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Title of Journal: Acta Neurochir

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Abbravation: Acta Neurochirurgica

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Springer Vienna

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DOI

10.1002/chin.199536095

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0942-0940

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Primo non nocere or maximum survival in grade 2 gliomas? A medical ethical question

Authors: Jannick Brennum, Carolina Magdalene Maier, Kerstin Almdal, Christina Malling Engelmann, Mickey Gjerris,

Publish Date: 2014/12/21
Volume: 157, Issue:2, Pages: 155-164
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Abstract

Both patients and experts accepted the premise of balancing neurological function versus longevity. Some patients would accept an increased risk of permanent neurological deficits in order to obtain a chance of increased survival. There was a significant variance in what constituted “quality of life” both between patients and for the individual patient over time.In important life-changing decisions there is no “one size fits all”. We find that it is ethically acceptable to offer more extensive surgery than is possible within the concept of maximal safe surgery as a treatment option, when balancing the principles of beneficence, non-maleficience, autonomy and justice supports the decision. At the same time it must be remembered that even when the patients have made a well-informed decision, some will regret it. In that situation it will be our job as healthcare professionals to support them and help carry some of this burden.


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Other Papers In This Journal:

  1. Treatment of secondary dystonia with a combined stereotactic procedure: long-term surgical outcomes
  2. Intracranial meningiomas and neurofibromatosis type 2
  3. Epstein-Barr virus associated primary intracranial leiomyoma in organ transplant recipient: case report and review of the literature
  4. Epstein-Barr virus associated primary intracranial leiomyoma in organ transplant recipient: case report and review of the literature
  5. Primary malignant fibrous histiocytoma extending into spinal canal through intervertebral foramina
  6. Hyperostosing meningiomas of the cranial vault with and without tumor mass
  7. The mechanism underlying combined medial and lateral plantar and tibial intraneural ganglia in the tarsal tunnel
  8. A simple method of skin mapping for planning the operative approach in peripheral nerve injuries
  9. Neurosurgery and pregnancy
  10. Neurosurgery and pregnancy
  11. The lack of relationship between intracranial pressure and cerebral ventricle indices based on brain computed tomography in patients undergoing ventriculoperitoneal shunt
  12. Histopathological analysis of intracerebral hemorrhage: implications for clinical management
  13. Management of infratentorial subdural hygroma complicating foramen magnum decompression: a report of three cases
  14. Reduction in external ventricular drain infection rate. Impact of a minimal handling protocol and antibiotic-impregnated catheters
  15. Primo non nocere or maximum survival in grade 2 gliomas? A medical ethical question
  16. Primo non nocere or maximum survival in grade 2 gliomas? A medical ethical question

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