First in line for robotic surgery: Would you want to know?

Woo, Y. Joseph; Handy, John R.; Sade, Robert M.

doi:10.1016/j.jtcvs.2018.11.025

Cited by 3 publications

(1 citation statement)

References 34 publications

(28 reference statements)

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“…These conflicts are generally thought of in economic terms, such as when a provider recommends a treatment from which that practitioner might benefit financially. However, a more subtle type of disclosure involves acknowledging that different providers or different clinical environments may have substantially different outcomes for a given condition or procedure, as it has been increasingly understood that "a reasonable person" would consider this information important to his or her decision making [Woo 2019] ("You Are the Perfect Age" [Tribble 2019]). Above all else, the surgeon must avoid coercing a reluctant patient to agree to a recommendation, either overtly or subtly.…”

Section: Disclosure and Other Ethical Issues In Obtaining Consentmentioning

confidence: 99%

First, We Do Harm: Obtaining Informed Consent for Surgical Procedures

Tribble

Julliard

2019

HSF

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Although many believe that the phrase “First, do no harm” was part of the Hippocratic Oath, in fact it was not. This phrase, often written in Latin (“Primum non Nocere”), seems to have first appeared in medical writing in the 17th century. However, it is obvious that many therapeutic interventions do cause at least some harm with hopes of benefitting patients in the long run. This balancing of initial harm in hope of eventual benefit is never more apparent than in the case of invasive procedures, though other examples abound, such as the administration of chemotherapy. The ethical concept of nonmaleficence, which traces its origins to the concept of primum non nocere, accurately acknowledges the concept of the need to strive to do more good than harm. Thus, it is apparent that, in a surgical operation, the surgeon is proposing to cause harm, initially, to the patient in hopes of creating an outcome that results in more good than harm. Therefore, the process of obtaining consent from the patient for a surgical operation acknowledges the fact that harm will, in fact, be inflicted on that patient, with the hope that, on balance, this harm will result in a greater overall good for the patient. It is for this reason that the modern concepts of informed consent have developed.

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Section: Disclosure and Other Ethical Issues In Obtaining Consentmentioning

confidence: 99%