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[Entitlement to prophylactic treatment in cases of genetic predisposition for breast cancer : Interdisciplinary perspectives]. / Leistungsanspruch auf prophylaktische Behandlung bei genetischer Prädisposition für Brustkrebs : Interdisziplinäre Perspektiven.
Meier, Friedhelm; Ried, Jens; Harney, Anke; Rhiem, Kerstin; Neusser, Silke; Neumann, Anja; Wasem, Jürgen; Schmutzler, Rita; Huster, Stefan; Dabrock, Peter.
Afiliação
  • Meier F; Lehrstuhl für Systematische Theologie II (Ethik), Friedrich-Alexander-Universität Erlangen-Nürnberg, Kochstraße 6, 91054, Erlangen, Deutschland. Friedhelm.Meier@fau.de.
  • Ried J; Lehrstuhl für Systematische Theologie II (Ethik), Friedrich-Alexander-Universität Erlangen-Nürnberg, Kochstraße 6, 91054, Erlangen, Deutschland.
  • Harney A; Institut für Sozial- und Gesundheitsrecht, Ruhr-Universität Bochum, Universitätsstr. 150, 44801, Bochum, Deutschland.
  • Rhiem K; Zentrum Familiärer Brust- und Eierstockkrebs, Universitätsklinik zu Köln, Kerpener Str. 34, 50931, Köln, Deutschland.
  • Neusser S; Alfried Krupp von Bohlen und Halbach Stiftungslehrstuhl für Medizinmanagement, Universität Duisburg-Essen, Thea-Leymann-Straße 9, 45127, Essen, Deutschland.
  • Neumann A; Alfried Krupp von Bohlen und Halbach Stiftungslehrstuhl für Medizinmanagement, Universität Duisburg-Essen, Thea-Leymann-Straße 9, 45127, Essen, Deutschland.
  • Wasem J; Alfried Krupp von Bohlen und Halbach Stiftungslehrstuhl für Medizinmanagement, Universität Duisburg-Essen, Thea-Leymann-Straße 9, 45127, Essen, Deutschland.
  • Schmutzler R; Zentrum Familiärer Brust- und Eierstockkrebs, Universitätsklinik zu Köln, Kerpener Str. 34, 50931, Köln, Deutschland.
  • Huster S; Institut für Sozial- und Gesundheitsrecht, Ruhr-Universität Bochum, Universitätsstr. 150, 44801, Bochum, Deutschland.
  • Dabrock P; Lehrstuhl für Systematische Theologie II (Ethik), Friedrich-Alexander-Universität Erlangen-Nürnberg, Kochstraße 6, 91054, Erlangen, Deutschland.
Article em De | MEDLINE | ID: mdl-28795204
Genetic tests can detect the predisposition to various diseases. The demand for gene diagnostics and corresponding prophylactic measures is increasing steadily. In the German healthcare system, however, legal uncertainties exist as to whether a mere risk of disease is reason enough to bear the costs for prophylactic measures. When medically effective prophylactic measures are available in certain cancer diseases, such as in hereditary breast cancer, the current practice of deciding in individual cases appears to be insufficient.The fact that persons with a high or very increased risk of breast cancer are precluded from a standard care procedure raises questions concerning ethical justification as well as medical plausibility. Moreover, it is remarkable that the statutory healthcare system treats persons at risk differently. In some cases there is a regulated way of reimbursement for preventive measures for persons at risk (factor V Leiden mutation) and in other cases there are only case-by-case decisions. Finally, in light of social regulations for persons at high and very increased risk this article considers the need of optimization regarding the risk communication in the decision-making process and the crucial question of budgetary impact for the German healthcare system.From a medical, ethical and legal perspective, a social regulation for persons at high and very increased risk of disease is inevitable and the consequences should be discussed in advance.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Neoplasias da Mama / Testes Genéticos / Predisposição Genética para Doença / Direitos do Paciente / Comunicação Interdisciplinar Tipo de estudo: Diagnostic_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Limite: Female / Humans País como assunto: Europa Idioma: De Ano de publicação: 2017 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Neoplasias da Mama / Testes Genéticos / Predisposição Genética para Doença / Direitos do Paciente / Comunicação Interdisciplinar Tipo de estudo: Diagnostic_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Limite: Female / Humans País como assunto: Europa Idioma: De Ano de publicação: 2017 Tipo de documento: Article