Standard of care versus second-best: Ethical dilemmas in surgery for high risk papillary thyroid cancer in low and middle-income countries

Shilpa S. Murthy, Nir Eyal, Ole Frithjof Norheim, Daniel T. Ruan, Georges Ntakiyiruta, Riviello Robert

Research output: Contribution to journalReview articlepeer-review

Abstract

Surgeons caring for patients in low and middle-income countries often face ethical dilemmas due to resource constraints within local health care systems. Tradeoffs in surgical decision making occur on a daily basis. Using the economic theory of second-best and papillary thyroid cancer as an example, we created an ethical framework for surgical decision making in resource limited settings.

Original languageEnglish (US)
Pages (from-to)8-10
Number of pages3
JournalJournal of Cancer Policy
Volume6
DOIs
StatePublished - Dec 1 2015
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Oncology
  • Health Policy

Keywords

  • Complications in thyroid surgery
  • Economic theory
  • Global cancer surgery
  • Global health
  • Global surgery
  • Hemithyroidectomy
  • Papillary thyroid cancer
  • Standard of care
  • Thyroid cancer
  • Total thyroidectomy

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