Ethics. Research. Community.

Sham surgery: an ethical analysis.

The American journal of bioethics : AJOB. 
3
(4): 
Autumn
41-48; 
2003. 
(English). 
[Record Source: PubMed]
Surgical clinical trials have seldom used a "sham" or placebo surgical procedure as a control, owing to ethical concerns. Recently, several ethical commentators have argued that sham surgery is either inherently or presumptively unethical. In this article I contend that these arguments are mistaken and that there are no sound ethical reasons for an absolute prohibition of sham surgery in clinical trials. Reflecting on three cases of sham surgery, especially on the recently reported results of a sham-controlled trial of arthroscopic surgery for arthritis of the knee, I present an ethical analysis that focuses on the methodological rationale for use of sham surgery, risk-benefit assessment, and informed consent.
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Database Keywords

Detailed Record Information

Record TypeJournal Article
Record Source Status
[MEDLINE]
FormatsPrint
DOI10.1162/152651603322614580
ISSN1536-0075