Should Informed Consent for Cancer Treatment Include a Discussion about Hospital Outcome Disparities?

Background to the debate: Several studies have found disparities in the outcome of medical procedures across different hospitals—better outcomes have been associated with higher procedure volume. An Institute of Medicine workshop found such a “volume–outcome relationship” for two types of cancer sur...

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Detalles Bibliográficos
Autores principales: Housri, Nadine, Weil, Robert J, Shalowitz, David I, Koniaris, Leonidas G
Formato: Texto
Lenguaje:English
Publicado: Public Library of Science 2008
Materias:
The PLoS Medicine Debate
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2570421/
https://www.ncbi.nlm.nih.gov/pubmed/18942888
http://dx.doi.org/10.1371/journal.pmed.0050214
Descripción
Sumario:Background to the debate: Several studies have found disparities in the outcome of medical procedures across different hospitals—better outcomes have been associated with higher procedure volume. An Institute of Medicine workshop found such a “volume–outcome relationship” for two types of cancer surgery: resection of the pancreas and esophagus (http://www.iom.edu/?id=31508). This debate examines whether physicians have an ethical obligation to inform patients of hospital outcome disparities for these cancers.

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