涉及癌症的积极监视的不当做法趋势
Samuel Chang1, Timothy J Daskivich2,3, Missael Vasquez4
1Athene Law LLP, San Francisco, CA.
Annals of surgery
|September 25, 2023
概括
针对低风险癌症的积极监测 (AS) 没有显示出成功的医疗不当诉讼. 记录的知情同意和遵守护理标准保护医生免受与AS相关的法律风险.
科学领域:
- 在瘤学瘤学.
- 医疗法 法律 医疗法
背景情况:
- 积极监测 (AS) 是针对低风险癌症的日益增长的策略.
- 由于错过诊断导致的诉讼恐惧是AS实施的障碍.
- 关于AS跨癌症类型的医疗失误趋势的数据有限.
研究的目的:
- 分析与各种癌症类型的积极监测 (AS) 相关的医疗失误趋势.
- 评估医生使用AS的法律风险和先例.
主要方法:
- 从1990年到2022年搜索了法律数据库 (Westlaw Edge,LexisNexis Advance) 的数据.
- 包括涉及甲状腺,前列腺,脏,乳腺癌和淋巴瘤的AS的失职案件.
- 关于指控,程序和案件结果的编制数据.
主要成果:
- 确定了5例与AS相关的前列腺癌病例;2人因遵循护理标准而被解雇.
- 3个案例涉嫌疏忽,因为不建议AS术后并发症;所有医生都因知情同意而受到青.
- 对于其他癌症类型,没有发现与AS相关的不当行为案例.
结论:
- 迄今为止,尚未发现癌症积极监测的不当行为诉讼.
- 对于适当的低风险癌症,AS是一种可行的管理选择.
- 目前的法律先例表明,医生在知情同意的情况下使用AS并没有增加医疗法律风险.
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