Medical-technogenic pathology and iatrogeny: identifying differences, revising the established paradigm and problems of interpreting definitions
S. V. Popov,
E. S. Belikov,
R. G. Нuseinov,
K. V. Sivak,
A. Kh. Beshtoev,
E. A. Malyshev,
T. A. Lelyavina https://doi.org/10.21886/2308-6424-2025-13-5-5-15
Abstract
The problem of iatrogeny, recognised even by healers of the ancient world, remains pertinent to this day. As in earlier times, addressing issues of iatrogeny is not solely the responsibility of medical professionals: law enforcement bodies supervise the proper conduct of diagnostic, therapeutic, preventive, and rehabilitative procedures. The occurrence of iatrogeny in a patient provides legitimate grounds for seeking legal recourse. Nonetheless, the broadly construed definition of iatrogeny, as developed by WHO experts, is accompanied by an almost complete lack of clear, reliable criteria to differentiate between iatrogenic and non-iatrogenic outcomes of medical interventions. Our objective in preparing this publication was to bring to the attention of specialists the concept of medico-technogenic pathology – an idea proposed roughly twenty-five years ago but undervalued and unjustly neglected – offered here as a framework for more precise medico-legal analysis of the causes, mechanisms, and consequences of iatrogeny.
About the Authors
S. V. Popov
St. Luke's St. Petersburg Clinical Hospital;
Kirov Military Medical Academy
Russian Federation
Russian Federation
Sergey V. Popov — Dr.Sc.(Med), Full Prof.
St. Petersburg
E. S. Belikov
St. Luke's St. Petersburg Clinical Hospital
Russian Federation
Russian Federation
Eugen S. Belikov — Dr.Sc.(Med)
St. Petersburg
R. G. Нuseinov
St. Luke's St. Petersburg Clinical Hospital;
St. Petersburg Medical and Social Institute
Russian Federation
Russian Federation
Ruslan G. Нuseynov — Cand.Sc.(Med)
St. Petersburg
K. V. Sivak
St. Luke's St. Petersburg Clinical Hospital
Russian Federation
Russian Federation
Konstantin V.Sivak — Dr.Sc.(Med)
St. Petersburg
A. Kh. Beshtoev
St. Luke's St. Petersburg Clinical Hospital
Russian Federation
Russian Federation
Akhmed Kh. Beshtoev
St. Petersburg
E. A. Malyshev
St. Luke's St. Petersburg Clinical Hospital
Russian Federation
Russian Federation
Egor A. Malyshev
St. Petersburg
T. A. Lelyavina
St. Luke's St. Petersburg Clinical Hospital;
Almazov National Medical Research Centre
Russian Federation
Russian Federation
Tatyana A. Lelyavina — Dr.Sc.(Med)
St. Petersburg
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Review
For citations:
Popov S.V., Belikov E.S., Нuseinov R.G., Sivak K.V., Beshtoev A.Kh., Malyshev E.A., Lelyavina T.A. Medical-technogenic pathology and iatrogeny: identifying differences, revising the established paradigm and problems of interpreting definitions. Urology Herald. 2025;13(5):5-15. (In Russ.) https://doi.org/10.21886/2308-6424-2025-13-5-5-15
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