Bioethics
Viewpoint: Surgical overtreatment and shared decision-making—the limits of choice. – “Payment models further incentivize surgical intervention. Fee-for-service payment plans reward surgeons for operating, not for ensuring that surgery is right for a patient”.
17 Oct, 2021 | 21:17h | UTCSurgical Overtreatment and Shared Decision-making—The Limits of Choice – JAMA Surgery (free for a limited period)
Commentary on Twitter
“Adjusting payment models to mitigate financial incentives..to overtreat is a start. However..greater focus should be given to the myriad other causes of overtreatment,” such as triggers of care cascades, write Clapp, Schwarze & @LeeAFleisher. https://t.co/f4mPsnxyVB
— Ben Harder #BlackLivesMatter (@benharder) October 14, 2021
‘I hope you die’: how the COVID pandemic unleashed attacks on scientists.
15 Oct, 2021 | 02:46h | UTC‘I hope you die’: how the COVID pandemic unleashed attacks on scientists – Nature
Commentary on Twitter
#COVID19 has changed many things- one has been the way the public interacts with scientists.
Like many of my colleagues I was not prepared for the onslaught of harassment and it affected me deeply.
Thanks to @Nature for telling our stories https://t.co/PiVCREyc8A
— Krutika Kuppalli, MD FIDSA (@KrutikaKuppalli) October 13, 2021
Editorial: Covid-19 treatments and vaccines must be evaluated in pregnancy.
15 Oct, 2021 | 02:41h | UTCCovid-19 treatments and vaccines must be evaluated in pregnancy – The BMJ
Related:
Study shows high effectiveness of the Pfizer mRNA COVID-19 vaccine in pregnancy.
5 Crucial Things to Know About COVID-19 Vaccines and Pregnancy.
CDC Guidance: Pregnant people should be vaccinated against COVID-19.
Cohort study: Pfizer/BioNTech COVID vaccine associated with 78% lower risk of Covid-19 in pregnancy.
Commentary on Twitter
Inconsistent messaging from authorities, driven by lack of trial data, has increased covid-19 vaccine hesitancy among pregnant women@DrAllyah and colleagues argue that pregnant women should be included in drug and vaccine development from the outsethttps://t.co/P3v1ouk8tQ
— The BMJ (@bmj_latest) October 14, 2021
Opinion | COVID lesson: trust the public with hard truths.
13 Oct, 2021 | 01:47h | UTCCOVID lesson: trust the public with hard truths – Nature
Commentary from the author on Twitter (thread – click for more)
Today in @Nature, I outline a key lesson from COVID-19:
"Governments, dare to to trust your citizens."
Governments' fear of their people is not supported by science & it stymies pandemic management and breeds vaccine hesitancy.
Read it here: https://t.co/dbr5Epggow.
🧵 (1/8) pic.twitter.com/EegEIxGb2r
— Michael Bang Petersen (@M_B_Petersen) October 12, 2021
Survey finds misperceptions associated with palliative care are widespread – stigma may be perpetuated by those who falsely believe they understand its meaning.
11 Oct, 2021 | 23:54h | UTCPublic knowledge and attitudes concerning palliative care – BMJ Supportive & Palliative Care
Commentary on Twitter
Public misperceptions & stigma around palliative care are significant issues even for very well developed health systems. 29% of Canadian sample believed pall care meant doctors were 'giving up'. https://t.co/gpCFwFrk8z pic.twitter.com/TZsqwdbQnt
— Richard Sullivan (@SullivanProf) October 10, 2021
Bioethics | The Trolley Problem and Vaccinating Young People Against COVID-19.
10 Oct, 2021 | 21:50h | UTCThe Trolley Problem and Vaccinating Young People Against COVID-19 – Science-Based Medicine
Bioethics | People who want organ transplants must get the COVID-19 vaccine, a hospital says.
8 Oct, 2021 | 10:21h | UTCPeople who want organ transplants must get the COVID-19 vaccine, a hospital say – NPR
Opinion | Covid-19 keeps delivering lessons about health care worker burnout. Will we learn them?
8 Oct, 2021 | 10:18h | UTCCovid-19 keeps delivering lessons about health care worker burnout. Will we learn them? – STAT
Commentary on Twitter
Opinion: Delaying the important work of addressing burnout under the guise of "let's just get through this first" does a disservice to health care workers who need support and relief now. https://t.co/21s5NRvhdk
— STAT (@statnews) October 7, 2021
Perspective | No one is safe until we are all safe.
7 Oct, 2021 | 10:47h | UTCNo one is safe until we are all safe – Science Translational Medicine
Commentary: Covid ‘still running rampant’ worldwide, warns creator of Oxford vaccine – The Guardian
Related: Opinion: Vaccine Nationalism Harms Everyone and Protects No One
Commentary on Twitter
No one is safe until we all are safe, by Sarah Gilbert @JennerInstitute @NDMOxford @UniofOxford and @DrRHatchett @CEPIVaccines
With a forecast of global vaccine supply for 2021https://t.co/iUgC6euvz6 @ScienceTM a large proportion are Sinopharm and Sinovac from China pic.twitter.com/w4KfUAsU45— Eric Topol (@EricTopol) October 6, 2021
Choosing Wisely: Seven things physicians and residents/patients should question in long term care.
7 Oct, 2021 | 10:31h | UTCSee complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
AAN Position Statement: Ethical perspectives on costly drugs and health care.
5 Oct, 2021 | 08:57h | UTCEthical Perspectives on Costly Drugs and Health Care: AAN Position Statement – Neurology
News release: AAN Issues Ethics Position Statement on Costly Drugs and Health Care – American Academy of Neurology
Addressing Biased Patient Behavior: A Teachable Moment.
5 Oct, 2021 | 08:54h | UTCAddressing Biased Patient Behavior: A Teachable Moment – JAMA Internal Medicine
Editorial | Clinical ethics: consent for vaccination in children.
3 Oct, 2021 | 22:53h | UTCClinical ethics: consent for vaccination in children – Archives of Disease in Childhood
Intensive care triage under exceptional resource scarcity.
3 Oct, 2021 | 22:48h | UTCIntensive care triage under exceptional resource scarcity – Swiss Medical Weekly
Physician Well-being 2.0: Where Are We and Where Are We Going?
3 Oct, 2021 | 22:36h | UTCPhysician Well-being 2.0: Where Are We and Where Are We Going? – Mayo Clinic Proceedings
Related:
[Abstract Only] Assessment of Risk Factors for Suicide Among US Health Care Professionals
Beyond Burnout: Docs Decry ‘Moral Injury’ From Financial Pressures of Health Care
Perspective: Hospital Administration Response to Physician Stress and Burnout
Opinion: It’s Time to Talk About Physician Burnout and Moral Injury
Systematic Review: Effect of Organization-Directed Workplace Interventions on Physician Burnout
Perspective: The 3 Causes Of Physician Burnout (And Why There’s No Simple Solution)
Physician Burnout: A Global Crisis (several resources on the subject)
Saying ‘person with schizophrenia,’ not ‘schizophrenic,’ can affect clinician beliefs, study finds.
1 Oct, 2021 | 10:05h | UTCOriginal article: It’s Time for Counselors to Modify Our Language: It Matters When We Call Our Clients Schizophrenics Versus People With Schizophrenia – Journal of Counseling & Development ($)
AAN Position Statement: Use of social media in health care—opportunities, challenges, and ethical considerations.
30 Sep, 2021 | 10:19h | UTC
Never Waste a Pandemic: Strategies to Increase Advance Care Planning Now.
29 Sep, 2021 | 10:22h | UTCNever Waste a Pandemic: Strategies to Increase Advance Care Planning Now – Mayo Clinic Proceedings
Impact of the COVID-19 pandemic on transgender and gender diverse health care.
29 Sep, 2021 | 10:21h | UTC
Opinion | ‘Health equity tourists’: How white scholars are colonizing research on health disparities.
29 Sep, 2021 | 09:53h | UTC‘Health equity tourists’: How white scholars are colonizing research on health disparities – STAT
Opinion: Paying participants isn’t the way to improve clinical trial recruitment.
29 Sep, 2021 | 09:54h | UTCPaying participants isn’t the way to improve clinical trial recruitment – STAT
Editorial: It’s time to send children back to school.
28 Sep, 2021 | 09:49h | UTCIt’s time to send children back to school – Nature Medicine
Expert panel recommends against use of race in assessment of kidney function.
24 Sep, 2021 | 09:01h | UTCExpert panel recommends against use of race in assessment of kidney function – STAT
Commentary on Twitter
A Unifying Approach for GFR Estimation: Recommendations of the @nkf – @ASNKidney Task Force on Reassessing the Inclusion of Race in Diagnosing Kidney Disease https://t.co/0qt8F7l9Wm (FREE)#KidneyDisease #HealthEquity pic.twitter.com/QVkMnsBA6B
— AJKD (@AJKDonline) September 23, 2021
Landmark articles suggest eliminating race in the estimation of kidney function.
24 Sep, 2021 | 09:03h | UTCStudy 2: Race, Genetic Ancestry, and Estimating Kidney Function in CKD – New England Journal of Medicine
Commentaries:
Remove Race From Equation Used to Assess Kidney Function, Researchers Say – AJMC
Commentary on Twitter
Honored to contribute to the NEW 2021 CKD-EPI #race-free #eGFR equation in our latest research published in @NEJM today. I learned a ton about equations. Importantly, the main lesson is that #race should NOT be incorporated into #biological tools. https://t.co/RvfWWwGOox pic.twitter.com/Xub23AUXht
— Amaka Eneanya, MD, MPH (@AmakaEMD) September 23, 2021
‘Not a zero-sum game’: Sharing vaccines is in countries’ best interests.
23 Sep, 2021 | 10:09h | UTC‘Not a zero-sum game’: Sharing vaccines is in countries’ best interests – YaleNews
Original article: National interest may require distributing COVID-19 vaccines to other countries – Scientific Reports
Commentary on Twitter
"when US has reached the threshold for domestic herd immunity, it would be optimal to donate doses to other countries, as this would allow for a sharp reduction in the inflow of infected individuals from abroad"
– Modeling by @SaadOmer3, @amynmalik & co https://t.co/NFfp39tde6— Ahmed Mushfiq Mobarak (@mushfiq_econ) September 16, 2021