Ethical Perspectives on Treatment Options with Spinal Muscular Atrophy Patients.


Journal

Annals of neurology
ISSN: 1531-8249
Titre abrégé: Ann Neurol
Pays: United States
ID NLM: 7707449

Informations de publication

Date de publication:
03 2022
Historique:
revised: 31 12 2021
received: 20 09 2021
accepted: 31 12 2021
pubmed: 5 1 2022
medline: 15 3 2022
entrez: 4 1 2022
Statut: ppublish

Résumé

Since 2016, 3 innovative therapies for spinal muscular atrophy (SMA) have changed the face of the disease. Although these therapies often result in remarkable improvements in infants and children, benefits in adults are modest and treatment is not curative. Concerns have been raised about the enormous costs of these medications, the ultimate burden to taxpayers, and the costs to society of withholding treatments and sacrificing or disadvantaging some individuals. Physicians are best positioned to serve our patients by carefully considering the costs, benefits, implications for quality of life (QOL), and the interplay of these factors within the framework of core ethical principles that guide clinical care. ANN NEUROL 2022;91:305-316.

Identifiants

pubmed: 34981567
doi: 10.1002/ana.26299
pmc: PMC9305104
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

305-316

Commentaires et corrections

Type : CommentIn
Type : CommentIn

Informations de copyright

© 2022 The Authors. Annals of Neurology published by Wiley Periodicals LLC on behalf of American Neurological Association.

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Auteurs

Crystal J J Yeo (CJJ)

Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
School of Medicine, Medical Sciences, and Nutrition, University of Aberdeen, Aberdeen, UK.
Lee Kong Chian School of Medicine, Imperial College London and NTU, Singapore, Singapore.
Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.
Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Zachary Simmons (Z)

Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.

Darryl C De Vivo (DC)

Columbia University, New York, NY, USA.

Basil T Darras (BT)

Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.

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Classifications MeSH