1971年至2020年间，国家橄榄球联盟针对队医的医疗事故诉讼有所增加，但总体上仍很低

Q3 Medicine

Arthroscopy Sports Medicine and Rehabilitation Pub Date : 2025-02-01 DOI:10.1016/j.asmr.2024.101013

Kaitlynn Littleford B.S. , Jantz J. Arbon M.D. , Mikalyn T. DeFoor M.D. , Daniel J. Cognetti M.D.

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引用次数: 0

摘要

目的研究美国国家橄榄球联盟（NFL）球员对队医提起的医疗事故诉讼，以了解职业橄榄球背景下医疗责任的相关因素。方法于2023年8月对公开的法律数据库、法庭记录和新闻档案进行全面审查，以识别和分析涉及NFL球员、球队和队医的医疗事故诉讼。收集和分析了病例人口统计、医生亚专科、指控和结果（包括金钱金额）的数据。线性回归用于评估与诉讼数量的时间关系。结果共鉴定医师273人，其中骨科190人。NFL球员对医生提起的诉讼有28起，从1971年到2020年，诉讼数量显著增加（P = 0.0086, R2 = 0.60）。在这些诉讼中，最常见的解剖损伤部位是膝关节（n = 11）、脊柱（n = 4）和足部/踝关节（n = 4）。其他诉讼包括一起因热伤导致的非正常死亡诉讼，以及一起关于止痛药处方做法的集体诉讼和其他关于抗炎使用的个人诉讼。最高的诉讼金额为1.8亿美元，至少有6起诉讼的金额超过100万美元，尽管许多和解和最终判决无法获得或被封存。1971年至2020年间，职业运动员对NFL队医提起的医疗事故诉讼数量有所增加，但总体数量仍然很低。临床相关性了解医疗事故诉讼的频率和特征对于医生、体育组织和政策制定者帮助指导NFL运动员适当的医疗服务和风险管理策略至关重要。

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Medical Malpractice Lawsuits Against Team Physicians in the National Football League Increased Between 1971 and 2020 But Remain Low Overall

Purpose

To examine malpractice lawsuits filed by National Football League (NFL) players against team physicians to understand the factors involved with medical liability in the context of professional football.

Methods

A comprehensive review of publicly available legal databases, court records, and news archives was conducted in August 2023 to identify and analyze malpractice lawsuits involving NFL players, teams, and team physicians. Data on case demographics, physician subspecialty, allegations, and outcomes, including monetary amounts, were collected and analyzed. Linear regression was used to assess for a temporal relation with the number of lawsuits.

Results

There were 273 physicians identified, of whom 190 were orthopaedic surgeons. There were 28 lawsuits filed by NFL players against physicians, and a significant increase in lawsuits was identified from 1971 to 2020 (P = .0086, R² = 0.60). The most common anatomic locations of injury in the lawsuits were the knee (n = 11), spine (n = 4), and foot/ankle (n = 4). Other lawsuits included a lawsuit for wrongful death resulting from a heat-related injury, as well as a class action lawsuit regarding pain medication prescribing practices and other individual lawsuits over anti-inflammatory use. The highest amount for which a lawsuit was filed was $180 million, with at least 6 lawsuits filed for over $1 million, although many settlements and final verdicts were not available or were sealed.

Conclusions

There was an increase in the number of medical malpractice lawsuits filed by professional athletes against team physicians in the NFL between 1971 and 2020, but the overall number remains low.

Clinical Relevance

Understanding the frequency and characteristics of medical malpractice lawsuits is essential for physicians, sports organizations, and policymakers to help guide appropriate health care delivery and risk management strategies for athletes in the NFL.

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