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2020 ; 5
(4
): 656-658
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Ethical Issues in Radiation Oncology During a Pandemic
#MMPMID32775777
Tepper JE
Adv Radiat Oncol
2020[Jul]; 5
(4
): 656-658
PMID32775777
show ga
Medicine in the United States has generally followed ethical principles espoused
by Immanuel Kant where the individual patient takes priority in decision-making.
With the advent of coronavirus disease 2019 as a major health event, radiation
oncologists in some situations need to alter the manner in which they act with
individual patients. The well-being of health care workers and society as a whole
needs to be considered in management decisions. During the time of a pandemic,
ethics principles may be based more on a utilitarian approach that emphasizes the
common good. Thus, at times treatment decisions might result in delays in
initiating therapy, modifying the radiation treatment course (such as to a short
course rather than a long course of therapy), and the sequence of therapies, all
to minimize viral exposure. It is important that altered therapy is based as much
as possible on institutional or departmental decisions and, to the extent
possible, not on a case-by-case basis. However, in all situations, we need to
still respect the individual's autonomy and fully inform patients of our
decisions and the reasons for those decisions.
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