España; Departamento de Medicina. Facultad de Medicina y Ciencias de la Salud. Universitat Internacional de Catalunya. Barcelona. España; Unidad de Psiquiatría. Fundació Sociosanitària de Barcelona. Barcelona. España.
authors.forename: Esperanza L
authors.initials: EL
authors.lastname: Gómez-Durán
mesh_terms: D035881:Compensation and Redress / Q000331:legislation & jurisprudence; D003953:Diagnosis-Related Groups; D019937:Diagnostic Techniques and Procedures / Q000009:adverse effects / Q000706:statistics & numerical data; D006801:Humans; D007431:Intraoperative Complications / Q000191:economics / Q000453:epidemiology* / Q000209:etiology; D016365:Liability, Legal / Q000191:economics; D008318:Malpractice / Q000191:economics / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D008511:Medicine / Q000706:statistics & numerical data; D012042:Registries; D012189:Retrospective Studies; D013030:Spain; D013514:Surgical Procedures, Operative / Q000009:adverse effects / Q000145:classification / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data
keywords: Cirugía; Claims; Mala praxis; Malpractice; Professional liability; Reclamaciones; Responsabilidad profesional médica; Surgery