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Update in Gynecology and Obstetrics: reviews and databases

CONDE, Delio Marques; AMARAL, Waldemar Naves; PINTO-NETO, Aarao Mendes; ANDRADE, Jurandyr Moreira de
Fonte: SPRINGER HEIDELBERG Publicador: SPRINGER HEIDELBERG
Tipo: Artigo de Revista Científica
Português
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37.109653%
There is a considerable body of new information on Gynecology and Obstetrics. To aid in keeping gynecologists updated, renowned periodicals publish review articles. Review articles enable the reader to obtain the best evidence for clinical or research issues from several individual articles. This enables the professional to make clinical decisions in the light of current knowledge. The different types of reviews and database that may be used for the elaboration of reviews are discussed in the present article. It is suggested that future reviews on Gynecology and Obstetrics include articles published in other idioms apart from English and that a larger number of database is researched. Thus, reviews will be not only more inclusive but more representative of the international literature.

Update in Gynecology and Obstetrics: reviews and databases

CONDE, Delio Marques; AMARAL, Waldemar Naves; PINTO-NETO, Aarao Mendes; ANDRADE, Jurandyr Moreira de
Fonte: SPRINGER HEIDELBERG Publicador: SPRINGER HEIDELBERG
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
37.012285%
There is a considerable body of new information on Gynecology and Obstetrics. To aid in keeping gynecologists updated, renowned periodicals publish review articles. Review articles enable the reader to obtain the best evidence for clinical or research issues from several individual articles. This enables the professional to make clinical decisions in the light of current knowledge. The different types of reviews and database that may be used for the elaboration of reviews are discussed in the present article. It is suggested that future reviews on Gynecology and Obstetrics include articles published in other idioms apart from English and that a larger number of database is researched. Thus, reviews will be not only more inclusive but more representative of the international literature.

Single-site laparoscopy in gynecology: preliminary study of a series of 50 cases

Santos Filho,Admário Silva; Noviello,Maurício Bechara; Damasceno,Rachel Cruz Fraga; Patrício,Evilane do Carmo; Félix,Lara Rodrigues; Giostri,Paola Gaston; Brandão,Augusto Henriques F.
Fonte: Associação Médica Brasileira Publicador: Associação Médica Brasileira
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2014 Português
Relevância na Pesquisa
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Objective: to describe the initial experience of a gynecology team, at a tertiary care center, when performing single-port laparoscopic surgery. Methods: this is a retrospective study reviewing the medical records of 50 patients treated at the outpatient gynecology clinic of our institution between June 2012 and July 2013 who underwent single-port laparoscopic surgery. This study was approved by the institution’s Ethics in Research Committee. Results: the mean age of patients is 37.8 years, ranging from 18 to 70 years, and the most frequent surgical indications were adnexal mass (72%) and chronic pelvic pain (24%). The mean operative time was 94.4 minutes with a mean hospital stay of 25.8 hours. There were no perioperative complications. We recorded two conversions to laparotomy due to technical difficulties during the procedure. All cases of conversion had pelvic adhesions. All operative complications were successfully treated and none were considered severe. Conclusion: this is one of the largest case series in the literature regarding surgical treatment by single-port laparoscopy in gynecology and presents evidence on reduction of surgical morbidity and satisfactory cosmetic results. We conclude that single-port laparoscopy is a viable minimally invasive technique...

Obstetrics and Gynecology: Avoiding Pregnancy in Isotretinoin Users

Swensen, Ron E.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /04/1990 Português
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The Scientific Board of the California Medical Association presents the following inventory of items of progress in obstetrics and gynecology. Each item, in the judgment of a panel of knowledgeable physicians, has recently become reasonably firmly established, both as to scientific fact and important clinical significance. The items are presented in simple epitome and an authoritative reference, both to the item itself and to the subject as a whole, is generally given for those who may be unfamiliar with a particular item. The purpose is to assist busy practitioners, students, research workers, or scholars to stay abreast of these items of progress in obstetrics and gynecology that have recently achieved a substantial degree of authoritative acceptance, whether in their own field of special interest or another.

Obstetrics and Gynecology: Diabetes Mellitus in Pregnancy

Harris, Joseph L.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /06/1992 Português
Relevância na Pesquisa
26.86855%
The Council on Scientific Affairs of the California Medical Association presents the following inventory of items of progress in obstetrics and gynecology. Each item, in the judgment of a panel of knowledgeable physicians, has recently become reasonably firmly established, both as to scientific fact and important clinical significance. The items are presented in simple epitome, and an authoritative reference, both to the item itself and to the subject as a whole, is generally given for those who may be unfamiliar with a particular item. The purpose is to assist busy practitioners, students, researchers, or scholars to stay abreast of these items of progress in obstetrics and gynecology that have recently achieved a substantial degree of authoritative acceptance, whether in their own field of special interest or another.

Obstetrics and Gynecology—Important Advances in Clinical Medicine: Exchange Transfusion in Pregnant Women With Sickle Cell Disease

Foster, Henry W.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /10/1983 Português
Relevância na Pesquisa
26.86855%
The Scientific Board of the California Medical Association presents the following inventory of items of progress in obstetrics and gynecology. Each item, in the judgment of a panel of knowledgeable physicians, has recently become reasonably firmly established, both as to scientific fact and important clinical significance. The items are presented in simple epitome and an authoritative reference, both to the item itself and to the subject as a whole, is generally given for those who may be unfamiliar with a particular item. The purpose is to assist busy practitioners, students, research workers or scholars to stay abreast of these items of progress in obstetrics and gynecology that have recently achieved a substantial degree of authoritative acceptance, whether in their own field of special interest or another.

Obstetrics and Gynecology: Considerations in Career Selection

Stephen Petrilli, Edmund
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /01/1981 Português
Relevância na Pesquisa
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Current training programs in obstetrics and gynecology are not producing an excess of specialists in view of future manpower needs. In addition to being specialists and consultants, obstetrician-gynecologists also function as providers of primary care for women. During the last decade, three formal sub-specialties of obstetrics and gynecology have evolved: gynecologic oncology, maternal-fetal medicine and reproductive endocrinology. These have improved patient care and have altered the structure of resident education. With more American medical school graduates entering this specialty, the quality of resident applicants has improved, creating intense competition for desirable training positions. Those inclined toward a career in obstetrics and gynecology can be assured that it will provide an increasingly favorable and challenging environment for professional activity in the future.

Pain and Depression in Gynecology Patients

Poleshuck, Ellen L.; Bair, Matthew J.; Kroenke, Kurt; Watts, Arthur; Tu, Xin; Giles, Donna E.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em //2009 Português
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The prevalence and consequences of comorbid pain and depression in gynecology patients are understudied. Self-reported pain, depressive symptoms, other mental disorder symptoms, functional status, interpersonal distress, and abuse were assessed in 1647 gynecology patients using the Patient Health Questionnaire and the Medical Outcomes Study SF-20. Moderate to severe pain was reported by 29% of patients and depression by 21%, with both present in 10.3%. Comorbid pain and depression was associated with anxiety, suicidal or death ideation, functional impairment, interpersonal distress, and physical or sexual abuse. Innovative approaches are needed to assess and treat gynecology patients with comorbid pain and depression.

A STUDY OF PSYCHIATRIC MORBIDITY IN GYNECOLOGY OUT PATIENT CLINIC

Agrawal, Pradeep; Malik, S.C.; Padubidri, V.
Fonte: Medknow Publications Publicador: Medknow Publications
Tipo: Artigo de Revista Científica
Publicado em //1990 Português
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27.012285%
One hundred and ten female patients in the age group of 16 to 65 years, attending gynecology out-patient clinic were screened for psychiatric disorders. The psychiatric morbidity among patients attending gynecology clinic was found to be 49 percent, as compared to 26 percent in a sample of general population (control group). This study supports the view, that there is a higher psychiatric morbidity among patients attending gynecology clinic, and it is associated with lower socio-economic status, education and gynaecological conditions especially menstrual irregularities and pelvic pain.

Robotic Surgery in Gynecology: An Updated Systematic Review

Weinberg, Lori; Rao, Sanjay; Escobar, Pedro F.
Fonte: Hindawi Publishing Corporation Publicador: Hindawi Publishing Corporation
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
27.109653%
The introduction of da Vinci Robotic Surgery to the field of Gynecology has resulted in large changes in surgical management. The robotic platform allows less experienced laparoscopic surgeons to perform more complex procedures. In general gynecology and reproductive gynecology, the robot is being increasingly used for procedures such as hysterectomies, myomectomies, adnexal surgery, and tubal anastomosis. Among urogynecology the robot is being utilized for sacrocolopexies. In the field of gynecologic oncology, the robot is being increasingly used for hysterectomies and lymphadenectomies in oncologic diseases. Despite the rapid and widespread adoption of robotic surgery in gynecology, there are no randomized trials comparing its efficacy and safety to other traditional surgical approaches. Our aim is to update previously published reviews with a focus on only comparative observational studies. We determined that, with the right amount of training and skill, along with appropriate patient selection, robotic surgery can be highly advantageous. Patients will likely have less blood loss, less post-operative pain, faster recoveries, and fewer complications compared to open surgery and potentially even laparoscopy. However, until larger...

A cost-benefit analysis on the specialization in departments of obstetrics and gynecology in Japan

Shen, Junyi; Fukui, On; Hashimoto, Hiroyuki; Nakashima, Takako; Kimura, Tadashi; Morishige, Kenichiro; Saijo, Tatsuyoshi
Fonte: Springer Publicador: Springer
Tipo: Artigo de Revista Científica
Publicado em 27/03/2012 Português
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In April 2008, the specialization in departments of obstetrics and gynecology was conducted in Sennan area of Osaka prefecture in Japan, which aims at solving the problems of regional provision of obstetrical service. Under this specialization, the departments of obstetrics and gynecology in two city hospitals were combined as one medical center, whilst one hospital is in charge of the department of gynecology and the other one operates the department of obstetrics. In this paper, we implement a cost-benefit analysis to evaluate the validity of this specialization. The benefit-cost ratio is estimated at 1.367 under a basic scenario, indicating that the specialization can generate a net benefit. In addition, with a consideration of different kinds of uncertainty in the future, a number of sensitivity analyses are conducted. The results of these sensitivity analyses suggest that the specialization is valid in the sense that all the estimated benefit-cost ratios are above 1.0 in any case.

A Pilot Structured Resident Orientation Curriculum Improves the Confidence of Incoming First-Year Obstetrics and Gynecology Residents

Hiraoka, Mark; Kamikawa, Ginny; McCartin, Richard; Kaneshiro, Bliss
Fonte: University Clinical, Education & Research Associate (UCERA) Publicador: University Clinical, Education & Research Associate (UCERA)
Tipo: Artigo de Revista Científica
Publicado em /11/2013 Português
Relevância na Pesquisa
27.109653%
A prospective, observational study was performed to evaluate a pilot orientation curriculum which involved all 7 incoming obstetrics and gynecology residents in June 2012. The objective of this study was to assess how a structured orientation curriculum, which employs an evaluation of baseline competency, affects the confidence of incoming first-year obstetrics and gynecology residents. The curriculum included didactic lectures, online modules, simulation, and mock clinical scenarios. Pre- and post-course surveys were conducted online via SurveyMonkey™ and were sent to all incoming obstetrics and gynecology residents. All seven incoming obstetrics and gynecology residents completed the orientation curriculum which included evaluations at the end of the orientation to assess baseline competency prior to taking part in clinical care. Confidence levels improved in all 27 elements assessed. Statistically significant improvement in confidence levels occurred in cognitive skills such as obstetric emergency management (2.9 vs 3.9, P< .05) and technical skills such as knot tying (3.9 vs. 4.6, P< .05). Certain teaching skills also demonstrated statistically significant improvements. A structured orientation program which improves resident self-confidence levels and demonstrates baseline competencies in certain clinical areas can be valuable for many residency training programs.

Working and Training Conditions of Gynecology Residents in North Rhine-Westfalia, Germany

Fehr, D.; Rein, D.; Fehm, T.; Fleisch, M.
Fonte: Georg Thieme Verlag KG Publicador: Georg Thieme Verlag KG
Tipo: Artigo de Revista Científica
Publicado em /02/2014 Português
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Introduction: In 2002, gynecology residents in North Rhine-Westfalia (NRW) were asked how satisfied they were with their working and training conditions. A new extended survey of gynecology residents aimed to evaluate whether changes to specialist training regulations had affected residentsʼ levels of job satisfaction and to identify areas where training conditions still urgently required improvement. Material and Methods: A total of 1223 questionnaires with 52 questions were sent to the 159 gynecology clinics in NRW. Responses could be dichotomous, multi-level or quantitative. The results were analyzed with regard to age, gender, family status and type of clinic and were additionally compared with the results of a previous survey. Results: The percentage of women residents has increased to 84.6 %. A workload of more than 48 hours per week has resulted in decreased motivation and lower levels of satisfaction during training, although overall levels of satisfaction have clearly improved compared to the previous survey. Use of a logbook to create a more structured training program has not achieved the desired effect. Nevertheless, seven of eight gynecology residents would study medicine again, although 28 % of the budding gynecologists are considering working abroad or in private industry. Conclusion: Both training and overall satisfaction with working conditions must be improved to preserve the appeal of gynecology for young academics. This survey aims to identify key factors which are responsible for (dis)satisfaction with working conditions.

Psychosomatic Primary Care in Gynecology–Assessment and Acceptance by Residents for Obstetrics and Gynecology in Germany

Schott, S.; Lermann, J.; Rauchfuß, M.; Ortmann, O.; Ditz, S.
Fonte: Georg Thieme Verlag KG Publicador: Georg Thieme Verlag KG
Tipo: Artigo de Revista Científica
Publicado em /06/2014 Português
Relevância na Pesquisa
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Background: The course “Psychosomatic Primary Care” has been part of the training curriculum of obstetrics and gynecology in Germany since 2003. The aim of the course is to train up physicians, whose prior training primarily focussed on somatic care, to enable them to offer care also taking into account biopsychosocial aspects. Taking the guidelines for psychotherapy as a template, the aim of psychosomatic primary care is to recognize the etiological links between psychological and somatic factors which contribute to diseases. The necessity for a compulsory course as part of training in gynecology was recently critically discussed. Major points discussed included the question whether the current forms of teaching, consisting of courses, are outdated and whether the required skills should be part of regular daily training. Method: A 3-part online questionnaire consisting of 30 items was developed and sent to 2431 residents in the period from September to December 2012 through the online mailing list of the DGGG. Results: The 540 residents who responded to the questionnaire were predominantly female (83.3 %) with an average age of 30 years; 50.3 % were in their 1st to their 4th year of training. Over the longer term, the majority of respondents (56.1 %) hoped to continue working in a hospital and regularly (84.6 %) attended teaching courses voluntarily. 70.9 % of them had already attended the course “Psychosomatic Primary Care”. Of the group who had completed the course...

2014 First-trimester ultrasound forum from the Korean Society of Ultrasound in Obstetrics and Gynecology

Oh, Soo-Young; Hong, Joon Seok; Seol, Hyun-Joo; Hwang, Han Sung; Park, Hyun Soo; Kim, Kunwoo; Ko, Hyun Sun; Kwak, Dong-Wook; Kim, Moon Young; Park, Mi Hye; Oh, Min Jeong; Park, Joong Shin; Kim, Sa Jin;
Fonte: Korean Society of Obstetrics and Gynecology; Korean Society of Contraception and Reproductive Health; Korean Society of Gynecologic Endocrinology; Korean Society of Gynecologic Endoscopy and Minimal Invasive Surgery; Korean Society of Maternal Fetal Medicine; Korean Society of Ultrasound in Obstetrics and Gynecology; Korean Urogynecologic Society Publicador: Korean Society of Obstetrics and Gynecology; Korean Society of Contraception and Reproductive Health; Korean Society of Gynecologic Endocrinology; Korean Society of Gynecologic Endoscopy and Minimal Invasive Surgery; Korean Society of Maternal Fetal Medicine; Korean Society of Ultrasound in Obstetrics and Gynecology; Korean Urogynecologic Society
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
37.012285%
A first-trimester ultrasound scan has become an essential part of antenatal care. The Korean Society of Ultrasound in Obstetrics and Gynecology held a first-trimester ultrasound forum on April 5, 2014. The forum aimed to present an updated review of the literature on the topic of first-trimester ultrasound in specific lectures and to host a panel discussion on several important issues regarding first-trimester scans. The forum provided evidence- and consensus-based best practice patterns for obstetricians in Korea. Here, we report the review and checklists presented from the forum.

The methodological quality of economic evaluation studies in obstetrics and gynecology: a systematic review

Vijgen, S.; Opmeer, B.; Mol, B.
Fonte: Thieme Medical Publishers Publicador: Thieme Medical Publishers
Tipo: Artigo de Revista Científica
Publicado em //2013 Português
Relevância na Pesquisa
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We evaluated the methodological quality of economic evaluation studies in the field of obstetrics and gynecology published in the last decade. A MEDLINE search was performed to find economic evaluation studies in obstetrics and gynecology from the years 1997 through 2009. We included full economic evaluation studies concerning tests or interventions in the field of obstetrics or gynecology. Each included study was evaluated by two reviewers using a quality checklist that was based on international guidelines for medical economic evaluation studies and a checklist used in a previous review. The mean number of quality criteria adhered to was 23 of 30 items, whereas five articles (3%) met all 30 criteria. Compliance was low for the description of the perspective (40%), the completeness of costs looking at the perspective (48%) or time horizon (48%), and reporting of quantities of resources (47%). Furthermore, if no discounting was applied, an explanation was infrequently given (14%). A comparison of study quality to that reported by Smith and Blackmore showed a considerable improvement in the following criteria: presentation perspective (from 19 to 40%), statement of primary outcome measure (from 72 to 81%), completeness costs looking at the time horizon (from 14 to 48%)...

Ações Disciplinares em Ginecologia e Obstetrícia na Região Norte de Portugal nos Anos 2008 a 2012; Disciplinary Actions in Gynecology and Obstetrics in the North of Portugal from Year 2008 to 2012

Silva, Francisco; Mestrado Integrado em Medicina. Faculdade de Medicina. Universidade do Porto. Porto. Portugal.; Rodrigues e Rodrigues, Manuel; Conselho Disciplinar. Seção Regional Norte. Ordem dos Médicos. Porto. Portugal.; Bernardes, João; Conselho
Fonte: Ordem dos Médicos Publicador: Ordem dos Médicos
Tipo: info:eu-repo/semantics/article; article; info:eu-repo/semantics/publishedVersion Formato: application/pdf; application/pdf
Publicado em 29/05/2015 Português
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Introdução: As ações disciplinares podem ter um impacto significativo na vida dos médicos e dos doentes. O objetivo deste trabalho foi a avaliação das ações disciplinares em Ginecologia e Obstetrícia ocorridas na região norte de Portugal nos anos 2008 a 2012.Material e Métodos: Estudo descritivo retrospetivo baseado nos dados anonimizados disponíveis nos relatórios anuais de atividades do Conselho Disciplinar da Seção Regional Norte da Ordem dos Médicos dos anos 2008 a 2012. Calculámos a proporção de ações disciplinares em Ginecologia e Obstetrícia sobre o número total de especialistas inscritos. Avaliámos também os tipos de queixoso, de arguido, de instituição, de queixa e de decisão envolvidos. Para comparação de proporções utilizámos intervalos de confiança de 95%.Resultados: De 2008 a 2012, registou-se um total de 1040 ações disciplinares na região norte de Portugal. A Ginecologia e Obstetrícia foi a quarta especialidade mais afetada, com 54 queixas, 43 das quais relacionadas com alegada negligência médica e a mais afetada, se considerarmos apenas este tipo de queixa. Os queixosos e os arguidos mais frequentes foram, respetivamente, doentes em nome próprio e profissionais do sexo feminino...

Awareness of Infectious Diseases in Obstetrics and Gynecology Among Residents and Residency Directors

Beigi, Richard H.; Switzer, Galen E.; Presley, Larraine; Soper, David E.
Fonte: Hindawi Publishing Corporation Publicador: Hindawi Publishing Corporation
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
27.335686%
Awareness of the subspecialty of infectious diseases in obstetrics and gynecology is low among United States residents and residency directors. Objective. Given the burden of infectious diseases on women's health, we sought to assess current awareness, interest, and perceived value of the subspecialty of infectious diseases in obstetrics and gynecology among current United States obstetrics and gynecology residents and residency directors. Methods. Two separate surveys addressing awareness, perceived value and interest in the subspecialty were sent to (1) a random 20% sample of obstetrics and gynecology residents and (2) all obstetrics and gynecology residency directors. Results. Seventy percent of the residency directors were familiar with the subspecialty and 67.0% placed value on infectious disease specialists in an academic department. Thirty percent of the residents reported awareness of the subspecialty. Thirty-six percent of residency directors reported that medical infectious disease specialists deliver formal education to the obstetrics and gynecology residents. Conclusion. United States obstetrics and gynecology residents and residency directors have a low awareness of the subspecialty. An open niche exists for formal education of residents in infectious diseases in obstetrics and gynecology by department specialists. These findings can be incorporated into ongoing recruitment efforts for the subspecialty of infectious diseases in obstetrics and gynecology.

Construction of a competence-based curriculum for internship in obstetrics and gynecology within the medical course at the Federal University of Ceará (Sobral campus)

Linhares,José Juvenal; Dutra,Bárbara de Araújo Lima; Ponte,Maycon Fellipe da; Tofoli,Luis Fernando Farah de; Távora,Priscila Campos; Macedo,Filipe Sancho de; Arruda,Guarany Mont'Alverne de
Fonte: Associação Paulista de Medicina - APM Publicador: Associação Paulista de Medicina - APM
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2015 Português
Relevância na Pesquisa
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CONTEXT AND OBJECTIVE: This research project arose from a proposal made to the teachers by the students of a medical course at a federal university in Brazil, from their personal experiences regarding the skills and competencies that should be developed during the obstetrics and gynecology (OBG) stage of the internship. The objective here was to develop the matrix of skills necessary for training good general physicians in the medical course. DESIGN AND SETTING: Exploratory qualitative study conducted in a federal university in Brazil. METHODS: The basis for developing these competencies among OBG interns was "The Competency Matrix for Medical Internship" developed by Bollela and Machado. The instrument was presented to, analyzed by and modified by a set of OBG specialists, at two sessions. RESULTS: The specific competencies expected from students over the internship in OBG were framed within overall topics that had previously been determined and listed: healthcare, decision-making, communication and interpersonal relationships, management and organization of the Brazilian National Health System (Sistema Único de Saúde, SUS) and professionalism. CONCLUSIONS: A competency matrix that standardizes the minimum requirements that interns should be capable of putting into practice after concluding the OBG stage is a valuable tool for ensuring student performance and a fair and rigorous assessment for them...

Perfil das demandas judiciais cíveis por erro médico em Ginecologia e Obstetrícia no Estado de São Paulo; Profile of civil litigation requirements for medical error claims in Gynecology and Obstetrics in the State of São Paulo

Spina, Viviam Paula Lucianelli; Sá, Eduardo Costa
Fonte: Universidade de São Paulo. Faculdade de Medicina Publicador: Universidade de São Paulo. Faculdade de Medicina
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ART.; Formato: application/pdf
Publicado em 25/08/2015 Português
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Introduction: society concern about doctors’ performance goes far back in history to the most ancient civilizations; the Code of Hammurabi (1790-1770 BC) was the first document that made reference to criminalization of medical action for damage caused to a patient. Currently, with the increasing legal aspects of Medicine, there has been an increase in indemnity demands as a consequence of judicial malpractice. Gynecology and Obstetrics are among the medical specialties with the highest number of complaints. Objective: To identify the profile of litigation of the State Court of São Paulo for civil liability in cases judged as medical errors in Obstetrics and Gynecology. Methods: the first instance processes referenced were analyzed in 16 judgments of the São Paulo State Court of Justice between June 1, 2013 and May 31, 2014, and research was carried out on the databases Medline, Pubmed and Lilacs. Results: The plaintiffs were seven (44%) patients, eight (50%) patients and spouse, the defendants were nine (56%) doctors, thirteen (81%) hospitals, eleven (69%) cases in Obstetrics, in five (31%) in Gynecology, the expert evidence found causation in four (25%) cases, no causal link in nine (56%) cases. Conclusion: the profile of litigation showed that the plaintiffs were mostly patients and spouses...