Carsuzaa Florent, Favier Valentin, Delbreil Alexia, Ranger Adeline, Arnault François, Dufour Xavier, Tringali Stéphane, Fieux Maxime
Service ORL et chirurgie cervico-faciale, Centre Hospitalier Universitaire de Poitiers, 2 rue de la Milétrie, Poitiers, F-86000, France.
LITEC UR15560, Université de Poitiers, Poitiers, France.
Eur Arch Otorhinolaryngol. 2025 May;282(5):2719-2730. doi: 10.1007/s00405-025-09316-w. Epub 2025 Mar 21.
Claims against surgeons have increased considerably in Europe and North America. Ear nose and throat (ENT) physicians appears to be little affected by civil, administrative, criminal or disciplinary claims. Our objective was to conduct a comprehensive review of claims pertaining to ENT physicians in France.
A retrospective study including criminal, civil, administrative, and disciplinary claims against French ENT physicians between 2010 and 2023 was conducted. All claims against ENT physicians related to medical malpractice, over-invoicing and non-professional human behavior were included. The French legal system is structured around four main jurisdictions: criminal, civil, administrative, and disciplinary. Descriptive analyses of claims were made according to the four jurisdictions, the jurisdictional court involved, the type of malpractice, the outcome (conviction or dismissal), the type of sentence and the reasons for convictions.
Among 2688 claims screened, 88 claims (3%) were related to ENT procedures. Claims most frequently concerned medical malpractices (70%, 62/88), with otology (23%, 20/88) as first subspecialty followed by rhinology (20%, 18/88), over-invoicing issues (21%, 18/88), and non-professional human behaviors (9%, 8/88). Among all claims, 67% (59/88) resulted in a conviction and concerned medical malpractice in 59% (35/59), over-invoicing issues in 29% (17/59) of cases, and non-professional human behavior in 10% (6/59).
Criminal, civil, administrative, and disciplinary claims against ENT physicians frequently result in convictions. ENT physicians must be vigilant regarding the information they provide to patients, their surgical indications, and compliance to the established procedures validated by learned societies.
在欧洲和北美，针对外科医生的索赔大幅增加。耳鼻喉科（ENT）医生似乎很少受到民事、行政、刑事或纪律索赔的影响。我们的目标是对法国耳鼻喉科医生的索赔进行全面审查。
进行了一项回顾性研究，纳入了2010年至2023年间针对法国耳鼻喉科医生的刑事、民事、行政和纪律索赔。所有与医疗事故、过度开票和非专业人员行为相关的针对耳鼻喉科医生的索赔均被纳入。法国法律体系围绕四个主要司法管辖区构建：刑事、民事、行政和纪律。根据四个司法管辖区、所涉司法管辖区法院、医疗事故类型、结果（定罪或驳回）、刑罚类型和定罪原因对索赔进行描述性分析。
在筛选的2688项索赔中，88项（3%）与耳鼻喉科手术相关。索赔最常涉及医疗事故（70%，62/88），其中耳科学（23%，20/88）为首要亚专业，其次是鼻科学（20%，18/88）、过度开票问题（21%，18/88）和非专业人员行为（9%，8/88）。在所有索赔中，67%（59/88）导致定罪，其中59%（35/59）涉及医疗事故，29%（17/59）涉及过度开票问题，10%（6/59）涉及非专业人员行为。
针对耳鼻喉科医生的刑事、民事、行政和纪律索赔经常导致定罪。耳鼻喉科医生必须对向患者提供的信息、手术指征以及对学术团体认可的既定程序的遵守保持警惕。
