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Restarting Orthopaedic Care in a Pandemic: Ethical Framework and Case Examples.
Humbyrd, Casey Jo; Dunham, Alexandra M; Xu, Amy L; Rieder, Travis N.
  • Humbyrd CJ; From the Department of Orthopaedic Surgery (Humbyrd and Dunham), Berman Institute of Bioethics (Humbyrd and Rieder), and School of Medicine (Xu), The Johns Hopkins University, Baltimore MD.
J Am Acad Orthop Surg ; 29(2): e72-e78, 2021 Jan 15.
Article in English | MEDLINE | ID: covidwho-914687
ABSTRACT
The question about how to resume typical orthopaedic care during a pandemic, such as coronavirus disease 2019, should be framed not only as a logistic or safety question but also as an ethical question. The current published guidelines from surgical societies do not explicitly address ethical dilemmas, such as why public health ethics requires a cessation of nonemergency surgery or how to fairly allocate limited resources for delayed surgical care. We propose ethical guidance for the resumption of care on the basis of public health ethics with a focus on clinical equipoise, triage tiers, and flexibility. We then provide orthopaedic surgery examples to guide physicians in the ethical resumption of care.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Public Health Administration / Orthopedic Procedures / COVID-19 Type of study: Case report / Observational study / Prognostic study Limits: Adolescent / Aged / Female / Humans / Male / Middle aged Language: English Journal: J Am Acad Orthop Surg Journal subject: Orthopedics Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Public Health Administration / Orthopedic Procedures / COVID-19 Type of study: Case report / Observational study / Prognostic study Limits: Adolescent / Aged / Female / Humans / Male / Middle aged Language: English Journal: J Am Acad Orthop Surg Journal subject: Orthopedics Year: 2021 Document Type: Article