외과적 혁신의 윤리 쟁점과 윤리적 규제의 필요성
Ethical Challenges and Regulations concerning Surgical Innovation
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Although research on drugs and medical devices for human is well regulated and scrutinized through the existing IRB system, there is a need for a careful review of the current process for approving surgical procedures involving new medical devices. In particular, the clinical application of innovative surgical procedures with new or existing devices should be examined from an ethical point of view. There are, at this point, no formal ethical rules concerning innovative surgical procedures, and important terms are in need of clarification and definition. This article argues that while the adequacy of IRB process for surgical innovation has to be reviewed, there are needs to debate on some reasonable and valid definitions and ethical regulations of surgical innovation. In addition to, while the potential of professional surgical organizations for self-regulation has to be respected, the debates concerning the ethical issues associated with innovative surgical procedures should be opened up to the academic medical sector and those outside of the medical community.
Abstract
Although research on drugs and medical devices for human is well regulated and scrutinized through the existing IRB system, there is a need for a careful review of the current process for approving surgical procedures involving new medical devices. In particular, the clinical application of innovative surgical procedures with new or existing devices should be examined from an ethical point of view. There are, at this point, no formal ethical rules concerning innovative surgical procedures, and important terms are in need of clarification and definition. This article argues that while the adequacy of IRB process for surgical innovation has to be reviewed, there are needs to debate on some reasonable and valid definitions and ethical regulations of surgical innovation. In addition to, while the potential of professional surgical organizations for self-regulation has to be respected, the debates concerning the ethical issues associated with innovative surgical procedures should be opened up to the academic medical sector and those outside of the medical community.
참고문헌 (18)
- Angelique M. Reitsma, "Ethical Guidelines for Innovative Surgery : Obstacles for Policy Change" (2006), Univ Pub Group
- Biffl WL, "Responsible Development and application of surgical innovations: A position statement of the university surgeons", Journal of Am Coll of Surgeons, 206(6), pp.1204~1209 (2008)
- Brierley J, "Compassionate and innovative treatments in children: a proposal for an ethical framework", Arch Dis Child, 946, pp.651~654 (2009)
- Burger I, "Ethical issues in evidence-based", Surg Clin N Am, 86, pp.151~168 (2006)
- Margo CE, "When is surgery research? Towards an operational definition of human research", J Med Ethics, 27(1), pp.40~43 (2001)
- McKneally MF, "Ethical problems in surgery: innovation leading to unforeseen complications", World J Surg, 23, pp.786~788 (1999)
- Moore FD, "Ethical problems special to surgery", Archives of Surgery, 135, pp.14~16 (2000)
- Moore FD, "The desperate case: CARE(costs, applicability, research, ethics)", JAMA, 261(10), pp.1483~1484 (1989)
- Reitsma AM, "Ethical regulations for innovative surgery: the last frontier?", J Am Coll Surg, 194, pp.792~801 (2002)
- Shinebourne EA, "Ethics of innovative cardiac surgery", British Heart Journal, 52, pp.597~601 (1984)
- Spodik D, "Numerators without denominators: there is no FDA for the surgeon", JAMA, 232, pp.1~32 (1975)
- Burger I, "Ethical issues in evidence-based surgery", Surg Clin N Am, 86, pp.151~168 (2006)
- Tonelli MR, "Clinical experimentation: Lessons from lung volume reduction surgery", Chest, pp.110230~110238 (1996)
- Woolley FR, "Ethical issues in the implantation of the total artificial heart", New England Journal of Medicine, 310, pp.292~296 (1984)
- 관련 학회들, "송명근 수술중단 결론에 동의", 코메디닷컴, ~ (2010)
- "세계의사회 헬싱키 선언-서울 개정본", J Korean Med Assoc, 53(9), pp.739~742 (2010)
- "송명근 교수 개발‘심장 카바 수술’안전성 논란", 동아일보, ~ (2009)
- , 송명근 교수‘카바수술 성적’24일 공개 건대병원 대동맥판막성형술 심포지엄 (2009)
