Applying Evidence to Support Ethical Decisions: Is the Placebo Really Powerless?

Using placebos in day-to-day practice is an ethical problem. This paper summarises the available epidemiological evidence to support this difficult decision. Based on these data we propose to differentiate between placebo and "knowledge framing". While the use of placebo should be confined to experi...

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Publicado en:Science & Engineering Ethics Vol. 10; no. 1; pp. 119 - 133
Autores principales: Porzsolt, Franz, Schlotz-Gorton, Nicole, Biller-Andorno, Nikola, Thim, Anke, Meissner, Karin, Roeckl-Wiedmann, Irmgard, Herzberger, Barbara, Ziegler, Renatus, Gaus, Wilhelm, Pöppel, Ernst
Formato: Artículo
Publicado: Springer Nature Jan2004
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Acceso en línea:Ver este registro en EBSCOhost
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          Porzsolt, Franz
          Schlotz-Gorton, Nicole
          Biller-Andorno, Nikola
          Thim, Anke
          Meissner, Karin
          Roeckl-Wiedmann, Irmgard
          Herzberger, Barbara
          Ziegler, Renatus
          Gaus, Wilhelm
          Pöppel, Ernst
        affil:
          Clinical Economics, University Hospital Ulm, 89075 Ulm, Germany
          Human Science Center, Ludwig Maximilians University Munich, 80336 Munich, Germany
          Department of Medical Ethics and History of Medicine, Georg-August University, 37973 Goettingen, Germany
          Institute of Biostatistics and Epidemiology, Ludwig Maximilians University Munich, 80336 Munich, Germany
          Hiscia Research Institute, CH-4144 Arlesheim, Switzerland
          Department of Biometrics and Medical Documentation, University of Ulm, 89075 Ulm, Germany
      su:
        Medical ethics
        Placebos
        Ethical problems
        Physician-patient relations
        Clinical trials
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          Medical ethics
          Placebos
          Ethical problems
          Physician-patient relations
          Clinical trials
      keyword:
        confidence
        ethics
        informed consent
        knowledge framing
        patient's information
        placebo
      ab: Using placebos in day-to-day practice is an ethical problem. This paper summarises the available epidemiological evidence to support this difficult decision. Based on these data we propose to differentiate between placebo and "knowledge framing". While the use of placebo should be confined to experimental settings in clinical trials, knowledge framing -- which is only conceptually different from placebo -- is a desired, expected and necessary component of any doctor-patient encounter. Examples from daily practice demonstrate both, the need to investigate the effects of knowledge framing and its impact on ethical, medical, economical and legal decisions.
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    language: English
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