Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Via Luciano Armanni 5, 80138 Napoli, Italy.
Bioethics and Humanities Research Unit, Campus Bio-Medico University of Rome, Via Alvaro del Portillo 21, 00128 Roma, Italy.
Medicina (Kaunas). 2021 Jun 3;57(6):571. doi: 10.3390/medicina57060571.
(1) Introduction: Medical malpractice claims against both health institutions and physicians are a crucial topic in Italy, as well as in other countries, particularly regarding civil proceedings. Our study reports an analysis of all of the malpractice judgments concerning plastic surgery decided in the Civil Court of Rome between 2012 and 2016. (2) Methods: the database of the Observatory Project on Medical Responsibility (ORMe) was analyzed, which collects all of the judgments of the Civil Court of Rome, that is, the first instance district court. Therefore, neither the jurisprudence of the second level court nor that of the Supreme Court was taken into account. (3) Results: 144 judgments concerning plastic surgery were delivered in the five-year period of 2012-2016 (corresponding to 10.6% of total professional liability verdicts of the Civil Court of Rome in the same period). In 101/144 cases (70.14%), the claim was accepted. A total of €4,727,579.00 was paid in compensation for plastic surgery malpractice claims, with a range from a minimum amount of €1555.96 to a maximum amount of €1,425,155.00 and an average compensation of €46,807.71 per claim that was significantly lower compared to other surgical disciplines. (4) Conclusions: Our data confirm that the analyzed branch has a high litigation rate, with a prevalence of convictions for cosmetic procedures over reconstructive ones, both for malpractice and for violation of the informed consent. Plastic surgery is also confirmed among those branches in which the professionals are more frequently sued compared to health institutions.
(1) 引言：在意大利和其他国家，针对医疗机构和医生的医疗事故索赔都是一个重要的话题，尤其是在民事诉讼方面。我们的研究报告分析了 2012 年至 2016 年期间罗马民事法院对所有整形手术医疗事故判决。(2) 方法：分析了医学责任观察站项目（ORMe）的数据库，该数据库收集了罗马民事法院的所有判决，即一审法院。因此，我们没有考虑到二审法院和最高法院的判决。(3) 结果：在 2012-2016 年的五年期间，共做出了 144 例涉及整形手术的判决（占罗马民事法院同期所有专业责任判决的 10.6%）。在 101/144 例（70.14%）案件中，索赔被受理。共支付了 4727579.00 欧元的整形手术医疗事故赔偿，赔偿金额从最低 1555.96 欧元到最高 1425155.00 欧元不等，平均每个索赔的赔偿金额为 46807.71 欧元，明显低于其他外科专业。(4) 结论：我们的数据证实，分析的专业领域存在高诉讼率，美容手术的定罪率高于重建手术，无论是医疗事故还是违反知情同意。与医疗机构相比，整形手术也是那些专业领域中医生更常被起诉的手术之一。
