Abstract：
OBJECTIVE:In defensive medicine, practice is motivated by legal rather than medical reasons. Previous studies have analyzed the correlation between perceived medico-legal risk and defensive behavior among neurosurgeons in the United States, Canada, and South Africa, but not yet in Europe. The aim of this study is to explore perceived liability burdens and self-reported defensive behaviors among neurosurgeons in the Netherlands and compare their practices with their non-European counterparts. METHODS:A survey was sent to 136 neurosurgeons. The survey included questions from several domains: surgeon characteristics, patient demographics, type of practice, surgeon liability profile, policy coverage, defensive practices, and perception of the liability environment. Survey responses were analyzed and summarized. RESULTS:Forty-five neurosurgeons filled out the questionnaire (response rate of 33.1%). Almost half (n = 20) reported paying less than 5% of their income to annual malpractice premiums. Nearly all respondents view their insurance premiums as a minor or no burden (n = 42) and are confident that in their coverage is sufficient (n = 41). Most neurosurgeons (n = 38) do not see patients as "potential lawsuits". CONCLUSIONS:Relative to their American peers, Dutch neurosurgeons view their insurance premiums as less burdensome, their patients as a smaller legal threat, and their practice as less risky in general. They are sued less often and engage in fewer defensive behaviors than their non-European counterparts. The medico-legal climate in the Netherlands may contribute to this difference.
journal_name
Acta Neurochir (Wien)journal_title
Acta neurochirurgicaauthors
Yan SC,Hulsbergen AFC,Muskens IS,van Dam M,Gormley WB,Broekman MLD,Smith TRdoi
10.1007/s00701-017-3323-9subject
Has Abstractpub_date
2017-12-01 00:00:00pages
2341-2350issue
12eissn
0001-6268issn
0942-0940pii
10.1007/s00701-017-3323-9journal_volume
159pub_type
杂志文章abstract：BACKGROUND:Intraoperative navigated ultrasonography has reached clinical acceptance, while published data for the accuracy of some systems are missing. We technically quantified and optimised the accuracy of the integration of an external ultrasonography system into a BrainLab navigation system. METHODS:A high-end ult...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-017-3416-5
更新日期：2018-02-01 00:00:00
abstract：:Lesions generated by the passage of micro-needles through vessel walls are of concern because any lesion may significantly alter hemodynamics of an anastomosis. To study this problem, three different needles were tested on the exposed carotid arteries of 30 rats: the 100 mu taper point, the 100 mu cutting point, and t...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01402308
更新日期：1985-01-01 00:00:00
abstract：:Parafalcine chondrosarcoma is extremely rare, and may be difficult to differentiate preoperatively from falx meningioma. An 18-year-old woman presented with a parafalcine chondrosarcoma incidentally detected as a small lesion 2 years before admission, suggesting falx meningioma. Brain computed tomography and magnetic ...
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01401426
更新日期：1983-01-01 00:00:00
abstract：:The follow up of 49 stereotactically operated epileptics is graphically demonstrated and the 79 operations in basic targets within the amygdala and the area of the anterior pole of the thalamus are described. The patients had valuable gaining in 80%; The continued developement of stereotactic methods in the future is ...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/978-3-7091-8444-8_30
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abstract：BACKGROUND:An Afghani man presented to a U.S. military facility in Afghanistan with a 3-month history of clear fluid from his left naris and frequent sinusitis. Eleven years earlier, he had been struck in the forehead by an object falling from the sky. MATERIALS AND METHODS:Neurologic examination revealed decreased se...
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pub_type： 杂志文章
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更新日期：2013-03-01 00:00:00
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pub_type： 杂志文章
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更新日期：1998-01-01 00:00:00
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journal_title：Acta neurochirurgica
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-004-0393-2
更新日期：2005-01-01 00:00:00
abstract：INTRODUCTION:Patients with thalamic hemorrhage, depressed level of consciousness and/or signs of elevated intracranial pressure may be treated with neurocritical care (NCC) and external ventricular drainage (EVD) for release of cerebrospinal fluid. METHODS:Forty-three patients with thalamic hemorrhage treated with NCC...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
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更新日期：2013-11-01 00:00:00
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更新日期：2019-04-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01420068
更新日期：1995-01-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-007-1447-z
更新日期：2008-02-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-008-1512-2
更新日期：2008-05-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-007-1369-9
更新日期：2007-12-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章,评审
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
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更新日期：1998-01-01 00:00:00
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doi：10.1007/BF01587960
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pub_type： 临床试验,杂志文章
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pub_type： 杂志文章
doi：10.1007/s007010170048
更新日期：2001-01-01 00:00:00
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pub_type： 杂志文章
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01400638
更新日期：1992-01-01 00:00:00
abstract：:In a period of 13 years 978 cases of severe head injuries were operated on in our clinic. An analysis of the medical reports includes injuries of the superficial dural sinus (39 cases = 4%): among these injuries of the anterior and central part of the superior sagittal sinus (66 per cent), injuries of the transverse s...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/BF01541788
更新日期：1992-01-01 00:00:00
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pub_type： 杂志文章
doi：10.1007/s00701-011-1129-8
更新日期：2011-11-01 00:00:00
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journal_title：Acta neurochirurgica
pub_type： 杂志文章
doi：10.1007/s00701-007-1168-3
更新日期：2007-01-01 00:00:00
abstract：BACKGROUND:Studies of deep brain stimulation (DBS) in mice are rare due to their small size, agility, aversion to handling, and high anxiety compared to larger species. Studying DBS modulation of neural circuitry in murine models of human behavior may ensure safety, guide stimulatory parameters for clinical trials in h...
journal_title：Acta neurochirurgica
pub_type： 杂志文章
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更新日期：2014-08-01 00:00:00
