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Friday, March 25, 2016

Separating Quality Clinical Research From a Philosophy of Life



Opinion (Markman)
 
Provocative Perspectives in Oncology Blog
MARCH 21, 2016

Separating Quality Clinical Research From a Philosophy of Life

A questionable study is compounded by a questionable invited commentary 
...Surely, there can be no argument with the conclusion of this editorial that oncologists should “not contribute to the suffering cancer and other associated therapy brings, particularly at the end.”2 However, to equate these meaningful words with the unequivocal statement that essentially says physicians should either strongly encourage, or directly tell, patients to not undergo active treatment raises the serious ethical concern that a physician is not simply providing clear and objective data but rather is mandating that patients accept the physician’s personal philosophical view of life.
 References:
  1. Prigerson HG, Bao Y, Shah MA, et al. Chemotherapy use, performance status, and quality of life at the end of life.JAMA Oncol. 2015;1(6):778-784, PMID: 26203912.
  2. Blanke CD, Fromme EK. Chemotherapy near the end of life. First—and third and fourth (line)—Do no harm.JAMA Oncol. 2015;1(6):785-786, PMID: 26203585.

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