United States: Chronic Pain Management (American Society of Anesthesiologists’ Closed Claims Project)

  • Albert H. Santora

Key Points

  • The American Society of Anesthesiologists’ Closed Claims Project’s database of insurance claims resulting from the practice of chronic pain management is summarized in this chapter.

  • The first study showed that most claims (76 %) relating to chronic pain management were associated with temporary or nondisabling injuries, with 64 % of claims resulting from injury that was not apparent until after discharge. Half of the claims related to spinal cord injury.

  • The second study revealed that 22 % of the chronic pain management cases were associated with cervical procedures. Direct needle trauma to a nerve or the spinal cord was the most common cause of injury (31 %).

  • The third study analyzed claims associated with implantable devices used to treat chronic pain.

  • Of note, reviewers deemed that in a significant percentage of cases patient care was “substandard,” and that appropriate informed consent was lacking in many instances.


American Society of Anesthesiologists’ Closed Claims Project Chronic pain management Injury and chronic pain management Etiology of injury and chronic pain management The United States 


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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.St. Mary’s HospitalAthensUSA

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