Restarting Orthopaedic Care in a Pandemic: Ethical Framework and Case Examples
| Autor: | Travis N. Rieder, Amy L. Xu, Casey Jo Humbyrd, Alexandra M. Dunham |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Adolescent Coronavirus disease 2019 (COVID-19) Arthroplasty Replacement Hip Clinical Decision-Making education MEDLINE Article Rotator Cuff Injuries Fractures Bone 03 medical and health sciences 0302 clinical medicine Nursing Pandemic Humans Medicine Orthopedic Procedures Orthopedics and Sports Medicine Arthroplasty Replacement Knee Pandemics Ethical framework Aged Therapeutic Equipoise 030222 orthopedics SARS-CoV-2 business.industry Femoral Neoplasms Giant Cell Tumors COVID-19 Flexibility (personality) 030229 sport sciences Middle Aged Clavicle Triage Clinical equipoise Orthopedics Practice Guidelines as Topic Female Surgery business Public Health Administration |
| Zdroj: | J Am Acad Orthop Surg |
| ISSN: | 1940-5480 1067-151X |
| DOI: | 10.5435/jaaos-d-20-00871 |
| Popis: | The question about how to resume typical orthopaedic care during a pandemic, such as coronavirus disease 2019, should be framed not only as a logistic or safety question but also as an ethical question. The current published guidelines from surgical societies do not explicitly address ethical dilemmas, such as why public health ethics requires a cessation of nonemergency surgery or how to fairly allocate limited resources for delayed surgical care. We propose ethical guidance for the resumption of care on the basis of public health ethics with a focus on clinical equipoise, triage tiers, and flexibility. We then provide orthopaedic surgery examples to guide physicians in the ethical resumption of care. |
| Databáze: | OpenAIRE |
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