Publication Type |
pre-print |
School or College |
College of Humanities |
Department |
Philosophy |
Creator |
Plutynski, Anya |
Title |
Ethical issues in cancer screening and prevention |
Date |
2012-01-01 |
Description |
November 2009's announcement of the USPSTF's recommendations for screening for breast cancer raised a firestorm of objections, Chief among them that the Panel bad insufficiently valued patients' lives or allowed cost considerations to influence recommendations. The publicity about the recommendations, however, often either simplified the actual content of the recommendations or bypassed significant methodological issues, which a philosophical examination of both the science behind screening recommendations and their import reveals. In this article, I discuss two of the leading ethical considerations at issue in screening recommendations: respect for patient autonomy and beneficence and then turn to the most significant methodological issues raised by cancer screening: the potential biases that may infect a trial of screening effectiveness, the problem of base rates in communicating risk, and the trade-offs involved in a judgment of screening effectiveness. These issues reach more broadly, into the use of "evidence-based" medicine generally, and have important implications for informed consent. |
Type |
Text |
Publisher |
Oxford University Press |
Volume |
37 |
Issue |
3 |
First Page |
1 |
Last Page |
14 |
Language |
eng |
Bibliographic Citation |
Plutynski, A. (2012). Ethical issues in cancer screening and prevention. Journal of Medicine and Philosophy (United Kingdom), 37(3), 1-14. |
Rights Management |
(c) Oxford University Press. This is a pre-copy-editing, author-produced PDF of an article accepted for publication in Journal of Medicine and Philosophy (United Kingdom) following peer review. The definitive publisher-authenticated version Plutynski, A. (2012). Ethical issues in cancer screening and prevention. Journal of Medicine and Philosophy (United Kingdom), 37(3), 310-23 is available online at: doi: 10.1093/jmp/jhs017 |
Format Medium |
application/pdf |
Format Extent |
147,822 bytes |
Identifier |
uspace,17703 |
ARK |
ark:/87278/s6m364tt |
Setname |
ir_uspace |
ID |
712542 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6m364tt |