COVID-19 : quel rôle pour les comités d’éthique ?

Stoeklé, Henri‐Corto; Ivasilevitch, Achille; Hulier-Ammar, Elisabeth; Reynaert, Dominique; Hervé, Christian

doi:10.1016/j.meddro.2020.11.004

Cited by 4 publications

(1 citation statement)

References 1 publication

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“…The same could be said for psychologists and the psychological support provided to oncologists and cancer patients, and for bioethicists and bioethical support. 98,116 An ethics committee alone, without bioethicists, would be inadequate, 117,118 because being a biologist or a physician is not sufficient, in itself, for competence in bioethics or medical ethics, just as being an oncologist does not imply intrinsic competence, for example, in orthopaedic surgery. There are courses to be followed, diplomas to be obtained, especially doctorates, and truly scientific and pedagogic experience to be acquired.…”

Section: Perspectivesmentioning

confidence: 99%

Bio‐ethical issues in oncology during the first wave of the COVID‐19 epidemic: A qualitative study in a French hospital

Stoeklé

Ladrat

Landrin³

et al. 2022

Evaluation Clinical Practice

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Background Using a specific bioethical theory (=global bioethics) and method (=a posteriori), we try here to identify and evaluate the bio‐ethical issues raised by the COVID‐19 pandemic, and possible solutions, to improve the management of cancer patients at the hospital in future pandemics, before the emergence of vaccines or scientifically validated treatments. Materials & Methods Our work is based primarily on the clinical experience of three oncologists from the oncology department of Foch Hospital in France, who were on the frontline during the first wave of the epidemic. We compared their perceptions with published findings, to complete or nuance their views. Results Three bio‐ethical issues were identified, and possible solutions to these problems were evaluated: (1) scientific evidence versus lack of time → the creation of emergency multidisciplinary team meetings (MTM); (2) healthcare equality versus lack of resources → the development of telemedicine; (3) individual liberties versus risk of contamination → role of cancer patients' associations, psychologists and bioethicists. Conclusion We consider the creation of an emergency MTM, in particular, in addition to a true ethics committee with real competence in bioethics, to be a first solution that would be easy to implement in hospitals in many countries.

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