Factors Influencing Litigation Compensation in Plastic Surgery: A Retrospective Analysis in China

Background:. Doctor–patient disputes have become a prominent problem in contemporary society. The analysis and discussion of the factors leading to litigation compensation are essential to prevent and resolve doctor–patient conflicts, reduce litigation events, and provide better service for patients...

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Main Authors: Xueshang Su, MD, Yutong Liang, MD, Jun Zhuang, MD, Qingqian Wei, MD, Ziming Zhang, MD, Xue Ouyang, MD, Haixia Jiang, MD, Na Cai, MD, Jintian Hu, MD, Bo Ding, MD
Format: Article
Language:English
Published: Wolters Kluwer 2025-08-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000007034
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author Xueshang Su, MD
Yutong Liang, MD
Jun Zhuang, MD
Qingqian Wei, MD
Ziming Zhang, MD
Xue Ouyang, MD
Haixia Jiang, MD
Na Cai, MD
Jintian Hu, MD
Bo Ding, MD
author_facet Xueshang Su, MD
Yutong Liang, MD
Jun Zhuang, MD
Qingqian Wei, MD
Ziming Zhang, MD
Xue Ouyang, MD
Haixia Jiang, MD
Na Cai, MD
Jintian Hu, MD
Bo Ding, MD
author_sort Xueshang Su, MD
collection DOAJ
description Background:. Doctor–patient disputes have become a prominent problem in contemporary society. The analysis and discussion of the factors leading to litigation compensation are essential to prevent and resolve doctor–patient conflicts, reduce litigation events, and provide better service for patients. Methods:. We reviewed the medical lawsuit cases of a plastic surgery hospital over the past 8 years. After excluding 11 withdrawal cases, we analyzed the types of surgery, surgical sites, and causes of litigation compensation in the remaining 36 cases. Subsequently, we proposed preventive measures to avert similar occurrences. Results:. Thirty six medical malpractice lawsuits were filed, 23 of which involved cosmetic surgery. In 72.2% (26 of 36) of the cases, disputes were resolved through compensation, with the majority involving facial plastic surgery, including procedures on the skin, eyes, nose, forehead, ears, and jaw. The primary reasons for pursuing legal action included dissatisfaction with surgical outcomes, postoperative complications or disabilities, lack of informed consent, inadequate doctor–patient communication, and insufficient preoperative examination records. Additional factors included improper medical documentation, deviation from established medical protocols, noncompliance with surgical indications, and insufficient attention to patient needs. Furthermore, 1 lawsuit was filed due to an incident in which a patient’s family member fell on hospital stairs. Conclusions:. Plastic surgery often leads to lawsuits because patients are not satisfied with the cosmetic results. In reconstructive surgery, the causes of litigation are mainly postoperative complications, mainly infections. Doctor–patient communication remains the most important issue, especially effective and active communication.
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spelling doaj-art-df08c2fe439d46a28950051be7a23f382025-08-26T03:24:29ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-08-01138e703410.1097/GOX.0000000000007034202508000-00033Factors Influencing Litigation Compensation in Plastic Surgery: A Retrospective Analysis in ChinaXueshang Su, MD0Yutong Liang, MD1Jun Zhuang, MD2Qingqian Wei, MD3Ziming Zhang, MD4Xue Ouyang, MD5Haixia Jiang, MD6Na Cai, MD7Jintian Hu, MD8Bo Ding, MD9From the * Department of Cosmetic Injection Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaFrom the * Department of Cosmetic Injection Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China† Department of Ear Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaFrom the * Department of Cosmetic Injection Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaFrom the * Department of Cosmetic Injection Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China‡ Doctor–Patient Relationship Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.‡ Doctor–Patient Relationship Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.‡ Doctor–Patient Relationship Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.From the * Department of Cosmetic Injection Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China‡ Doctor–Patient Relationship Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.Background:. Doctor–patient disputes have become a prominent problem in contemporary society. The analysis and discussion of the factors leading to litigation compensation are essential to prevent and resolve doctor–patient conflicts, reduce litigation events, and provide better service for patients. Methods:. We reviewed the medical lawsuit cases of a plastic surgery hospital over the past 8 years. After excluding 11 withdrawal cases, we analyzed the types of surgery, surgical sites, and causes of litigation compensation in the remaining 36 cases. Subsequently, we proposed preventive measures to avert similar occurrences. Results:. Thirty six medical malpractice lawsuits were filed, 23 of which involved cosmetic surgery. In 72.2% (26 of 36) of the cases, disputes were resolved through compensation, with the majority involving facial plastic surgery, including procedures on the skin, eyes, nose, forehead, ears, and jaw. The primary reasons for pursuing legal action included dissatisfaction with surgical outcomes, postoperative complications or disabilities, lack of informed consent, inadequate doctor–patient communication, and insufficient preoperative examination records. Additional factors included improper medical documentation, deviation from established medical protocols, noncompliance with surgical indications, and insufficient attention to patient needs. Furthermore, 1 lawsuit was filed due to an incident in which a patient’s family member fell on hospital stairs. Conclusions:. Plastic surgery often leads to lawsuits because patients are not satisfied with the cosmetic results. In reconstructive surgery, the causes of litigation are mainly postoperative complications, mainly infections. Doctor–patient communication remains the most important issue, especially effective and active communication.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000007034
spellingShingle Xueshang Su, MD
Yutong Liang, MD
Jun Zhuang, MD
Qingqian Wei, MD
Ziming Zhang, MD
Xue Ouyang, MD
Haixia Jiang, MD
Na Cai, MD
Jintian Hu, MD
Bo Ding, MD
Factors Influencing Litigation Compensation in Plastic Surgery: A Retrospective Analysis in China
Plastic and Reconstructive Surgery, Global Open
title Factors Influencing Litigation Compensation in Plastic Surgery: A Retrospective Analysis in China
title_full Factors Influencing Litigation Compensation in Plastic Surgery: A Retrospective Analysis in China
title_fullStr Factors Influencing Litigation Compensation in Plastic Surgery: A Retrospective Analysis in China
title_full_unstemmed Factors Influencing Litigation Compensation in Plastic Surgery: A Retrospective Analysis in China
title_short Factors Influencing Litigation Compensation in Plastic Surgery: A Retrospective Analysis in China
title_sort factors influencing litigation compensation in plastic surgery a retrospective analysis in china
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000007034
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