Analysis of medical litigation among patients with medical disputes in cosmetic surgery in Taiwan

Shu Yu Lyu, Chuh Kai Liao, Kao Ping Chang, Shang Ta Tsai, Ming Been Lee, Feng-Chou Tsai

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Background: This study aimed to investigate the key factors in medical disputes (arguments) among female patients after cosmetic surgery in Taiwan and to explore the correlates of medical litigation. Methods: A total of 6,888 patients (3,210 patients from two hospitals and 3,678 patients from two clinics) received cosmetic surgery from January 2001 to December 2009. The inclusion criteria specified female patients with a medical dispute. Chi-square testing and multiple logistic regression analysis were used to analyze the data. Results: Of the 43 patients who had a medical dispute (hospitals, 0.53%; clinics, 0.73%), 9 plaintiffs eventually filed suit against their plastic surgeons. Such an outcome exhibited a decreasing annual trend. The hospitals and clinics did not differ significantly in terms of patient profiles. The Chi-square test showed that most patients with a medical dispute (p <0.05) were older than 30 years, were divorced or married, had received operations under general anesthesia, had no economic stress, had a history of medical litigation, and eventually did not sue the surgeons. The test results also showed that the surgeon's seniority and experience significantly influenced the possibility of medical dispute and nonlitigation. Multiple logistical regression analysis further showed that the patients who did decide to enter into litigation had two main related factors: marital stress (odds ratio [OR], 10.67; 95% confidence interval [CI], 1.20-94.73) and an education level below junior college (OR, 9.33; 95% CI, 1.01-86.36). Conclusion: The study findings suggest that the key characteristics of patients and surgeons should be taken into consideration not only in the search for ways to enhance pre- and postoperative communication but also as useful information for expert testimony in the inquisitorial law system.

Original languageEnglish
Pages (from-to)764-772
Number of pages9
JournalAesthetic Plastic Surgery
Volume35
Issue number5
DOIs
Publication statusPublished - Oct 2011

Fingerprint

Dissent and Disputes
Jurisprudence
Plastic Surgery
Taiwan
Odds Ratio
Regression Analysis
Confidence Intervals
Divorce
Expert Testimony
Chi-Square Distribution
General Anesthesia
Logistic Models
Communication
Economics
Education

Keywords

  • Cosmetic surgery
  • Lawsuits
  • Litigation
  • Malpractice
  • Medical dispute

ASJC Scopus subject areas

  • Surgery

Cite this

Analysis of medical litigation among patients with medical disputes in cosmetic surgery in Taiwan. / Lyu, Shu Yu; Liao, Chuh Kai; Chang, Kao Ping; Tsai, Shang Ta; Lee, Ming Been; Tsai, Feng-Chou.

In: Aesthetic Plastic Surgery, Vol. 35, No. 5, 10.2011, p. 764-772.

Research output: Contribution to journalArticle

Lyu, Shu Yu ; Liao, Chuh Kai ; Chang, Kao Ping ; Tsai, Shang Ta ; Lee, Ming Been ; Tsai, Feng-Chou. / Analysis of medical litigation among patients with medical disputes in cosmetic surgery in Taiwan. In: Aesthetic Plastic Surgery. 2011 ; Vol. 35, No. 5. pp. 764-772.
@article{e43d01c078d94f618d9820a98941459e,
title = "Analysis of medical litigation among patients with medical disputes in cosmetic surgery in Taiwan",
abstract = "Background: This study aimed to investigate the key factors in medical disputes (arguments) among female patients after cosmetic surgery in Taiwan and to explore the correlates of medical litigation. Methods: A total of 6,888 patients (3,210 patients from two hospitals and 3,678 patients from two clinics) received cosmetic surgery from January 2001 to December 2009. The inclusion criteria specified female patients with a medical dispute. Chi-square testing and multiple logistic regression analysis were used to analyze the data. Results: Of the 43 patients who had a medical dispute (hospitals, 0.53{\%}; clinics, 0.73{\%}), 9 plaintiffs eventually filed suit against their plastic surgeons. Such an outcome exhibited a decreasing annual trend. The hospitals and clinics did not differ significantly in terms of patient profiles. The Chi-square test showed that most patients with a medical dispute (p <0.05) were older than 30 years, were divorced or married, had received operations under general anesthesia, had no economic stress, had a history of medical litigation, and eventually did not sue the surgeons. The test results also showed that the surgeon's seniority and experience significantly influenced the possibility of medical dispute and nonlitigation. Multiple logistical regression analysis further showed that the patients who did decide to enter into litigation had two main related factors: marital stress (odds ratio [OR], 10.67; 95{\%} confidence interval [CI], 1.20-94.73) and an education level below junior college (OR, 9.33; 95{\%} CI, 1.01-86.36). Conclusion: The study findings suggest that the key characteristics of patients and surgeons should be taken into consideration not only in the search for ways to enhance pre- and postoperative communication but also as useful information for expert testimony in the inquisitorial law system.",
keywords = "Cosmetic surgery, Lawsuits, Litigation, Malpractice, Medical dispute",
author = "Lyu, {Shu Yu} and Liao, {Chuh Kai} and Chang, {Kao Ping} and Tsai, {Shang Ta} and Lee, {Ming Been} and Feng-Chou Tsai",
year = "2011",
month = "10",
doi = "10.1007/s00266-011-9684-1",
language = "English",
volume = "35",
pages = "764--772",
journal = "Aesthetic Plastic Surgery",
issn = "0364-216X",
publisher = "Springer New York",
number = "5",

}

TY - JOUR

T1 - Analysis of medical litigation among patients with medical disputes in cosmetic surgery in Taiwan

AU - Lyu, Shu Yu

AU - Liao, Chuh Kai

AU - Chang, Kao Ping

AU - Tsai, Shang Ta

AU - Lee, Ming Been

AU - Tsai, Feng-Chou

PY - 2011/10

Y1 - 2011/10

N2 - Background: This study aimed to investigate the key factors in medical disputes (arguments) among female patients after cosmetic surgery in Taiwan and to explore the correlates of medical litigation. Methods: A total of 6,888 patients (3,210 patients from two hospitals and 3,678 patients from two clinics) received cosmetic surgery from January 2001 to December 2009. The inclusion criteria specified female patients with a medical dispute. Chi-square testing and multiple logistic regression analysis were used to analyze the data. Results: Of the 43 patients who had a medical dispute (hospitals, 0.53%; clinics, 0.73%), 9 plaintiffs eventually filed suit against their plastic surgeons. Such an outcome exhibited a decreasing annual trend. The hospitals and clinics did not differ significantly in terms of patient profiles. The Chi-square test showed that most patients with a medical dispute (p <0.05) were older than 30 years, were divorced or married, had received operations under general anesthesia, had no economic stress, had a history of medical litigation, and eventually did not sue the surgeons. The test results also showed that the surgeon's seniority and experience significantly influenced the possibility of medical dispute and nonlitigation. Multiple logistical regression analysis further showed that the patients who did decide to enter into litigation had two main related factors: marital stress (odds ratio [OR], 10.67; 95% confidence interval [CI], 1.20-94.73) and an education level below junior college (OR, 9.33; 95% CI, 1.01-86.36). Conclusion: The study findings suggest that the key characteristics of patients and surgeons should be taken into consideration not only in the search for ways to enhance pre- and postoperative communication but also as useful information for expert testimony in the inquisitorial law system.

AB - Background: This study aimed to investigate the key factors in medical disputes (arguments) among female patients after cosmetic surgery in Taiwan and to explore the correlates of medical litigation. Methods: A total of 6,888 patients (3,210 patients from two hospitals and 3,678 patients from two clinics) received cosmetic surgery from January 2001 to December 2009. The inclusion criteria specified female patients with a medical dispute. Chi-square testing and multiple logistic regression analysis were used to analyze the data. Results: Of the 43 patients who had a medical dispute (hospitals, 0.53%; clinics, 0.73%), 9 plaintiffs eventually filed suit against their plastic surgeons. Such an outcome exhibited a decreasing annual trend. The hospitals and clinics did not differ significantly in terms of patient profiles. The Chi-square test showed that most patients with a medical dispute (p <0.05) were older than 30 years, were divorced or married, had received operations under general anesthesia, had no economic stress, had a history of medical litigation, and eventually did not sue the surgeons. The test results also showed that the surgeon's seniority and experience significantly influenced the possibility of medical dispute and nonlitigation. Multiple logistical regression analysis further showed that the patients who did decide to enter into litigation had two main related factors: marital stress (odds ratio [OR], 10.67; 95% confidence interval [CI], 1.20-94.73) and an education level below junior college (OR, 9.33; 95% CI, 1.01-86.36). Conclusion: The study findings suggest that the key characteristics of patients and surgeons should be taken into consideration not only in the search for ways to enhance pre- and postoperative communication but also as useful information for expert testimony in the inquisitorial law system.

KW - Cosmetic surgery

KW - Lawsuits

KW - Litigation

KW - Malpractice

KW - Medical dispute

UR - http://www.scopus.com/inward/record.url?scp=80054104228&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80054104228&partnerID=8YFLogxK

U2 - 10.1007/s00266-011-9684-1

DO - 10.1007/s00266-011-9684-1

M3 - Article

C2 - 21416296

AN - SCOPUS:80054104228

VL - 35

SP - 764

EP - 772

JO - Aesthetic Plastic Surgery

JF - Aesthetic Plastic Surgery

SN - 0364-216X

IS - 5

ER -