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Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 J+Am+Acad+Orthop+Surg 2021 ; 29 (2): e72-e78 Nephropedia Template TP
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Restarting Orthopaedic Care in a Pandemic: Ethical Framework and Case Examples #MMPMID33156215
Humbyrd CJ; Dunham AM; Xu AL; Rieder TN
J Am Acad Orthop Surg 2021[Jan]; 29 (2): e72-e78 PMID33156215show ga
The question about how to resume typical orthopaedic care during a pandemic, such as coronavirus disease 2019, should be framed not only as a logistic or safety question but also as an ethical question. The current published guidelines from surgical societies do not explicitly address ethical dilemmas, such as why public health ethics requires a cessation of nonemergency surgery or how to fairly allocate limited resources for delayed surgical care. We propose ethical guidance for the resumption of care on the basis of public health ethics with a focus on clinical equipoise, triage tiers, and flexibility. We then provide orthopaedic surgery examples to guide physicians in the ethical resumption of care.