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[Accusations of malpractice in chirotherapeutic treatment]
M L Hansis1, B Weber, U Smentkowski
1Rhön-Klinikum AG, Bad Neustadt/Saale, Salzburger Leite 1, 97616 Bad Neustadt, Germany. m.hansis.qm@rhoen-klinikum-ag.com
Background:
Little is known about the incidence of adverse effects after chiropractic manipulation. Over representation of severe and under representation of less severe complications has to be assumed.
Material And Methods:
A total of 57 expert opinions from the malpractice advisory board of the North Rhine General Medical Council (Nordrheinische Arztekammer), as well as judgments from German courts since 1949, were analyzed.
Results And Conclusions:
A total of 16 of 57 cases of chiropractic manipulation (since 1975) were attested as malpractice by expert opinion, seven of which had significant negative consequences. In nine cases, the judgments of German courts refer to manual therapy. Of these, five deal with informed consent. Observance of the "Bingen Declaration" would have avoided all cases of malpractice found by the advisory board over 29 years.
Insights
Adverse effects from chiropractic manipulation are not well-documented. Analysis of malpractice cases revealed that adhering to the "Bingen Declaration" could have prevented all identified malpractice incidents.
Area of Science:
- Medical malpractice
- Chiropractic care
- Patient safety
Background:
- The incidence of adverse effects following chiropractic manipulation remains largely unknown.
- There is a presumed overrepresentation of severe complications and underrepresentation of less severe adverse events.
Purpose of the Study:
- To analyze malpractice cases related to chiropractic manipulation.
- To assess the impact of informed consent and established guidelines on patient safety in chiropractic care.
Main Methods:
- Analysis of 57 expert opinions from the North Rhine General Medical Council's malpractice advisory board.
- Review of German court judgments concerning chiropractic and manual therapy since 1949.
Main Results:
- 16 out of 57 chiropractic manipulation cases (since 1975) were deemed malpractice by expert opinion, with seven resulting in significant negative consequences.
- Nine court judgments involved manual therapy, five of which specifically addressed informed consent issues.
Conclusions:
- Adherence to the
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