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πŸ“

Medical Ethics, Prediction, and Prognosis: Interdisciplinary Perspectives

✍ Scribed by Mariacarla Gadebusch Bondio; Francesco Sporing; John-Stewart Gordon


Publisher
Routledge
Year
2017
Tongue
English
Leaves
205
Series
Routledge Annals of Bioethics
Category
Library

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✦ Synopsis


Recent scientific developments, in particular advances in pharmacogenetics and molecular genetics, have given rise to numerous predictive procedures for detecting predispositions to diseases in patients. This knowledge, however, does not necessarily promise benign results for either patients or health care professionals. The aim of this volume is to analyse issues related to prediction and prognosis as a burgeoning field of medicine, which is revolutionizing the way we understand and approach diagnosis and treatment. Combining epistemic and ethical reflection with medical expertise on contemporary practice and research, an interdisciplinary group of international experts critically examine anticipatory medicine from various perspectives, including history of medicine, bioethics, theories of science, and health economics. The highly complex issues involved in medical prediction call for a far-reaching debate on the value and scope of foreknowledge. For example, which responsibilities and burdens arise when still healthy people learn of their predisposition to diseases? How should health care insurance reflect risky life styles? Is the increasing medicalization of life connected with prevention ethically sustainable and financially possible in the developing world? These and other related issues are the subject of this timely and important book, which not only serves as an introduction to the area, but also proposes many feasible solutions to the problems outlined.

✦ Table of Contents


Cover......Page 1
Title......Page 4
Copyright......Page 5
Contents......Page 6
Introduction: Predictive Medicineβ€”An Interdisciplinary Approach......Page 8
Part I Individual Challenges......Page 16
1 Beyond the Causes of Disease: Prediction and the Need for a New Philosophy of Medicine......Page 18
2 Comprehending and Communicating Statistics in Breast Cancer Screening. Ethical Implications and Potential Solutions......Page 37
3 On the Nature of the Right Not to Know......Page 49
4 Predictive Diagnostic Testing for Late-Onset Neurological Diseases in Asymptomatic Minors: β€˜Do No Harm’ and the Value of Knowledge......Page 62
5 Incidental Findings in Genetic Testing......Page 73
Part II Social Challenges......Page 82
6 Risk and Solidarity within Individualized Medicine......Page 84
7 Anticipatory Medicalization: Predisposition, Prediction, and the Expansion of Medicalized Conditions......Page 102
8 Predicting the Cost of Diseases in Resource-Poor Countries......Page 111
9 Genetic Disorders in Chinese Patients and Their Families: A Call for Action on Predictive Medicine......Page 128
Part III Research Challenges......Page 138
10 Personalized Antidepressant Prescription: A Historical Perspective on Risks and Opportunities......Page 140
11 Predicting, Preventing, and Treating Alzheimer’s Disease: Current State and Future Challenges......Page 155
12 Early Detection, Prediction, and Prognosis of Alzheimer’s Disease......Page 163
13 Immunoscore, Circulating Tumor Cells, and Human- Derived Organoids as Potential Predictive Tools in Personalized Cancer Medicine......Page 182
Selected Bibliography......Page 194
List of contributors......Page 196
Index......Page 200


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