Ethical issues in cancer screening and prevention

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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
Date Created 2014-05-19
Date Modified 2014-05-19
ID 712542
Reference URL https://collections.lib.utah.edu/ark:/87278/s6m364tt
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