MEDICAL ERRORS IN THE DIAGNOSIS AND TREATMENT OF MALIGNANT TROPHOBLASTIC TUMORS
Authors: Z.A. Gasanbekova, L.A. Meshcheryakova, S.A. Aliev, V.V. Kuznetsov
Aim. This article reflects the results of a retrospective study conducted with the purpose of expert evaluation of medical errors in malignant trophoblastic tumors, their prediction and prevention.
Material and methods. The work is based on a retrospective analysis of the clinical data of 115 patients with malignant trophoblastic tumors who underwent diagnostic and treatment stages in medical institutions in the regions of Russia between 1993 and 2014. The study included a study of the frequency, structure, as well as the causes of diagnostic and therapeutic – tactical errors committed by doctors of non-specialized regional clinics.
Results. The result of erroneous diagnostics and tactics became: the frequency of metastasis – 49 (43%) of observations, which is 2,3 times higher than metastasis with timely diagnosis; frequency of lethality – 16 (14%) of observations, which is 7 times higher than the lethality in a specialized clinic; tumor resistance to chemotherapy – 71 (62%) observation, which is 5 times higher than the resistance in standard treatment; the frequency of hysterectomies – 55 (48%), which is 16 times higher than the frequency of hysterectomies in a specialized clinic.
Conclusion. The results demonstrate the relevance of the study and give grounds to believe that this disease continues to be a problem for all parts of practical health care and needs to optimize diagnosis and treatment in medical institutions
in the regions.