Abstract
Surgical decision making in the field of Surgical Oncology confronts always difficult situations. Surgeons need to be aware of the implications and consequences of the therapeutic decisions they promote. Different models of decision making are overviewed as well as the ethical issues raised.
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Lamb B, Green JS, Vincent C, et al. Decision making in surgical oncology. Surg Oncol. 2011;20:163–8.
Glance LG, Osler TM, Neuman MD. Redesigning surgical decision making for high risk patients. N Engl J Med. 2014;370:1379–81.
Ferreres AR. Ethical debate: the ethics of non performing extended lymphadenectomy in patients with gastrointestinal cancer. World J Surg. 2013;37:1821–8.
Rutkow I, Gittelsohn AM, Zuidema GD. Surgical decision making: the reliability of clinical judgement. Ann Surg. 1979;190:409–17.
Bravata DM. Making medical decisions under uncertainty. Sem Med Pract. 2000;3:6–14.
St Martin L, Patel P, Gallinger J, et al. Teaching the slowing-down moments of operative judgement. Surg Clin North Am. 2012;92:125–35.
Marshall JC. Surgical decision-making: integrating evidence, inference and experience. Surg Clin North Am. 2006;86:201–15.
Barry MJ, Edgman-Levitan S. Shared-decision making—the pinnacle of patient-centered care. N Engl J Med. 2012;366:780–1.
McCullough LB. John Gregory’s writings on medical ethics and philosophy of medicine. Dordrecht: Kluwer Academic; 1998.
Sivell S, Edwards A, Elwyn G, et al. Understanding surgery choices for breast cancer: how might the theory of planned behaviour and the common sense model contribute to decision support interventions? Health Expect. 2011;14 Suppl 1:6–19.
Cristancho SM, Vanstone M, Lingard L, et al. When surgeons face intraoperative challenges: a naturalistic model of surgical decision making. Am J Surg. 2013;205:156–62.
Flin R, Youngson G, Yule S. How do surgeons make intraoperative decisions? Qual Saf Health Care. 2007;16:235–9.
McCullough LB, Jones JW, Brody BA. Surgical ethics. New York: Oxford University Press; 1998.
Jonsen AR, Siegler M, Winslade WJ. Clinical ethics: a practical approach to ethical decisions in clinical medicine. New York: McGraw Hill; 2010.
Kon AA. Answering the question: “doctor, if this were your child, what would you do?”. Pediatrics. 2006;118:393–400.
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Ferreres, A.R. (2016). Dealing with the Most Difficult Situations: A Point of View from a Surgical Oncologist. In: Surgical Decision Making. Springer, Cham. https://doi.org/10.1007/978-3-319-29824-5_15
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DOI: https://doi.org/10.1007/978-3-319-29824-5_15
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