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Zu den Anforderungen der Risikoaufklärung von Behandlungsalternativen am Beispiel des intrazerebralen Aneurysmas


Burkhardt, J K; Burkhardt, W F; Zinn, P O; Bozinov, O; Bertalanffy, H (2011). Zu den Anforderungen der Risikoaufklärung von Behandlungsalternativen am Beispiel des intrazerebralen Aneurysmas. Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen, 105(7):535-541.

Abstract

All medical subspecialties and, in particular, high-tech field neurosurgery are subject to continuous change in therapeutic concepts due to novel treatment options emerging through research and evolution in the field. Hence, the question arises if the patient's informed consent needs to be adjusted in the face of multiple therapeutic options with different configurations of risk/benefit relationships. In this paper we discuss different therapeutic scenarios with regard to ruptured intracerebral aneurysms (RIA) and unruptured intracerebral aneurysms (UIA), and we advise the medical doctor involved in the process. Indeed, experienced neurosurgeons and endovascular interventionalists are very familiar with the management of these scenarios; likewise, interns, residents, and otherwise affiliated physicians may be faced with these situations. In general, asymptomatic and mentally capacitated patients as well as legal guardians of minor patients and of mentally incapacitated patients with incidental aneurysms and more than one therapeutic option need to be accurately informed about the advantages and disadvantages of the treatment options available to them. In case of emergency or when treating a mentally disabled patient who is incapable of making a sound judgment and has no legal guardian, the attending doctor will have to choose the best possible treatment option.

Copyright © 2010. Published by Elsevier GmbH.

Abstract

All medical subspecialties and, in particular, high-tech field neurosurgery are subject to continuous change in therapeutic concepts due to novel treatment options emerging through research and evolution in the field. Hence, the question arises if the patient's informed consent needs to be adjusted in the face of multiple therapeutic options with different configurations of risk/benefit relationships. In this paper we discuss different therapeutic scenarios with regard to ruptured intracerebral aneurysms (RIA) and unruptured intracerebral aneurysms (UIA), and we advise the medical doctor involved in the process. Indeed, experienced neurosurgeons and endovascular interventionalists are very familiar with the management of these scenarios; likewise, interns, residents, and otherwise affiliated physicians may be faced with these situations. In general, asymptomatic and mentally capacitated patients as well as legal guardians of minor patients and of mentally incapacitated patients with incidental aneurysms and more than one therapeutic option need to be accurately informed about the advantages and disadvantages of the treatment options available to them. In case of emergency or when treating a mentally disabled patient who is incapable of making a sound judgment and has no legal guardian, the attending doctor will have to choose the best possible treatment option.

Copyright © 2010. Published by Elsevier GmbH.

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Additional indexing

Other titles:Intracerebral aneurysm - treatment options, informed consent, and legal aspects
Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Neurosurgery
Dewey Decimal Classification:610 Medicine & health
Language:German
Date:2011
Deposited On:09 Feb 2012 22:17
Last Modified:07 Dec 2017 12:12
Publisher:Elsevier / Urban & Fischer
ISSN:1865-9217 (P) 2212-0289 (E)
Publisher DOI:https://doi.org/10.1016/j.zefq.2010.07.040
PubMed ID:21958620

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