Department of Neurosurgery, University of California, Los Angeles, Los Angeles, California, USA.
Department of Neurological Surgery, University of Washington, Seattle, Washington, USA.
World Neurosurg. 2024 Oct;190:181-186. doi: 10.1016/j.wneu.2024.07.051. Epub 2024 Jul 14.
Neurosurgery is a field with complex ethical issues. In this article, we aim to provide an overview of key and emerging ethical issues in neurosurgery with a focus on issues relevant to practicing neurosurgeons. These issues include those of informed consent, capacity, clinical trials, emerging neurotechnology, innovation, equity and justice, and emerging bioethics areas including community engagement and organizational ethics. We argue that bioethics can help neurosurgeons think about and address these issues, and, in turn, the field of bioethics can benefit from engagement by neurosurgeons. Several ideas for increasing engagement in bioethics are proposed.
神经外科学领域存在诸多复杂的伦理问题。本文旨在概述神经外科学中关键和新兴的伦理问题，重点关注与神经外科医生实践相关的问题。这些问题包括知情同意、能力、临床试验、新兴神经技术、创新、公平与正义，以及新兴的生物伦理学领域，包括社区参与和组织伦理。我们认为，生物伦理学可以帮助神经外科医生思考和解决这些问题，反过来，神经外科学领域也可以受益于神经外科医生的参与。本文提出了一些增加生物伦理学参与度的想法。
