{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:59:48Z","timestamp":1777589988653,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2021,8]]},"abstract":"\n Introduction:<\/jats:title>\n The litigious environment encompassing the medical\u2013legal domain is an increasing concern for surgical fields, with urology being no exception. The objective of our study was to systematically review, evaluate, and summarize the factors associated with oncologic nephrectomy litigation to determine possible factors contributing to verdicts or settlements.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n \n Publicly available verdict reports were retrieved using the Westlaw\n \u00ae<\/jats:sup>\n legal database (Reuters). Cases were identified using the search term \u201cnephrectomy\u201d with dates ranging from January 1, 1990 to July 1, 2019. Each case was evaluated by two independent reviewers for defendant specialty, alleged breach in treatment, resulting complications, verdict outcomes, and indemnity payment. Complications were determined to be preoperative, perioperative, and postoperative. Data were analyzed using SPSS software to produce the descriptive statistics.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n After accounting for duplicates and irrelevant cases, a total of 103 cases were analyzed with more than three-fourths being radical nephrectomies (78%). The most common claim was preoperative negligence (48%); however, negligence in perioperative care received the highest average monetary payment of $5,493,151. Forty-one percent of cases were perioperative with the majority being attributed to vascular injury (46%). The type of perioperative negligence claims and its average payment were found to be statistically significant (\n p<\/jats:italic>\n \u2009=\u20090.042). Overall, 57% of cases denied the plaintiff's claims, whereas 28% were awarded.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Our data show that although the highest number of cases were caused by preoperative negligence, perioperative negligence accounts for the highest settlement awards. This review provides insights into stages of management in the surgical management of renal cell cancer patients that may be subject to litigation.<\/jats:p>\n <\/jats:sec>","DOI":"10.1089\/end.2020.0427","type":"journal-article","created":{"date-parts":[[2020,9,24]],"date-time":"2020-09-24T01:40:06Z","timestamp":1600911606000},"page":"1158-1162","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Litigation Patterns in Oncologic Nephrectomies: A 30-Year Review"],"prefix":"10.1177","volume":"35","author":[{"given":"Amber S.","family":"Herbert","sequence":"first","affiliation":[{"name":"University of Maryland School of Medicine, Baltimore, Maryland, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad Amin","family":"Hadavand","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine, Baltimore, Maryland, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Ambinder","sequence":"additional","affiliation":[{"name":"University of Maryland School of Medicine, Baltimore, Maryland, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael W.","family":"Phelan","sequence":"additional","affiliation":[{"name":"Division of Urology, Department of Surgery, University of Maryland Medical Center, Baltimore, Maryland, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohummad Minhaj","family":"Siddiqui","sequence":"additional","affiliation":[{"name":"Division of Urology, Department of Surgery, University of Maryland Medical Center, Baltimore, Maryland, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,8,1]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"39","article-title":"The economics of health care quality and medical errors","volume":"39","author":"Andel C","year":"2012","unstructured":"Andel C, , Davidow SL, , Hollander M, , Moreno DA. The economics of health care quality and medical errors. J Health Care Finance, 2012; 39:39\u201350.","journal-title":"J Health Care Finance"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2009.0807"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urpr.2015.12.001"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2006.07.024"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2018.08.036"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clgc.2018.10.002"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.4111\/icu.2017.58.5.317"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)01021-9"},{"key":"e_1_3_3_10_2","unstructured":"Spinu DA Oprea I Bodean O et al. Urological malpractice. Modern Med. 2018;25. https:\/\/medicinamoderna.ro\/urological-malpractice. 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