{"id":"https://openalex.org/W1519783802","doi":"https://doi.org/10.1002/jso.23770","title":"Medical malpractice and sarcoma care-A thirty-three year review of case resolutions, inciting factors, and at risk physician specialties surrounding a rare diagnosis","display_name":"Medical malpractice and sarcoma care-A thirty-three year review of case resolutions, inciting factors, and at risk physician specialties surrounding a rare diagnosis","publication_year":2014,"publication_date":"2014-08-22","ids":{"openalex":"https://openalex.org/W1519783802","doi":"https://doi.org/10.1002/jso.23770","mag":"1519783802","pmid":"https://pubmed.ncbi.nlm.nih.gov/25155556"},"language":"en","primary_location":{"id":"doi:10.1002/jso.23770","doi":"https://doi.org/10.1002/jso.23770","is_oa":false,"landing_page_url":"https://doi.org/10.1002/jso.23770","pdf_url":null,"source":{"id":"https://openalex.org/S13860802","display_name":"Journal of Surgical Oncology","issn_l":"0022-4790","issn":["0022-4790","1096-9098"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Surgical Oncology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5054253455","display_name":"Nathan W. Mesko","orcid":"https://orcid.org/0000-0001-7331-5618","observed_orcids":["https://orcid.org/0000-0001-7331-5618"]},"institutions":[{"id":"https://openalex.org/I901861585","display_name":"Vanderbilt University Medical Center","ror":"https://ror.org/05dq2gs74","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162197","https://openalex.org/I901861585"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Nathan W. Mesko","raw_affiliation_strings":["Investigation Performed at Vanderbilt University Medical Center, Department of Orthopaedic Surgery, Musculoskeletal Oncology Division, Nashville, Tennessee"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Investigation Performed at Vanderbilt University Medical Center, Department of Orthopaedic Surgery, Musculoskeletal Oncology Division, Nashville, Tennessee","institution_ids":["https://openalex.org/I901861585"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054646199","display_name":"Jennifer L. Mesko","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I901861585","display_name":"Vanderbilt University Medical Center","ror":"https://ror.org/05dq2gs74","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162197","https://openalex.org/I901861585"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jennifer L. Mesko","raw_affiliation_strings":["Investigation Performed at Vanderbilt University Medical Center, Department of Orthopaedic Surgery, Musculoskeletal Oncology Division, Nashville, Tennessee"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Investigation Performed at Vanderbilt University Medical Center, Department of Orthopaedic Surgery, Musculoskeletal Oncology Division, Nashville, Tennessee","institution_ids":["https://openalex.org/I901861585"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5089238013","display_name":"Lauren M. Gaffney","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I901861585","display_name":"Vanderbilt University Medical Center","ror":"https://ror.org/05dq2gs74","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162197","https://openalex.org/I901861585"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lauren M. Gaffney","raw_affiliation_strings":["Investigation Performed at Vanderbilt University Medical Center, Department of Orthopaedic Surgery, Musculoskeletal Oncology Division, Nashville, Tennessee"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Investigation Performed at Vanderbilt University Medical Center, Department of Orthopaedic Surgery, Musculoskeletal Oncology Division, Nashville, Tennessee","institution_ids":["https://openalex.org/I901861585"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032324822","display_name":"Jennifer L. Halpern","orcid":"https://orcid.org/0000-0003-4812-2755","observed_orcids":["https://orcid.org/0000-0003-4812-2755"]},"institutions":[{"id":"https://openalex.org/I901861585","display_name":"Vanderbilt University Medical Center","ror":"https://ror.org/05dq2gs74","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162197","https://openalex.org/I901861585"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jennifer L. Halpern","raw_affiliation_strings":["Investigation Performed at Vanderbilt University Medical Center, Department of Orthopaedic Surgery, Musculoskeletal Oncology Division, Nashville, Tennessee"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Investigation Performed at Vanderbilt University Medical Center, Department of Orthopaedic Surgery, Musculoskeletal Oncology Division, Nashville, Tennessee","institution_ids":["https://openalex.org/I901861585"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015343041","display_name":"Herbert S. Schwartz","orcid":"https://orcid.org/0000-0001-6591-8179","observed_orcids":["https://orcid.org/0000-0001-6591-8179"]},"institutions":[{"id":"https://openalex.org/I901861585","display_name":"Vanderbilt University Medical Center","ror":"https://ror.org/05dq2gs74","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162197","https://openalex.org/I901861585"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Herbert S. Schwartz","raw_affiliation_strings":["Investigation Performed at Vanderbilt University Medical Center, Department of Orthopaedic Surgery, Musculoskeletal Oncology Division, Nashville, Tennessee"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Investigation Performed at Vanderbilt University Medical Center, Department of Orthopaedic Surgery, Musculoskeletal Oncology Division, Nashville, Tennessee","institution_ids":["https://openalex.org/I901861585"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5025093991","display_name":"Ginger E. Holt","orcid":"https://orcid.org/0000-0001-5497-9419","observed_orcids":["https://orcid.org/0000-0001-5497-9419"]},"institutions":[{"id":"https://openalex.org/I901861585","display_name":"Vanderbilt University Medical Center","ror":"https://ror.org/05dq2gs74","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162197","https://openalex.org/I901861585"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ginger E. Holt","raw_affiliation_strings":["Investigation Performed at Vanderbilt University Medical Center, Department of Orthopaedic Surgery, Musculoskeletal Oncology Division, Nashville, Tennessee"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Investigation Performed at Vanderbilt University Medical Center, Department of Orthopaedic Surgery, Musculoskeletal Oncology Division, Nashville, Tennessee","institution_ids":["https://openalex.org/I901861585"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5054253455"],"corresponding_institution_ids":["https://openalex.org/I901861585"],"apc_list":{"value":4570,"currency":"USD","value_usd":4570},"apc_paid":null,"fwci":36.5889,"has_fulltext":false,"cited_by_count":31,"citation_normalized_percentile":{"value":0.99508659,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":93,"max":98},"biblio":{"volume":"110","issue":"8","first_page":"919","last_page":"929"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12339","display_name":"Medical Malpractice and Liability Issues","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/3308","display_name":"Law"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T12339","display_name":"Medical Malpractice and Liability Issues","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/3308","display_name":"Law"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10253","display_name":"Sarcoma Diagnosis and Treatment","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13275","display_name":"Medical and Health Sciences Research","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3308","display_name":"Law"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medical-malpractice","display_name":"medical malpractice","score":0.9660000205039978},{"id":"https://openalex.org/keywords/extremity-sarcoma","display_name":"extremity sarcoma","score":0.9629999995231628},{"id":"https://openalex.org/keywords/medical-malpractice-litigation","display_name":"medical malpractice litigation","score":0.7580000162124634},{"id":"https://openalex.org/keywords/tort-reform","display_name":"tort reform","score":0.5189999938011169},{"id":"https://openalex.org/keywords/delay-in-diagnosis","display_name":"delay in diagnosis","score":0.7229999899864197},{"id":"https://openalex.org/keywords/misdiagnosis","display_name":"misdiagnosis","score":0.996999979019165},{"id":"https://openalex.org/keywords/indemnity-payments","display_name":"indemnity payments","score":0.6460000276565552},{"id":"https://openalex.org/keywords/physician-specialty","display_name":"physician specialty","score":0.6039999723434448},{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.7450000047683716},{"id":"https://openalex.org/keywords/orthopedic-surgeons","display_name":"orthopaedic surgeons","score":0.9359999895095825},{"id":"https://openalex.org/keywords/radiologists","display_name":"radiologists","score":0.7020000219345093},{"id":"https://openalex.org/keywords/academic-affiliation","display_name":"academic affiliation","score":0.49799999594688416}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9548234939575195},{"id":"https://openalex.org/C2776798817","wikidata":"https://www.wikidata.org/wiki/Q318836","display_name":"Malpractice","level":2,"score":0.7990051507949829},{"id":"https://openalex.org/C514090530","wikidata":"https://www.wikidata.org/wiki/Q2565355","display_name":"Medical malpractice","level":3,"score":0.6600529551506042},{"id":"https://openalex.org/C2778256501","wikidata":"https://www.wikidata.org/wiki/Q223911","display_name":"Sarcoma","level":2,"score":0.5880394577980042},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.44928574562072754},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.34555524587631226},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.1182456910610199},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D005121","descriptor_name":"Extremities","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008318","descriptor_name":"Malpractice","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012306","descriptor_name":"Risk","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012509","descriptor_name":"Sarcoma","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D012509","descriptor_name":"Sarcoma","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D057210","descriptor_name":"Delayed Diagnosis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1002/jso.23770","doi":"https://doi.org/10.1002/jso.23770","is_oa":false,"landing_page_url":"https://doi.org/10.1002/jso.23770","pdf_url":null,"source":{"id":"https://openalex.org/S13860802","display_name":"Journal of Surgical Oncology","issn_l":"0022-4790","issn":["0022-4790","1096-9098"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Surgical Oncology","raw_type":"journal-article"},{"id":"pmid:25155556","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25155556","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of surgical oncology","raw_type":"Journal Article"},{"id":"mag:2187649425","doi":null,"is_oa":false,"landing_page_url":"https://www.tuckerellis.com/userfiles/file/Journal%20of%20Surgical%20Oncology_Mesko_2014.pdf","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9074000120162964,"display_name":"Good health and well-being"},{"id":"https://metadata.un.org/sdg/16","score":0.666700005531311,"display_name":"Peace, justice, and strong institutions"}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320308349","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":38,"referenced_works":["https://openalex.org/W183169480","https://openalex.org/W429083659","https://openalex.org/W563455032","https://openalex.org/W1173796298","https://openalex.org/W1976819217","https://openalex.org/W1983211476","https://openalex.org/W1985116537","https://openalex.org/W1996924369","https://openalex.org/W2002217614","https://openalex.org/W2007174621","https://openalex.org/W2015188660","https://openalex.org/W2019397842","https://openalex.org/W2024320351","https://openalex.org/W2031267008","https://openalex.org/W2034349094","https://openalex.org/W2036742510","https://openalex.org/W2044687211","https://openalex.org/W2047619334","https://openalex.org/W2050238994","https://openalex.org/W2056721666","https://openalex.org/W2075485315","https://openalex.org/W2091035530","https://openalex.org/W2112320718","https://openalex.org/W2116009150","https://openalex.org/W2116555643","https://openalex.org/W2118092882","https://openalex.org/W2124239698","https://openalex.org/W2137799916","https://openalex.org/W2141348613","https://openalex.org/W2148118870","https://openalex.org/W2153198267","https://openalex.org/W2160060092","https://openalex.org/W2160502824","https://openalex.org/W2161156466","https://openalex.org/W2161244607","https://openalex.org/W2163581778","https://openalex.org/W2167829172","https://openalex.org/W2168566553"],"related_works":["https://openalex.org/W2187649425","https://openalex.org/W3031526099","https://openalex.org/W2224638429","https://openalex.org/W3048919831","https://openalex.org/W4405318885","https://openalex.org/W4367839821","https://openalex.org/W3092350022","https://openalex.org/W2811421913","https://openalex.org/W2314266261","https://openalex.org/W2036742510"],"abstract_inverted_index":{"BACKGROUND:":[0],"We":[1,45],"reviewed":[2],"medico-legal":[3,142],"cases":[4,26,74],"related":[5],"to":[6,12,148],"extremity":[7,41],"sarcoma":[8,19,42,145],"malpractice":[9,36],"in":[10,28,95,178,184],"order":[11],"recognize":[13],"those":[14],"factors":[15],"most":[16,170],"commonly":[17,171],"instigating":[18],"litigation.":[20],"METHODS:":[21],"Over":[22],"one":[23],"million":[24,90],"legal":[25,31],"available":[27],"a":[29,84,176],"national":[30],"database":[32],"were":[33,115,133],"searched":[34],"for":[35,105,158],"verdicts":[37],"and":[38,63,101,125,165,189],"settlements":[39],"involving":[40,144],"spanning":[43],"1980-2012.":[44],"categorized":[46],"verdict/settlement":[47],"resolutions":[48,79],"by":[49],"state,":[50],"year,":[51],"award":[52],"amount,":[53],"nature":[54],"of":[55,59,66,77,88,108,113,191],"the":[56,60,72,81,106,169,185],"complaint/injury,":[57],"specialty":[58],"physician":[61,173],"defendant,":[62],"academic":[64],"affiliation":[65],"defendant-amongst":[67],"other":[68,159],"variables.":[69],"RESULTS:":[70],"Of":[71],"216":[73],"identified,":[75],"57%":[76],"case":[78,137],"favored":[80],"plaintiff,":[82],"with":[83,150],"mean":[85,151],"indemnity":[86,152],"payment":[87],"$2.30":[89],"(range":[91],"$65,076-$12.66":[92],"million).":[93],"Delay":[94],"diagnosis":[96,188],"(81%),":[97],"unnecessary":[98],"amputation":[99],"(11%),":[100],"misdiagnosis":[102],"(7%)":[103],"accounted":[104],"majority":[107],"complaints.":[109],"The":[110],"greatest":[111],"numbers":[112],"claims":[114,143],"filed":[116],"against":[117,136],"primary":[118],"care":[119,146,164],"specialties":[120,167],"(34%),":[121],"orthopaedic":[122,166],"surgeons":[123],"(23%),":[124],"radiologists":[126],"(12%).":[127],"Individual":[128],"state":[129],"tort":[130],"reform":[131],"measures":[132],"not":[134],"protective":[135],"resolution":[138],"outcome.":[139],"CONCLUSIONS:":[140],"Reported":[141],"continue":[147],"rise,":[149],"payments":[153],"approaching":[154],"10":[155],"times":[156],"that":[157],"reported":[160],"medical/surgical":[161],"specialties.":[162],"Primary":[163],"are":[168],"named":[172],"defendants,":[174],"citing":[175],"delay":[177],"diagnosis.":[179],"This":[180],"suggests":[181],"further":[182],"education":[183],"front":[186],"line":[187],"management":[190],"sarcomas":[192],"is":[193],"needed.":[194]},"counts_by_year":[{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":4},{"year":2020,"cited_by_count":7},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":2},{"year":2016,"cited_by_count":4},{"year":2015,"cited_by_count":2}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}