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Medico-Legal Cases in Breast Imaging in Canada: A Trend Analysis.
- Source :
-
Canadian Association of Radiologists Journal . May2024, Vol. 75 Issue 2, p369-376. 8p. - Publication Year :
- 2024
-
Abstract
- Purpose: Breast imaging accounts for a large proportion of medico-legal cases involving radiologists in several countries and may be a disincentive to breast imaging. As this has not been well studied in Canada, we evaluated the key medico-legal issues of breast imaging in Canada and their implications for health care providers and patient safety. Methods: In collaboration with Canadian Medical Protective Association (CMPA), we obtained information from the medico-legal repository, including civil-legal, medical regulatory authority (College) and hospital complaints occurring between 2002-2021. Canadian Classification of Health Interventions (CCI) codes were used for breast imaging and biopsy. Trend analysis was done comparing cases involving breast imaging/biopsy to all cases where a radiologist was named. Results: Radiologists were named in 3108 medico-legal cases, 188 (6%, 188/3108) of which were CCI coded for breast imaging or biopsy. Factors related to radiologists were most frequent (64%, 120/188), followed by team (23.4%, 44/188) and system (6.9%, 13/188). Equal representation of male and female radiologists was found (IRR = 1.22; 95% CI:.89, 1.56). In a 10-year test window from 2006 - 2015 we identified an increasing trend for all cases involving radiologists (P = 0,0128) but a decreasing trend for cases coded with breast imaging or biopsy (P = 0,0099). Conclusions: A significant decrease in cases involving breast imaging were found from 2006-2015, accounting for 6% of the medico-legal cases. The lower risk of breast imaging medico-legal issues may encourage more radiologists in breast imaging. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 08465371
- Volume :
- 75
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Canadian Association of Radiologists Journal
- Publication Type :
- Academic Journal
- Accession number :
- 176861729
- Full Text :
- https://doi.org/10.1177/08465371231193366