Vicente-Ruiz Miriam, Hontanilla Bernardo
Department of Plastic and Reconstructive Surgery, Clínica Universidad de Navarra, Av. Pio XII 36, 31008, Pamplona, Spain.
Aesthetic Plast Surg. 2025 Jan;49(1):400-406. doi: 10.1007/s00266-024-04476-2. Epub 2024 Oct 30.
In recent years, there has been an upward tendency in the number of claims against Plastic Surgeons in some countries, while remaining among the most litigated specialists worldwide. Identifying the most frequent traits in Plastic Surgery claimants could aid surgeons in performing better patient selection and avoid liability.
The three main legal databases in Spain were consulted for Plastic Surgery litigations in Spain over a five-year period. Data from the plaintiffs, defendants and judicial processes were collected. In addition, expert witnesses were interviewed and data from the main medico-legal association in Spain was collected. This data was contrasted with the available literature regarding litigation in Plastic Surgery worldwide.
A total of 199 court resolutions were analyzed, two expert witnesses were interviewed and "The Patient's Advocate Association" of Spain was consulted. The most frequent traits observed in the plaintiffs were summarized in the acronym FATIMA that describes a Female patient using Antidepressants or Anxiolytics, presenting body Tattoos, suing after undergoing a breast surgery with the use of Implants, Middle-aged and with Access to free legal services.
The use of the acronym FATIMA in the identification of patients with high risk of litigation in Plastic Surgery could aid surgeons in performing adequate patient selection and avoiding medical liability.
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近年来，在一些国家，针对整形外科医生的索赔数量呈上升趋势，而整形外科医生仍是全球诉讼最多的专科医生之一。识别整形外科索赔者最常见的特征有助于外科医生更好地进行患者选择并避免责任风险。
查阅了西班牙三个主要法律数据库中五年内西班牙的整形外科诉讼记录。收集了原告、被告及司法程序的数据。此外，还采访了专家证人并收集了西班牙主要法医学协会的数据。将这些数据与全球范围内有关整形外科诉讼的现有文献进行对比。
共分析了199项法庭决议，采访了两名专家证人，并咨询了西班牙的“患者维权协会”。在原告中观察到的最常见特征总结为首字母缩写词FATIMA，它描述的是一名服用抗抑郁药或抗焦虑药的女性患者，身上有纹身，在接受植入式隆胸手术后提起诉讼，中年且可获得免费法律服务。
使用首字母缩写词FATIMA来识别整形外科中具有高诉讼风险的患者，有助于外科医生进行充分的患者选择并避免医疗责任。
证据等级IV：本刊要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整描述，请参阅目录或作者在线指南www.springer.com/00266 。
