Ethical issues raised by thyroid cancer overdiagnosis: A matter for public health?
Current practices of identifying and treating small indolent thyroid cancers constitute an important but in some ways unusual form of overdiagnosis. Overdiagnosis refers to diagnoses that generally harm rather than benefit patients, primarily because the diagnosed condition is not a harmful form of...
Authors: | ; ; |
---|---|
Format: | Electronic Article |
Language: | English |
Check availability: | HBZ Gateway |
Journals Online & Print: | |
Fernleihe: | Fernleihe für die Fachinformationsdienste |
Published: |
Wiley-Blackwell
[2017]
|
In: |
Bioethics
Year: 2017, Volume: 31, Issue: 8, Pages: 590-598 |
IxTheo Classification: | NCH Medical ethics |
Further subjects: | B
Ethics
B overdiagnosis B shared decision-making B thyroid cancer B conflicts of interest B Public health |
Online Access: |
Presumably Free Access Volltext (Verlag) Volltext (doi) |
MARC
LEADER | 00000caa a22000002 4500 | ||
---|---|---|---|
001 | 1727649117 | ||
003 | DE-627 | ||
005 | 20230426130610.0 | ||
007 | cr uuu---uuuuu | ||
008 | 200824s2017 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.1111/bioe.12383 |2 doi | |
035 | |a (DE-627)1727649117 | ||
035 | |a (DE-599)KXP1727649117 | ||
040 | |a DE-627 |b ger |c DE-627 |e rda | ||
041 | |a eng | ||
084 | |a 1 |2 ssgn | ||
100 | 1 | |a Rogers, Wendy A. |e VerfasserIn |4 aut | |
245 | 1 | 0 | |a Ethical issues raised by thyroid cancer overdiagnosis |b A matter for public health? |
264 | 1 | |c [2017] | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a Computermedien |b c |2 rdamedia | ||
338 | |a Online-Ressource |b cr |2 rdacarrier | ||
520 | |a Current practices of identifying and treating small indolent thyroid cancers constitute an important but in some ways unusual form of overdiagnosis. Overdiagnosis refers to diagnoses that generally harm rather than benefit patients, primarily because the diagnosed condition is not a harmful form of disease. Patients who are overdiagnosed with thyroid cancer are harmed by the psycho-social impact of a cancer diagnosis, as well as treatment interventions such partial or total thyroidectomy, lifelong thyroid replacement hormone, monitoring, surgical complications and other side effects. These harms seem to outweigh any putative benefit of knowing about a cancer that would not have caused problems if left undiscovered. In addition to harms to patients, thyroid cancer overdiagnosis leads to significant opportunity costs at a societal level, due to costs of diagnosis and treatment. Unlike many other overdiagnosed cancers, accurate risk stratification is possible with thyroid cancer. At the individual patient level, use of this risk information might support informed choice and/or shared decision-making, as mandated by clinical ethics frameworks. And this approach might, to some extent, help to reduce rates of diagnosis and intervention. In practice, however, it is unlikely to stem the rising incidence and associated harms and costs of overdiagnosed thyroid cancer, especially in situations where health professionals have conflicts of interest. We argue in this article that thyroid cancer overdiagnosis may be usefully understood as a public health problem, and that some public health approaches will be readily justifiable and are more likely to be effective in minimising its harms. | ||
601 | |a Public Health | ||
650 | 4 | |a conflicts of interest | |
650 | 4 | |a Ethics | |
650 | 4 | |a overdiagnosis | |
650 | 4 | |a Public Health | |
650 | 4 | |a shared decision-making | |
650 | 4 | |a thyroid cancer | |
652 | |a NCH | ||
700 | 1 | |a Craig, Wendy L. |e VerfasserIn |4 aut | |
700 | 1 | |a Entwistle, Vikki A. |e VerfasserIn |4 aut | |
773 | 0 | 8 | |i Enthalten in |t Bioethics |d Oxford [u.a.] : Wiley-Blackwell, 1987 |g 31(2017), 8, Seite 590-598 |h Online-Ressource |w (DE-627)271596708 |w (DE-600)1480658-7 |w (DE-576)078707986 |x 1467-8519 |7 nnns |
773 | 1 | 8 | |g volume:31 |g year:2017 |g number:8 |g pages:590-598 |
856 | |u https://hdl.handle.net/2164/12928 |x unpaywall |z Vermutlich kostenfreier Zugang |h repository [oa repository (via OAI-PMH doi match)] | ||
856 | 4 | 0 | |u https://onlinelibrary.wiley.com/doi/abs/10.1111/bioe.12383 |x Verlag |
856 | |u https://doi.org/10.1111/bioe.12383 |x doi |3 Volltext | ||
951 | |a AR | ||
ELC | |a 1 | ||
ITA | |a 1 |t 1 | ||
LOK | |0 000 xxxxxcx a22 zn 4500 | ||
LOK | |0 001 374227869X | ||
LOK | |0 003 DE-627 | ||
LOK | |0 004 1727649117 | ||
LOK | |0 005 20210902115059 | ||
LOK | |0 008 200824||||||||||||||||ger||||||| | ||
LOK | |0 040 |a DE-Tue135 |c DE-627 |d DE-Tue135 | ||
LOK | |0 092 |o n | ||
LOK | |0 852 |a DE-Tue135 | ||
LOK | |0 852 1 |9 00 | ||
LOK | |0 935 |a ixzs |a ixzo | ||
LOK | |0 936ln |0 1550736558 |a NCH | ||
OAS | |a 1 | ||
ORI | |a SA-MARC-ixtheoa001.raw | ||
STA | 0 | 0 | |a Public health |
STB | 0 | 0 | |a Santé publique |
STC | 0 | 0 | |a Salud pública |
STD | 0 | 0 | |a Sanità pubblica |
STF | 0 | 0 | |a 公共卫生 |
STG | 0 | 0 | |a Saúde pública |
STH | 0 | 0 | |a Народное здравоохранение |
STI | 0 | 0 | |a Δημόσια υγεία |
SYE | 0 | 0 | |a Öffentliche Gesundheit,Bevölkerungsgesundheit,Volksgesundheit,Volkshygiene |