Cancer during pregnancy : how to handle the bioethical dilemmas? : a scoping review with paradigmatic cases-based analysis

Detalhes bibliográficos
Autor(a) principal: Alpuim Costa, Diogo
Data de Publicação: 2020
Outros Autores: Gonçalves Nobre, José Guilherme, de Almeida, Susana Baptista, Ferreira, Marisa Horta, Gonçalves, Inês, Braga, Sofia, Pais, Diogo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/46275
Resumo: Copyright © 2020 Alpuim Costa, Nobre, de Almeida, Ferreira, Gonçalves, Braga and Pais. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
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spelling Cancer during pregnancy : how to handle the bioethical dilemmas? : a scoping review with paradigmatic cases-based analysisEthicsEthicalCarcinomaCancerNeoplasmPregnancyPregnantGestationCopyright © 2020 Alpuim Costa, Nobre, de Almeida, Ferreira, Gonçalves, Braga and Pais. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.Ethical issues that arise during the care of a pregnant woman with cancer are challenging to physicians, policymakers, lawyers, and the bioethics community. The main purpose of this scoping review is to summarize existing literature regarding the bioethical dilemmas when a conflict arises in the maternal-fetus dyad, like the one related to cancer and pregnancy outcomes. Moreover, we illustrate the decision-making process of real-life case reports. Published data were searched through the PubMed and Google Scholar databases, as well as in grey literature, using appropriate controlled keywords in English and Portuguese. After identification, screening, eligibility and data extraction from the articles, a total of 50 was selected. There are several established ethical frameworks for conflict resolution and decision-making. Pragmatic theoretical approaches include case-based analysis, the ethics of care, feminist theory, and traditional ethical principlism that scrutinizes the framework of autonomy, justice, beneficence, and non-maleficence. In addition, society and practitioner values could mediate this complex ethical interplay. The physician must balance autonomy and beneficence-based obligations to the pregnant woman with cancer, along with beneficence-based obligations to the fetus. Ethical challenges have received less attention in the literature, particularly before the third trimester of pregnancy. Best, unbiased and balanced information must be granted both to the patient and to the family, regarding the benefits and harms for the woman herself as well as for the fetal outcome. Based on a previously validated method for analyzing and working up clinical ethical problems, we suggest an adaptation of an algorithm for biomedical decision-making in cancer during pregnancy, including recommendations that can facilitate counseling and help reduce the suffering of the patient and her family.FrontiersRepositório da Universidade de LisboaAlpuim Costa, DiogoGonçalves Nobre, José Guilhermede Almeida, Susana BaptistaFerreira, Marisa HortaGonçalves, InêsBraga, SofiaPais, Diogo2021-02-10T17:59:26Z20202020-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/46275engFront. Oncol. 10:598508.10.3389/fonc.2020.5985082234-943Xinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:48:31Zoai:repositorio.ul.pt:10451/46275Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:58:30.851665Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Cancer during pregnancy : how to handle the bioethical dilemmas? : a scoping review with paradigmatic cases-based analysis
title Cancer during pregnancy : how to handle the bioethical dilemmas? : a scoping review with paradigmatic cases-based analysis
spellingShingle Cancer during pregnancy : how to handle the bioethical dilemmas? : a scoping review with paradigmatic cases-based analysis
Alpuim Costa, Diogo
Ethics
Ethical
Carcinoma
Cancer
Neoplasm
Pregnancy
Pregnant
Gestation
title_short Cancer during pregnancy : how to handle the bioethical dilemmas? : a scoping review with paradigmatic cases-based analysis
title_full Cancer during pregnancy : how to handle the bioethical dilemmas? : a scoping review with paradigmatic cases-based analysis
title_fullStr Cancer during pregnancy : how to handle the bioethical dilemmas? : a scoping review with paradigmatic cases-based analysis
title_full_unstemmed Cancer during pregnancy : how to handle the bioethical dilemmas? : a scoping review with paradigmatic cases-based analysis
title_sort Cancer during pregnancy : how to handle the bioethical dilemmas? : a scoping review with paradigmatic cases-based analysis
author Alpuim Costa, Diogo
author_facet Alpuim Costa, Diogo
Gonçalves Nobre, José Guilherme
de Almeida, Susana Baptista
Ferreira, Marisa Horta
Gonçalves, Inês
Braga, Sofia
Pais, Diogo
author_role author
author2 Gonçalves Nobre, José Guilherme
de Almeida, Susana Baptista
Ferreira, Marisa Horta
Gonçalves, Inês
Braga, Sofia
Pais, Diogo
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Alpuim Costa, Diogo
Gonçalves Nobre, José Guilherme
de Almeida, Susana Baptista
Ferreira, Marisa Horta
Gonçalves, Inês
Braga, Sofia
Pais, Diogo
dc.subject.por.fl_str_mv Ethics
Ethical
Carcinoma
Cancer
Neoplasm
Pregnancy
Pregnant
Gestation
topic Ethics
Ethical
Carcinoma
Cancer
Neoplasm
Pregnancy
Pregnant
Gestation
description Copyright © 2020 Alpuim Costa, Nobre, de Almeida, Ferreira, Gonçalves, Braga and Pais. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
publishDate 2020
dc.date.none.fl_str_mv 2020
2020-01-01T00:00:00Z
2021-02-10T17:59:26Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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url http://hdl.handle.net/10451/46275
dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv Front. Oncol. 10:598508.
10.3389/fonc.2020.598508
2234-943X
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collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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