Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000068.xml
Semin intervent Radiol 2021; 38(03): 388-392
DOI: 10.1055/s-0041-1731407
DOI: 10.1055/s-0041-1731407
Ethics Corner
Ethical Issuing Arising Around Biliary Interventions
Funding None.![](https://www.thieme-connect.de/media/sir/202103/lookinside/thumbnails/10-1055-s-0041-1731407_001303-1.jpg)
Interventional radiologists (IRs) play an important role in the management of hepatobiliary diseases, and at times, this care can raise challenging ethical questions. These questions are not necessarily unique to biliary work, but the complexity and multidisciplinary nature of this care may make it more prone to certain questions such as those of tribalism, futility, and medical business ethics. Consider the following case.
Publication History
Article published online:
10 August 2021
© 2021. Thieme. All rights reserved.
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Kreindler SA, Dowd DA, Dana Star N, Gottschalk T. Silos and social identity: the social identity approach as a framework for understanding and overcoming divisions in health care. Milbank Q 2012; 90 (02) 347-374
- 2 Keller EJ, Vogelzang RL. Who we are and what we can become: the anthropology of IR and challenges of forming a new specialty. J Vasc Interv Radiol 2018; 29 (12) 1703-1704.e2
- 3 Wheelan SA, Burchill CN, Tilin F. The link between teamwork and patients' outcomes in intensive care units. Am J Crit Care 2003; 12 (06) 527-534
- 4 Day-Duro E, Lubitsh G, Smith G. Understanding and investing in healthcare innovation and collaboration. J Health Organ Manag 2020; (epub ahead-of-print) DOI: 10.1108/JHOM-07-2019-0206.
- 5 Luckenbaugh AN, Miller DC, Ghani KR. Collaborative quality improvement. Curr Opin Urol 2017; 27 (04) 395-401
- 6 Bozorghadad S, Perez AW, Makary MS, Keller EJ. You're performing my procedure: teamwork and tribalism in IR. J Vasc Interv Radiol 2020; 31 (01) 178-179
- 7 Code of Medical Ethics Opinion. Chicago, IL: American Medical Association; 2020
- 8 Rodwin MA. Medicine, Money, and Morals: Physicians' Conflicts of Interest. New York: Oxford University Press; 1993
- 9 Weisz G. Divide and Conquer: A Comparative History of Medical Specialization. Oxford; New York: Oxford University Press; 2006
- 10 Ely LW. Orthopedic surgery: its scope and its future. J Am Med Assoc 1914; LXIII (26) 2265-2266
- 11 Keller EJ, Crowley-Matoka M, Collins JD, Chrisman HB, Milad MP, Vogelzang RL. Fostering better policy adoption and inter-disciplinary communication in healthcare: a qualitative analysis of practicing physicians' common interests. PLoS One 2017; 12 (02) e0172865
- 12 Keller EJ, Rabei R, Heller M, Kothary N. Perceptions of futility in interventional radiology: a multipractice systematic qualitative analysis. Cardiovasc Intervent Radiol 2021; 44 (01) 127-133
- 13 Fumis RRL, Junqueira Amarante GA, de Fátima Nascimento A, Vieira Junior JM. Moral distress and its contribution to the development of burnout syndrome among critical care providers. Ann Intensive Care 2017; 7 (01) 71
- 14 Huynh TN, Kleerup EC, Wiley JF. et al. The frequency and cost of treatment perceived to be futile in critical care. JAMA Intern Med 2013; 173 (20) 1887-1894
- 15 Müller R, Kaiser S. Perceptions of medical futility in clinical practice - a qualitative systematic review. J Crit Care 2018; 48: 78-84
- 16 Kon AA, Shepard EK, Sederstrom NO. et al. Defining futile and potentially inappropriate interventions: a policy statement from the Society of Critical Care Medicine Ethics Committee. Crit Care Med 2016; 44 (09) 1769-1774
- 17 Burke C, Kohlbrenner R, Fidelman N. et al. 3:54 PM Abstract No. 105 Percutaneous transhepatic biliary drain placement for reduction of hyperbilirubinemia in malignant biliary obstruction: a bridge to chemotherapy or a bridge to nowhere?. J Vasc Interv Radiol 2020; 31 (3, Suppl): S50
- 18 Prater LC, Wickizer T, Bower JK, Bose-Brill S. The impact of advance care planning on end-of-life care: Do the type and timing make a difference for patients with advanced cancer referred to hospice?. Am J Hosp Palliat Care 2019; 36 (12) 1089-1095
- 19 May P, Normand C, Cassel JB. et al. Economics of palliative care for hospitalized adults with serious illness: a meta-analysis. JAMA Intern Med 2018; 178 (06) 820-829
- 20 Detering KM, Hancock AD, Reade MC, Silvester W. The impact of advance care planning on end of life care in elderly patients: randomised controlled trial. BMJ 2010; 340: c1345
- 21 Yadav KN, Gabler NB, Cooney E. et al. Approximately one in three US adults completes any type of advance directive for end-of-life care. Health Aff (Millwood) 2017; 36 (07) 1244-1251
- 22 Bosslet GT, Pope TM, Rubenfeld GD. et al; American Thoracic Society ad hoc Committee on Futile and Potentially Inappropriate Treatment, American Thoracic Society, American Association for Critical Care Nurses, American College of Chest Physicians, European Society for Intensive Care Medicine, Society of Critical Care. An official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: responding to requests for potentially inappropriate treatments in intensive care units. Am J Respir Crit Care Med 2015; 191 (11) 1318-1330
- 23 Giordano J. Physicians, payments, and practices: moral issues, public perceptions, and the Stark laws. Pain Physician 2007; 10 (06) 719-723
- 24 Solomon RC. Ethics and Excellence: Cooperation and Integrity in Business. New York: Oxford University Press; 1992
- 25 Weber LJ. Business Ethics in Healthcare: Beyond Compliance. Bloomington: Indiana University Press; 2001
- 26 Beauchamp TL, Childress JF. Principles of Biomedical Ethics. 8th ed.. New York: Oxford University Press; 2019
- 27 Clark JM, Anderson D, Makary MS, Keller EJ. Understanding bias: a look at conflicts of interest in IR. J Vasc Interv Radiol 2019; 30 (05) 765-766
- 28 Lo B, Ott C. What is the enemy in CME, conflicts of interest or bias?. JAMA 2013; 310 (10) 1019-1020
- 29 Cain DM, Loewenstein G, Moore DA. The dirt on coming clean: perverse effects of disclosing conflicts of interest. J Legal Stud 2005; 34 (01) 1-25
- 30 Chugh D, Bazerman MH, Banaji MR. Bounded ethicality as a psychological barrier to recognizing conflicts of interest. In: Moore DA, Cain DM, Loewenstein G, Bazerman MH. eds. Conflicts of Interest: Challenges and Solutions in Business, Law, Medicine, and Public Policy. Cambridge University Press; 2005: 74-95