Literature DB >> 27190833

Fundamental Ethical Issues in Unnecessary Surgical Procedures.

Motilal Chandu Tayade1, Shashank D Dalvi2.   

Abstract

In clinical practice performing any surgical procedure is inconsistent because all surgical procedures carry definitely some degree of risk. Worldwide every year millions of patients go under knife, but many of them are enduring great pain and shelling out thousands and dollars for surgeries they don't really need. This review work was planned with an intention to focus attention towards it with reporting cited evidences of unnecessary surgical operations and discuss ethical issues concern with it. In present review the references search included standard citations Google scholar, MEDLINE and PUBMED. We also used Google search engine for screening various news concern with highlighting this topic in community and online media. For articles we go through more than 60 articles from worldwide and 12 news media views from Google search in last one year. We used following quotes for their search-unnecessary surgeries, second opinion, ethical issues in unnecessary surgeries. Geographical variations were also kept in view. Our intension was highlighting ethical issues concern with unnecessary surgical operations. Henceforth we excluded such work that does not concern with ethical issues. Unnecessary surgery is that which is medically unjustifiable when the risks and costs are more than the likely therapeutic benefits or relief to the patient based on the patient's lifestyle requirements. To avoid or minimize such interventions basic seeding of ethics in curriculum and strict laws will definitely helpful in clinical practice. In conclusion, our aim was to highlight this major issue and underline need of competency based medical bioethics education in Indian scenario.

Entities:  

Keywords:  Code of ethics; Informed consent; Malpractice

Year:  2016        PMID: 27190833      PMCID: PMC4866131          DOI: 10.7860/JCDR/2016/18958.7694

Source DB:  PubMed          Journal:  J Clin Diagn Res        ISSN: 0973-709X


  12 in total

1.  Impact of a new course on students' potential behaviour on encountering ethical dilemmas.

Authors:  J Goldie; L Schwartz; A McConnachie; J Morrison
Journal:  Med Educ       Date:  2001-03       Impact factor: 6.251

2.  Survey of medical ethics in US medical schools: a descriptive study.

Authors:  L I Silverberg
Journal:  J Am Osteopath Assoc       Date:  2000-06

Review 3.  Unnecessary surgery.

Authors:  L L Leape
Journal:  Health Serv Res       Date:  1989-08       Impact factor: 3.402

Review 4.  Unnecessary surgery.

Authors:  L L Leape
Journal:  Annu Rev Public Health       Date:  1992       Impact factor: 21.981

Review 5.  Medical ethics: four principles plus attention to scope.

Authors:  R Gillon
Journal:  BMJ       Date:  1994-07-16

Review 6.  Understanding of regional variation in the use of surgery.

Authors:  John D Birkmeyer; Bradley N Reames; Peter McCulloch; Andrew J Carr; W Bruce Campbell; John E Wennberg
Journal:  Lancet       Date:  2013-09-28       Impact factor: 79.321

Review 7.  [Necessary and unnecessary treatment options for hemorrhoids].

Authors:  Joel Zindel; Roman Inglin; Lukas Brügger
Journal:  Ther Umsch       Date:  2014-12

8.  Small-area variations in the use of common surgical procedures: an international comparison of New England, England, and Norway.

Authors:  K McPherson; J E Wennberg; O B Hovind; P Clifford
Journal:  N Engl J Med       Date:  1982-11-18       Impact factor: 91.245

9.  Time for a unified approach to medical ethics.

Authors:  Shaheen E Lakhan; Elissa Hamlat; Turi McNamee; Cyndi Laird
Journal:  Philos Ethics Humanit Med       Date:  2009-09-08       Impact factor: 2.464

10.  Multiple operations on the same patient.

Authors:  Fred L Cohen; Gary W Roberts
Journal:  Surg Neurol Int       Date:  2012-07-17
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