Stimulating debate: ethics in a multidisciplinary functional neurosurgery committee.
Multidisciplinary healthcare committees meet regularly to discuss patients' candidacy for emerging functional neurosurgical procedures, such as Deep Brain Stimulation (DBS). Through debate and discussion around the surgical candidacy of particular patients, functional neurosurgery programs begin to mold practice and policy supported both by scientific evidence and clear value choices. These neurosurgical decisions have special considerations not found in non-neurologic committees. The professional time used to resolve these conflicts provides opportunities for the emergence of careful, ethical practices simultaneous with the expansion of therapy applications.
Ford
Paul J
PJ
Department of Bioethics/JJ60, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA. fordp@ccf.org
Kubu
Cynthia S
CS
D000368:Aged; D001291:Attitude of Health Personnel; D017028:Caregivers / Q000523:psychology; D046690:Deep Brain Stimulation / Q000941:ethics; D028741:Ethics Committees, Clinical / Q000941:ethics*; D005190:Family; D006801:Humans; D008297:Male; D009493:Neurosurgery / Q000941:ethics*; D020734:Parkinsonian Disorders / Q000523:psychology / Q000601:surgery; D010348:Patient Care Team / Q000941:ethics*; D011182:Postoperative Care