Medical Ethics
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Advance Care Planning for Patients With Hematologic Malignancies
Misconceptions among both patients and clinicians about the role of palliative care and its relationship to “aggressive treatment” of hematologic malignancies contribute to high rates of aggressive interventions at the end of life, and a high proportion of in-hospital deaths.
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Conversations on Ethics of Difficult Cases Often Help Clinical Team
Clinicians found debriefing sessions after difficult cases helpful because they permitted the discussion of values, found a recent study.
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Study: Biggest Barrier to Advance Care Planning Is Time
Lack of time and skill are two barriers to advance care planning cited by physicians, according to recent research. There also is a lack of clarity as to who is responsible for these difficult discussions.
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Paper Calls for More Transparency of Industry-sponsored Clinical Trials
A recent paper offers consensus recommendations and examples of best practices from the published clinical trial literature to help authors and trial sponsors communicate drug adverse events in a more informative and clinically meaningful manner.
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Very Strict Clinical Trial Criteria Can Pose Ethical Problem
Clinical trials routinely use overly strict enrollment criteria, found a recent study.
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FDA’s Draft Guidance on eRecords Could Have Unintended Consequences
The FDA’s draft guidance on the use of electronic records and electronic signatures encourages systems to improve quality and efficiency, and expands the use of a risk-based approach in validating and establishing audit trails for electronic systems. But it’s the validation part of the proposed guidance that could introduce a new problem.
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Assent Is Not Consent: Children in Clinical Trials Are Not Little Adults
The classic admonition in pediatric medicine is “children are not little adults,” implying in part that you cannot just scale down adult care and treatment. Does this phrase resonate as well in human research trials involving children, particularly around issues of consent for the former and assent for the latter?
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ICMJE Underlines Ethics on Importance of Data Sharing
The International Committee of Medical Journal Editors published an editorial in June 2017, saying there is an ethical obligation to share interventional clinical trial data. Beginning July 1, 2018, manuscripts with clinical trial results that are submitted to the committee's journals must contain a data-sharing statement.
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Decisional Conflict Common for Surrogates of ICU Patients
A recent study looked at whether the decision-making process plays a role in the psychological morbidity associated with being a surrogate in the ICU.
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Paper Calls for More Transparency of Industry-sponsored Clinical Trials
A recent paper offers consensus recommendations and examples of best practices from the published clinical trial literature to help authors and trial sponsors communicate drug adverse events in a more informative and clinically meaningful manner.