Full Description
This book presents in detail the problems and ethical challenges in daily oncological practice.
In western industrialized countries, roughly 25 percent of all citizens still die from cancer. Despite significant progress in basic science and in individual areas of clinical care, even in the 21st century, being diagnosed with cancer has lost none of its dread and can still be a death sentence. This situation raises many problems and challenges for medical ethics, e.g., the question of the benefits and risks of prevention programs, or the right to know and not to know.
Clinical trials with cancer patients and quality assurance for surgery, radiotherapy and medication also pose a series of ethical dilemmas. Furthermore, cancer treatment is a psychological challenge not only for patients but also for physicians and caregivers. The issues of adequate pain management and good palliative care, of treatment limiting and the question of assisted suicide at the end of life also have to be considered. In order to reflect the subject's diverse and multifaceted nature, the book incorporates legal, ethnographic, historical and literary perspectives into ethical considerations.
Contents
Cancer as an ethical challenge.- Historical aspects of the „fight against cancer.- One in four dies of cancer." Questions about the epidemiology of malignant tumors.- Ethical issues related to human papillomavirus vaccination programs: an example from Bangladesh.- Ethical challenges around cell lines in cancer research.- Risk-adapted prevention. Governance perspective for benefits of genetic (breast cancer) risk.- The right to know and not to know: predictive genetic diagnosis and non-diagnosis.- Benefits and harms of cancer screening.- Ethical dilemmas in conducting clinical trials.- Ethical aspects in cancer drug approval, balancing individual versus societal perspectives.- Liver living donation for cancer patients: benefits, risks, justification.- Quality assurance of cancer medication and the challenge of biosimilars.- Cancer in children.- Pain and palliative medicine.- Advance directives for medical decisions.- Euthanasia and assisted suicide.- Doctor's health and the health ofcaregivers.- Diagnosis breast cancer. An ethnographic study of illness and disease.- The patient's view.- The patients' advocate.- Cancer in literature.
