The COVID-19 pandemic: a time for ethical reflection?

Stoeklé, Henri‐Corto; Ivasilevitch, Achille; Hervé, Christian

doi:10.1016/s0140-6736(21)00795-9

Cited by 7 publications

(10 citation statements)

References 2 publications

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“…Bioethicists should help oncologists to reflect on their practices and should work with them to develop a new view of management, leading to new practices that could be applied during a future pandemic of this kind before the emergence of a vaccine or other scientifically validated therapeutic solution. 98 This solution could also, directly or indirectly, improve the quality of life (i.e., happiness) and/or survival of cancer patients, their families and oncologists.…”

Section: Resultsmentioning

confidence: 99%

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Bio‐ethical issues in oncology during the first wave of the COVID‐19 epidemic: A qualitative study in a French hospital

Stoeklé

Ladrat

Landrin³

et al. 2022

Evaluation Clinical Practice

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Background Using a specific bioethical theory (=global bioethics) and method (=a posteriori), we try here to identify and evaluate the bio‐ethical issues raised by the COVID‐19 pandemic, and possible solutions, to improve the management of cancer patients at the hospital in future pandemics, before the emergence of vaccines or scientifically validated treatments. Materials & Methods Our work is based primarily on the clinical experience of three oncologists from the oncology department of Foch Hospital in France, who were on the frontline during the first wave of the epidemic. We compared their perceptions with published findings, to complete or nuance their views. Results Three bio‐ethical issues were identified, and possible solutions to these problems were evaluated: (1) scientific evidence versus lack of time → the creation of emergency multidisciplinary team meetings (MTM); (2) healthcare equality versus lack of resources → the development of telemedicine; (3) individual liberties versus risk of contamination → role of cancer patients' associations, psychologists and bioethicists. Conclusion We consider the creation of an emergency MTM, in particular, in addition to a true ethics committee with real competence in bioethics, to be a first solution that would be easy to implement in hospitals in many countries.

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Section: Resultsmentioning

confidence: 99%

“…The same could be said for psychologists and the psychological support provided to oncologists and cancer patients, and for bioethicists and bioethical support. 98 , 116 …”

Section: Resultsmentioning

confidence: 99%

Bio‐ethical issues in oncology during the first wave of the COVID‐19 epidemic: A qualitative study in a French hospital

Stoeklé

Ladrat

Landrin³

et al. 2022

Evaluation Clinical Practice

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“…This request led to the scheduling of the so-called "emergency" multidisciplinary team meeting (MTM), the principle of which was subsequently described in various scientific journals. 4,[5][6][7][8][9][10][11][12][13][14][15][16][17][18] The general idea was to expand the fields of competence and knowledge of "classic" MTMs, 19 which are limited to only a few medical specialties (e.g. oncology, radiology, etc.…”

Section: First Wave Of the Covid-19 Pandemicmentioning

confidence: 99%

“…20 These data corresponded to feedback from three oncologists concerning their experiences in the face of the first wave of the epidemic. 4 By considering bioethical issues as tensions between new medical and/or biological practices and moral values and/or standards, we were able to identify and consider three key bioethical issues, through the lens of our ethical theory and with a particular research method (a posteriori research). 21 This study was finally published in September 2022, as an original article, in the Journal of Evaluation in Clinical Practice.…”

Section: First Wave Of the Covid-19 Pandemicmentioning

confidence: 99%

“…We meant simply that bioethics should be used at the appropriate time and in the appropriate manner, a position that we reexpressed in another letter to the editor published in the Lancet. 3 This is, indeed, what we have tried to do at Foch Hospital, 4,5 through an ethical theory, and precise research methodologies, focusing more on the future than the present. 6…”

Section: Introductionmentioning

confidence: 97%

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Bioethics after the COVID-19 pandemic: More research, fewer committees?

Stoeklé

Hervé

2022

Clinical Ethics

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In the face of the pandemic, bioethics, once again, proved its scientific utility. In France, in particular, the academic approach (= peer-reviewed, scientific publications, etc.) should be given priority over the institutional approach (= public surveys, public meetings, etc.), in hospitals, research institutes, universities, and companies, with the professionalization that this would imply (i.e. bioethicists).

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