Compensation claims following anterior cruciate ligament injuries reported to the patient insurance company in Sweden in 2005–2014
DOI:
https://doi.org/10.1080/17453674.2021.1996102Keywords:
Anterior cruciate ligament, Insurance claim, MalpracticeAbstract
Background and purpose — Patients in the Swedish healthcare system are insured against avoidable adverse events via Landstingens Ömsesidiga Försäkringsbolag (LÖF). We assessed the reasons for compensation claims reported to LÖF following an ACL injury.
Patients and methods — We searched the LÖF database for compensation claims related to ACL injuries reported in 2005–2014, and cross-matched claims with the Swedish National Knee Ligament Register. We then performed a review of the medical records.
Results — We identified 530 eligible claims in 2005–2014. 352 (66%) claims were accepted by LÖF and 178 claims were rejected. Accepted claims corresponded to fewer than 1% of ACL surgeries performed in the same period. The most common reasons for an accepted claim were postoperative septic arthritis followed by suboptimal surgery and delay in diagnosis and treatment.
Interpretation — There are different reasons for accepting a compensation claim following an ACL injury, which represents different treatment errors that can be avoided.
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Copyright (c) 2022 Osama Omar, Dzan Rizvanovic, Markus Waldén, Karl Eriksson, Björn Barenius, Anders Stålman

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This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for non-commercial purposes, provided proper attribution to the original work.