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Semin intervent Radiol 2021; 38(03): 388-392
DOI: 10.1055/s-0041-1731407
Ethics Corner

Ethical Issuing Arising Around Biliary Interventions

Tushar Garg
1   Division of Vascular and Interventional Radiology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India
,
Michelle M. Shnayder-Adams
2   Division of Vascular and Interventional Radiology, Michigan Medicine, Ann Arbor, Michigan
,
Eric J. Keller
3   Division of Vascular and Interventional Radiology, Stanford University, Stanford, California
,
Mina S. Makary
4   Division of Vascular and Interventional Radiology, The Ohio State University Wexner Medical Center, Columbus, Ohio
› Institutsangaben Funding None.
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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.



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Artikel online veröffentlicht:
10. August 2021

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  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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.
    CrossrefPubMedGoogle Scholar
  • 5 Luckenbaugh AN, Miller DC, Ghani KR. Collaborative quality improvement. Curr Opin Urol 2017; 27 (04) 395-401
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 7 Code of Medical Ethics Opinion. Chicago, IL: American Medical Association; 2020
    Google Scholar
  • 8 Rodwin MA. Medicine, Money, and Morals: Physicians' Conflicts of Interest. New York: Oxford University Press; 1993
    CrossrefGoogle Scholar
  • 9 Weisz G. Divide and Conquer: A Comparative History of Medical Specialization. Oxford; New York: Oxford University Press; 2006
    Google Scholar
  • 10 Ely LW. Orthopedic surgery: its scope and its future. J Am Med Assoc 1914; LXIII (26) 2265-2266
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 15 Müller R, Kaiser S. Perceptions of medical futility in clinical practice - a qualitative systematic review. J Crit Care 2018; 48: 78-84
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 23 Giordano J. Physicians, payments, and practices: moral issues, public perceptions, and the Stark laws. Pain Physician 2007; 10 (06) 719-723
    CrossrefPubMedGoogle Scholar
  • 24 Solomon RC. Ethics and Excellence: Cooperation and Integrity in Business. New York: Oxford University Press; 1992
    Google Scholar
  • 25 Weber LJ. Business Ethics in Healthcare: Beyond Compliance. Bloomington: Indiana University Press; 2001
    Google Scholar
  • 26 Beauchamp TL, Childress JF. Principles of Biomedical Ethics. 8th ed.. New York: Oxford University Press; 2019
    Google Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 28 Lo B, Ott C. What is the enemy in CME, conflicts of interest or bias?. JAMA 2013; 310 (10) 1019-1020
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    Google Scholar