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BioMed Research International
Volume 2015, Article ID 170692, 5 pages
Review Article

Does Defensive Medicine Change the Behaviors of Vascular Surgeons? A Qualitative Review

1Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, Viale Regina Elena 336, 00161 Rome, Italy
2Neuromed, Istituto Mediterraneo Neurologico (IRCCS), Via Atinense 18, Pozzilli, 86077 Isernia, Italy
3Vascular and Endovascular Surgery Division, Department of Surgery “Paride Stefanini”, Policlinico Umberto I, Sapienza University of Rome, Viale del Policlinico 155, 00161 Rome, Italy
4Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, University of Rome Sapienza, 336 Viale Regina Elena, Lazio, 00161 Rome, Italy

Received 17 March 2015; Accepted 18 April 2015

Academic Editor: Giuseppe Biondi-Zoccai

Copyright © 2015 Paola Frati et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Although in literature few successful claims have been shown in comparison with other medical specialties such as gynaecology and orthopaedics, vascular surgery is included among high-risk specialties. The high-risk of receiving medical claims may lead vascular surgeons to practice defensive medicine, as is normal in several other areas of clinical practice. No studies are available to our knowledge of the incidence of defensive medicine in the field of vascular surgery. Taking into consideration the scarce amount of information, the authors provide a critical discussion regarding the application of defensive medicine behaviour among vascular surgeons.