Doctors Perform Thousands of Unnecessary Surgeries (+video)

Photo Credit: Kevin Moloney

Photo Credit: Kevin Moloney

Tens of thousands of times each year, patients are wheeled into the nation’s operating rooms for surgery that isn’t necessary, a USA TODAY review of government records and medical databases finds. Some … fall victim to predators who enrich themselves by bilking insurers for operations that are not medically justified. Even more turn to doctors who simply lack the competence or training to recognize when a surgical procedure can be avoided, either because the medical facts don’t warrant it or because there are non-surgical treatments that would better serve the patient.

The scope and toll of the problem are enormous, yet it remains largely hidden. Public attention has been limited to a few sensational cases, typically involving doctors who put cardiac stents in patients who didn’t need them.

In fact, unnecessary surgeries might account for 10% to 20% of all operations in some specialties, including a wide range of cardiac procedures — not only stents, but also angioplasty and pacemaker implants — as well as many spinal surgeries. Knee replacements, hysterectomies, and cesarean sections are among the other surgical procedures performed more often than needed, according to a review of in-depth studies and data generated by both government and academic sources.

Since 2005, more than 1,000 doctors have made payments to settle or close malpractice claims in surgical cases that involved allegations of unnecessary or inappropriate procedures, according to a USA TODAY analysis of the U.S. government’s National Practitioner Data Bank public use file, which tracks the suits. About half the doctors’ payments involved allegations of serious permanent injury or death, and many of the cases involved multiple plaintiffs, suggesting many hundreds, if not thousands, of victims.

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