Bayram Serkan, Oduncu Muhammed, Beşkoç Caner, Atan Yusuf
Department of Orthopedics and Traumatology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Council of Forensic Medicine, Istanbul, Turkey.
J Surg Oncol. 2025 May;131(6):1188-1195. doi: 10.1002/jso.28009. Epub 2024 Dec 12.
The aim of this study was to examine cases of malpractice litigation in primary sarcoma and metastatic bone disease in orthopedic oncology, to identify the areas in which orthopedic surgeons may be guilty of negligence, and to make them aware of this.
A comprehensive examination was conducted on all closed medical malpractice cases involving bone and soft tissue malignant tumors from 2014 to 2024. Patient demographics, histopathological diagnosis, and malpractice claims made in a variety of specialties were recorded. The inclusion and exclusion criteria of the study resulted in the inclusion of 70 cases of primary bone and soft tissue sarcoma and 36 cases of metastatic bone disease.
A total of 47 primary tumors were bone sarcoma and 23 were soft tissue sarcoma. A total of 11 patients with primary sarcoma were accepted for malpractice claims, representing 16% of all cases within this category. Nevertheless, no evidence of malpractice was identified among the patients with metastatic bone disease (p = 0.012). Orthopedists (44 of 85 defendants), pathologists (14 of 85 defendants), and radiologists (7 of 85 defendants) were the most common defendants in primary sarcoma malpractice cases. Surgeons other than orthopedists (21 of 49 defendants), medical oncologists (4 of 49 defendants), and radiation oncologists (4 of 49 defendants) were the most common defendants in metastatic bone disease malpractice cases.
Analysis of our cases suggests that malpractice claims are more likely filed against orthopedic surgeons for the treatment of primary malignant bone and soft tissue tumors than for metastatic bone disease.
本研究旨在调查骨科肿瘤学中原发性肉瘤和转移性骨病的医疗事故诉讼案例，确定骨科医生可能存在过失的领域，并让他们意识到这一点。
对2014年至2024年所有涉及骨和软组织恶性肿瘤的已结案医疗事故案例进行了全面审查。记录了患者的人口统计学信息、组织病理学诊断以及各个专科提出的医疗事故索赔。该研究的纳入和排除标准导致纳入了70例原发性骨和软组织肉瘤病例以及36例转移性骨病病例。
共有47例原发性肿瘤为骨肉瘤，23例为软组织肉瘤。共有11例原发性肉瘤患者提出了医疗事故索赔，占该类别所有病例的16%。然而，在转移性骨病患者中未发现医疗事故证据（p = 0.012）。骨科医生（85名被告中的44名）、病理学家（85名被告中的14名）和放射科医生（85名被告中的7名）是原发性肉瘤医疗事故案件中最常见的被告。骨科以外的外科医生（49名被告中的21名）、医学肿瘤学家（49名被告中的4名）和放射肿瘤学家（49名被告中的4名）是转移性骨病医疗事故案件中最常见的被告。
对我们的案例分析表明，与转移性骨病相比，针对骨科医生治疗原发性恶性骨和软组织肿瘤提出医疗事故索赔的可能性更大。
