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预后极差或无效时的生育治疗:伦理委员会意见

Fertility treatment when the prognosis is very poor or futile: an Ethics Committee opinion.

机构信息

American Society for Reproductive Medicine, Washington, D.C.

出版信息

Fertil Steril. 2024 Dec;122(6):1002-1007. doi: 10.1016/j.fertnstert.2024.09.034. Epub 2024 Oct 19.

Abstract

The Ethics Committee recommends that in vitro fertilization centers develop patient-centered policies regarding requests for futile treatment. In most cases, clear communication can avoid a direct confiict, but clinicians ethically may refuse to provide treatment believed to be futile or to carry a very poor prognosis. In certain instances, clinicians may provide limited treatment, which they judge likely to be futile, but must be vigilant in their presentation of risks, benefits, and alternatives. This version replaces the previously published draft of this name last published in 2019.

摘要

伦理委员会建议体外受精中心制定以患者为中心的关于无效治疗请求的政策。在大多数情况下,清晰的沟通可以避免直接冲突,但从伦理角度讲,临床医生可能会拒绝提供被认为无效或预后极差的治疗。在某些情况下,临床医生可能会提供他们认为可能无效的有限治疗,但在说明风险、益处和替代方案时必须保持警惕。此版本取代了2019年最后一次发布的该名称的先前发布草案。

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