Ethical Issues in Cancer Patient Care

1. Front Matter

   Pages I-2

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2. An Open Letter to Doctors

   • Parvez Kamangar

   Pages 3-11

3. Physicians and Cancer Patients: Communication and Advance Directives

   • Peter Angelos, Muneera R. Kapadia

   Pages 13-28

4. Information is Not Enough:The Place of Statistics in the Doctor–Patient Relationship

   • Kathryn Key Montgomery, Ellen Key Harris-Braun

   Pages 29-43

5. Cross-Cultural Issues in Caring for Patients with Cancer

   • Tod Chambers

   Pages 45-64

6. Hope and Communication in Cancer Care: What Patients Tell Us

   • Susan Hedlund

   Pages 65-77

7. Addressing The Spiritual Needs Of Patients

   • Christina M. Puchalski

   Pages 79-91

8. Pediatric Cancer Care: Special Issues in Ethical Decision Making

   • Sarah Zieber, Sarah Friebert

   Pages 93-115

9. The Ethics of Responding to Pain and Suffering

   • Timothy F. Murphy

   Pages 117-135

10. Are There Limits to Oncology Care? (Futility)

    • Gary R. Shapiro

    Pages 137-157

11. The Role of Palliative Medicine in Cancer Patient Care

    • William M. Mitchell, Charles F. von Gunten

    Pages 159-171

12. Holding on and Letting Go: Ethical Issues Regarding the Care of Children with Cancer

    • Aviva Goldberg, Joel Frader

    Pages 173-194

13. Communicating Errors

    • Christian J. Vercler, Peter Angelos

    Pages 195-213

14. Research Ethics and the Ethics of Research: Should We Offer Clinical Trial Participation or Clinical Research Partnership to Oncology Patients in the New Millennium?

    • Heather Sampson

    Pages 215-234

15. Does Reimbursement Affect Physicians’ Decision Making? Examples from the Use of Recombinent Erythropoietin

    • June M. McKoy, Cara C. Tigue, Charles L. Bennett

    Pages 235-251

16. Back Matter

    Pages 253-258

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Peter Angelos Numerous ethical issues arise in the care of oncology patients. Although much has been written in the last several decades on ethical issues in caring for patients, few volumes have sought to focus the exploration on ethical issues particularly relevant to the care of cancer patients. In 1999, the first edition of this book was published. Since that time, many changes have occurred in how some cancers are diagnosed and treated, but the central ethical issues have continued to challenge patients, families, and their health care providers. All of the chapters from the prior edition have been updated and there are seven new chapters in this expanded edition. In this second edition, the perspectives on what is an ethical issue have been broadened by bringing authors of differing backgrounds into the discussion. In Chapter 1, the perspective of a cancer patient is provided as an open letter to physicians. Although Parvez Kamangar is providing only one patient’s perspective, this is an essential voice that is not often heard in texts on medical ethics. In Chapters 2 and 3, the issues of communication and the physician-patient relationship are explored in order to better understand how the needs of patients and families can be met. In Chapter 4, Professor Tod Chambers highlights the challenges to providing ethical care to patients in a multicultural society.

• Clinical Trials
• Cultural Issues
• Ethical Issues
• Pain and Suffering
• Palliative Medicine
• Spiritual Needs
• ethics
• medical ethics

• Professor of Surgery and Chief of Endocrine Surgery Associate Director of the MacLean Center for Clinical Medical Ethics, University of Chicago Medical Center, Chicago, USA

  Peter Angelos

Policies and ethics