Asunto(s)
Toma de Decisiones Clínicas/ética , Pólipos del Colon/patología , Neoplasias Colorrectales/diagnóstico , Algoritmos , Colectomía/ética , Colectomía/métodos , Pólipos del Colon/cirugía , Neoplasias Colorrectales/patología , Neoplasias Colorrectales/cirugía , Manejo de la Enfermedad , Resección Endoscópica de la Mucosa/ética , Resección Endoscópica de la Mucosa/métodos , Testimonio de Experto/ética , Humanos , Comunicación Interdisciplinaria , Márgenes de Escisión , Medición de Riesgo , Espera Vigilante/ética , Espera Vigilante/métodosAsunto(s)
Ética Médica , Displasia del Cuello del Útero/terapia , Neoplasias del Cuello Uterino/terapia , Espera Vigilante/ética , Femenino , Humanos , Estadificación de Neoplasias , Neoplasias del Cuello Uterino/diagnóstico , Neoplasias del Cuello Uterino/patología , Displasia del Cuello del Útero/diagnóstico , Displasia del Cuello del Útero/patologíaRESUMEN
In recent years, the increasing numbers of small, apparently indolent thyroid cancers diagnosed in the world have encouraged investigators to consider non-intervention as an alternative to surgical management. In the following pages, the prospect of a non-intervention trial for thyroid cancer is considered with attention to the ethical issues that such a trial might raise. Such a non-intervention trial is analyzed relative to 7 ethical considerations: the social or scientific value of the research, the scientific validity of the trial, the necessity of fair selection of participants, a favorable risk-benefit ratio for trial participants, independent review of the trial, informed consent, and allowing the study participants to withdraw from the trial. A non-intervention trial for thyroid cancer is also considered relative to the central concept of equipoise.