How Should Screeners Respond to Women's Distress about Unexpected Dcis Uncertainties?

Pryke, Miriam; Havercroft, Daphne; Bewley, Susan; Blennerhassett, Mitzi

doi:10.1258/jms.2011.011069

Cited by 2 publications

(2 citation statements)

References 7 publications

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“…If we knew that our life was not under threat, we would be more likely to view the treatments as harmful. Women activists have eloquently reminded doctors that this is not about more information, but better information -and the opportunity to exercise real autonomy [18,19].…”

Section: What Should We Know About Where the Balance Of Risk And Benementioning

confidence: 99%

Why it can be ethical to use placebos in clinical practice

Howick¹

2017

Handbook of Primary Care Ethics

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In this paper I examine the relationship between benefits, harms and evidence-based medicine in the context of British primary healthcare. First, I will examine: 'What is a benefit and what is a harm?' Second, what should we know about where the balance of risk and benefit appear to lie? Third, what should we do with this knowledge, particularly in the context of the biopsychosocial gaze of primary care? I conclude that even perfect knowledge about benefits and harms requires to be translated in the context of the individual patient: it also requires to be interpreted according to what that persons' wishes are.

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Section: What Should We Know About Where the Balance Of Risk And Benementioning

confidence: 99%

Why it can be ethical to use placebos in clinical practice

Howick¹

2017

Handbook of Primary Care Ethics

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show abstract

“…If we knew that our life was not under threat, we would be more likely to view the treatments as harmful. Women activists have eloquently reminded doctors that this is not about more information, but better information – and the opportunity to exercise real autonomy [ 18,19 ].…”

Section: What Should We Know About Where the Balance Of Risk And Benementioning

confidence: 99%

Benefits, harms and evidence – reflections from UK primary healthcare

McCartney¹

2017

London Journal of Primary Care

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In this paper I examine the relationship between benefits, harms and evidence-based medicine in the context of British primary healthcare. First, I will examine: ‘What is a benefit and what is a harm?’ Second, what should we know about where the balance of risk and benefit appear to lie? Third, what should we do with this knowledge, particularly in the context of the biopsychosocial gaze of primary care? I conclude that even perfect knowledge about benefits and harms requires to be translated in the context of the individual patient: it also requires to be interpreted according to what that persons’ wishes are.Why this matters to meBy reiterating again and again how biases are stacked in favour of recommending treatments and interventions well beyond their rational evidence, my hope is that more honest medicine will result in less but higher value medicine. Stopping doing things that don’t work, or work rarely, or come with an unacceptable burden of side effects or appointments should make room for the pleasure of practicing medicine.Key message(s) Even perfect knowledge about benefits and harms requires to be translated in the context of the individual patient: it also requires to be interpreted according to what that persons’ wishes are.In the real, messy frontline world of general practice, we will always have uncertainty about where the balance of risk and benefit might lie.

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How Should Screeners Respond to Women's Distress about Unexpected Dcis Uncertainties?

Cited by 2 publications

References 7 publications

Why it can be ethical to use placebos in clinical practice

Why it can be ethical to use placebos in clinical practice

Benefits, harms and evidence – reflections from UK primary healthcare

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