Evidence and ethics in medicine

Perspectives in Biology and Medicine
John Worrall

Abstract

Ethics and epistemology in medicine are more closely and more interestingly intertwined than is usually recognized. To explore this relationship, I present a case study, clinical trials of extracorporeal membrane oxygenation (ECMO; an intervention for persistent pulmonary hypertension of the newborn).Three separate ethical issues that arise from this case study-whether or not it is ethical to perform a certain trial at all, whether stopping rules for trials are ethically mandated, and the issue of informed consent-are all shown to be intimately related to epistemological judgments about the weight of evidence. Although ethical issues cannot, of course, be resolved by consideration of epistemological findings, I argue that no informed view of the ethical issues that are raised can be adopted without first taking an informed view of the evidential-epistemological ones.

Citations

Aug 21, 2013·The American Journal of Bioethics : AJOB·Sarah J L Edwards
Jul 17, 2013·The Journal of Medicine and Philosophy·Adam La Caze
Sep 17, 2013·The Journal of Medicine and Philosophy·George Khushf
Nov 20, 2014·Journal of Evaluation in Clinical Practice·Benjamin H Chin-Yee
Aug 21, 2015·Archives of Physical Medicine and Rehabilitation·Pierre MaroisLaurent Ballaz
Feb 1, 2011·Philosophy, Ethics, and Humanities in Medicine : PEHM·Maureen A O'Malley, Karola Stotz
Sep 6, 2011·Preventive Medicine·John Worrall
Sep 1, 2011·The American Journal of Bioethics : AJOB·Chris DegelingWendy Rogers
Mar 25, 2010·Theoretical Medicine and Bioethics·Robyn Bluhm
Jan 9, 2017·The Journal of Medicine and Philosophy·Charles J KowalskiAdam J Mrdjenovich
Jan 5, 2018·The Journal of Medicine and Philosophy·Charles J Kowalski, Adam J Mrdjenovich
Jan 15, 2018·Social Science & Medicine·Angus Deaton, Nancy Cartwright
Jul 23, 2021·Critical Care : the Official Journal of the Critical Care Forum·Alexandra SchouMarc Sørensen

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