Compensation claims for chiropractic in Denmark and Norway 2004–2012

Jevne, Jørgen; Hartvigsen, Jan; Christensen, Henrik Wulff

doi:10.1186/s12998-014-0037-4

Cited by 9 publications

(4 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The Danish health care system is funded ∼85% publicly through taxes and ∼15% privately, accounting mainly for pharmaceuticals and dentistry (11).…”

Section: Danish Health Care System and Patient Compensation Associationmentioning

confidence: 99%

“…The DPCA was founded to improve the patients' access to compensation if they unexpectedly suffer injury whilst being treated in the Danish health care system. The DPCA functions as a nofault system of claims, and the claimants are not charged any expenses for the casework (11). The no-fault compensation for medical injury system is separate from medical professional accountability processes.…”

Section: Danish Health Care System and Patient Compensation Associationmentioning

confidence: 99%

See 1 more Smart Citation

No-Fault Compensation From the Patient Compensation Association in Denmark After Primary Total Hip Replacement in Danish Hospitals 2005-2017

Khan

Petersen

Mikkelsen³

et al. 2020

The Journal of Arthroplasty

View full text Add to dashboard Cite

Background:There is an annually rising number of performed total hip arthroplasty (THA) surgeries in Denmark and this is expected to become even more common. However, there are still risks of adverse events, which become the basis for compensation claims. In Denmark, there are no studies available concerning filed claims after THA. The aims of this study were to determine: incidence of claims related to THAs in Denmark, the reasons to claim, which claims lead to compensation, the amount of compensation, and trends over time. Methods: In this observational study, we analyzed all closed claims between 2005-2017 from the Danish Patient Compensation Association (DPCA). With the intention to contribute to prevention, we have identified the number and outcome of claims. Results: There were 2,924 cases (i.e. 2.5% of all THAs performed in this period). The approval rate was 54%. The number of claims filed was stagnant over time, except for a spike of Metal on Metal (MoM) prosthesis-cases. The total payout was USD 29,591,045, and 87% of this was due to nerve damage (USD 9,106,118), infection (USD 6,046,948), metal on metal (MoM) prosthesis (USD 4,624,353), insufficient or incorrect treatment (USD 472,500), and fracture (USD 2,088,110). Conclusion: 2.5% of all THAs performed between 2005-2017 lead to a claim submission at the DPCA. 1 out of 2 claims were approved. The majority of payouts were due to nerve damage, infection, MoM prosthesis, insufficient or incorrect treatment, and fracture. Although DPCA manages claims for patients, the data can also provide beneficial feedback to arthroplasty surgeons with the aim of improving patient care.

show abstract

“…The Danish health care system is funded ∼85% publicly through taxes and ∼15% privately, accounting mainly for pharmaceuticals and dentistry (11).…”

Section: Danish Health Care System and Patient Compensation Associationmentioning

confidence: 99%

Section: Danish Health Care System and Patient Compensation Associationmentioning

confidence: 99%

No-Fault Compensation From the Patient Compensation Association in Denmark After Primary Total Hip Replacement in Danish Hospitals 2005-2017

Khan

Petersen

Mikkelsen³

et al. 2020

The Journal of Arthroplasty

View full text Add to dashboard Cite

show abstract

“…Fluctuations in yearly reporting rates on CPiRLS were noted although, on average the reporting rate increased, suggesting more chiropractors are engaging with the system over time. Of note, several other reporting systems exist within individual ECU member countries that enable chiropractors to record SIs [ 22 ]. This may account for the lack of engagement with CPiRLS in some ECU member countries.…”

Section: Discussionmentioning

confidence: 99%

Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety

Thomas

Swait²,

Finch³

2023

Chiropr Man Therap

View full text Add to dashboard Cite

Background Safety incident (SI) reporting and learning via incident reporting systems (IRSs) is used to identify areas for patient safety improvement. The chiropractic patient incident reporting and learning system (CPiRLS) is an online IRS that was launched in the UK in 2009 and, from time to time, has been licensed for use by the national members of the European Chiropractors' Union (ECU), members of Chiropractic Australia and a Canada-based research group. The primary aim of this project was to analyse the SIs submitted to CPiRLS over a 10-year period to identify key areas for patient safety improvement. Method All SIs reported to CPiRLS between April 2009 and March 2019 were extracted and analysed. Descriptive statistics were used to describe: (1) the frequency of SI reporting and learning by the chiropractic profession, and (2) the character of reported SIs. Key areas for patient safety improvement were developed following a mixed methods approach. Results A total of 268 SIs were recorded on the database over the 10-year period, 85% of which originated from the UK. Evidence of learning was documented in 143 (53.4%) SIs. The largest subcategory of SIs related to post-treatment distress or pain (n = 71, 26.5%). Seven key areas for patient improvement were developed including: (1) patient trip/fall, (2) post treatment distress/pain, (3) negative effects during treatment, (4) significant post-treatment effects, (5) syncope, (6) failure to recognize serious pathology, and (7) continuity of care. Conclusion The low number of SIs reported over a 10-year period suggests significant under-reporting, however, an upward trend was identified over the 10-year period. Several key areas for patient safety improvement have been identified for dissemination to the chiropractic profession. Improved reporting practice needs to be facilitated to improve the value and validity of reporting data. CPiRLS is important in identifying key areas for patient safety improvement.

show abstract

“…In Denmark, it is obligatory to report adverse events of chiropractic treatments, and no serious or lasting side effects have ever been reported in infants following the types of treatment used in this trial [ 15 ]. Furthermore, no compensation claims have ever been made for this age group in Denmark [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

The effect of chiropractic care on infantile colic: results from a single-blind randomised controlled trial

et al. 2021

Self Cite

View full text Add to dashboard Cite

Background Chiropractic care is commonly used to treat infantile colic. However large trials with parental blinding are missing. Therefore, the purpose of this study is to evaluate the effect of chiropractic care on infantile colic. Method This is a multicenter, single-blind randomized controlled trial conducted in four Danish chiropractic clinics, 2015–2019. Information was distributed in the maternity wards and by maternal and child health nurses. Children aged 2–14 weeks with unexplained excessive crying were recruited through home visits and randomized (1:1) to either chiropractic care or control group. Both groups attended the chiropractic clinic twice a week for 2 weeks. The intervention group received chiropractic care, while the control group was not treated. The parents were not present in the treatment room and unaware of their child’s allocation. The primary outcome was change in daily hours of crying before and after treatment. Secondary outcomes were changes in hours of sleep, hours being awake and content, gastrointestinal symptoms, colic status and satisfaction. All outcomes were based on parental diaries and a final questionnaire. Results Of 200 recruited children, 185 completed the trial (treatment group n = 96; control group n = 89). Duration of crying in the treatment group was reduced by 1.5 h compared with 1 h in the control group (mean difference − 0.6, 95% CI − 1.1 to − 0.1; P = 0.026), but when adjusted for baseline hours of crying, age and chiropractic clinic, the difference was not significant (P = 0.066). The proportion obtaining a clinically important reduction of 1 h of crying was 63% in the treatment group and 47% in the control group (p = 0.037), and NNT was 6.5. We found no effect on any of the secondary outcomes. Conclusion Excessive crying was reduced by half an hour in favor of the group receiving chiropractic care compared with the control group, but not at a statistically significant level after adjustments. From a clinical perspective, the mean difference between the groups was small, but there were large individual differences, which emphasizes the need to investigate if subgroups of children, e.g. those with musculoskeletal problems, benefit more than others from chiropractic care. Trial registration Clinical Trials NCT02595515, registered 2 November 2015

show abstract

Compensation claims for chiropractic in Denmark and Norway 2004–2012

Cited by 9 publications

References 47 publications

No-Fault Compensation From the Patient Compensation Association in Denmark After Primary Total Hip Replacement in Danish Hospitals 2005-2017

No-Fault Compensation From the Patient Compensation Association in Denmark After Primary Total Hip Replacement in Danish Hospitals 2005-2017

Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety

The effect of chiropractic care on infantile colic: results from a single-blind randomised controlled trial

Contact Info

Product

Resources

About