Duty to Inform and Informed Consent in Diagnostic Radiology: How Ethics and Law can Better Guide Practice

HEC Forum : an Interdisciplinary Journal on Hospitals' Ethical and Legal Issues
Victoria Doudenkova, Jean-Christophe Bélisle Pipon

Abstract

Although there is consensus on the fact that ionizing radiation used in radiological examinations can affect health, the stochastic (random) nature of risk makes it difficult to anticipate and assess specific health implications for patients. The issue of radiation protection is peculiar as any dosage received in life is cumulative, the sensitivity to radiation is highly variable from one person to another, and between 20 % and 50 % of radiological examinations appear not to be necessary. In this context, one might reasonably assume that information and patient consent would play an important role in regulating radiological practice. However, there is to date no clear consensus regarding the nature and content of-or even need for-consent by patients exposed to ionizing radiation. While law and ethics support the same principles for respecting the dignity of the person (inviolability and integrity), in the context of radiology practice, they do not provide a consistent message to guide clinical decision-making. This article analyzes the issue of healthcare professionals' duty to inform and obtain patient consent for radiological examinations. Considering that both law and ethics have as one of their aims to protect vulnerable po...Continue Reading

References

Jan 1, 1991·Annals of the ICRP·A C Upton
Jan 1, 1991·Annals of the ICRP·K Sankaranarayanan
Jul 20, 2001·AJR. American Journal of Roentgenology·E L Nickoloff, P O Alderson
Sep 23, 2003·Sociology of Health & Illness·Janine Pierret
Jan 27, 2005·Radiology·Molly T BeinfeldG Scott Gazelle
May 16, 2006·Pediatric Radiology·Karen E ThomasConnie Krajewski
Jul 25, 2006·AJR. American Journal of Roentgenology·Christoph I LeeHoward P Forman
Nov 30, 2007·The New England Journal of Medicine·David J Brenner, Eric J Hall
Feb 2, 2008·Health Care Analysis : HCA : Journal of Health Philosophy and Policy·Adèle Langlois
Mar 4, 2008·Radiation Protection Dosimetry·J F Malone
Mar 22, 2008·Journal of Advanced Nursing·Kathryn WeaverCarl Mitcham
May 28, 2009·Nature Reviews. Cardiology·Andrew J Einstein
Nov 28, 2009·Radiation Protection Dosimetry·Ian Fairlie
Dec 17, 2009·Archives of Internal Medicine·Amy Berrington de GonzálezCharles Land
Apr 23, 2010·Journal of the American Academy of Nurse Practitioners·Luann Richardson
Jul 20, 2010·European Journal of Radiology·Ola HolmbergFred Mettler
Aug 26, 2010·Radiology·William R HendeePaul E Wallner
Oct 21, 2010·Journal of Medical Imaging and Radiation Oncology·Richard M Mendelson
Dec 18, 2010·Radiology·Hedvig HricakLouis K Wagner
Aug 19, 2011·Radiation Protection Dosimetry·B M Moores, D Regulla
Dec 22, 2011·Journal of Nuclear Medicine : Official Publication, Society of Nuclear Medicine·Lutz S Freudenberg, Thomas Beyer
Jun 16, 2012·JACC. Cardiovascular Imaging·Timothy E PaterickThomas C Gerber
Aug 24, 2012·AJR. American Journal of Roentgenology·Rutger A J Nievelstein, Donald P Frush
Aug 24, 2012·Radiology·David J Brenner, Eric J Hall
Jan 2, 2013·JAMA Internal Medicine·Janet M BuseyWilliam P Shuman
Feb 5, 2013·Journal of Medical Imaging and Radiation Oncology·Nicholas Brown, Lee Jones
Feb 5, 2013·Journal of Medical Imaging and Radiation Oncology·Ho-kwan SinYiu Ching Tiffany Chu
Jun 26, 2013·AJR. American Journal of Roentgenology·Jeffrey M Albert
Mar 29, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Thomas E RobeyMary K Murphy

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