| Commercial pressures and professional ethics: troubling revisions to the recent ACOG Practice Bulletins on surgery for pelvic organ prolapse. | |
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MedLine Citation:
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PMID: 19495536 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Commercial interests are reshaping the practice of gynecological surgery by promoting the use of trochar-and-mesh surgical "kits" for the treatment of stress incontinence and pelvic organ prolapse. In this article, we discuss the ethical implications of changes in surgical practice that are driven by commercial interests. We point out the dangers inherent in the adoption of new procedures without adequate and documented evidence to support their safety and efficacy. We discuss the most recent American College of Obstetricians and Gynecologists (ACOG) Practice Bulletins on pelvic organ prolapse (numbers 79 and 85) which were altered without explanation to downplay the experimental nature of these commercial products. We suggest that in so doing, ACOG is not meeting its fiduciary responsibilities to patients and is undermining important professional values. |
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Authors:
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L Lewis Wall; Douglas Brown |
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Publication Detail:
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Type: Journal Article Date: 2009-03-28 |
Journal Detail:
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Title: International urogynecology journal and pelvic floor dysfunction Volume: 20 ISSN: - ISO Abbreviation: Int Urogynecol J Pelvic Floor Dysfunct Publication Date: 2009 Jul |
Date Detail:
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Created Date: 2009-06-04 Completed Date: 2009-09-03 Revised Date: 2011-08-18 |
Medline Journal Info:
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Nlm Unique ID: 9514583 Medline TA: Int Urogynecol J Pelvic Floor Dysfunct Country: England |
Other Details:
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Languages: eng Pagination: 765-7 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Campus Box 8064, Washington University School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110, USA. WALLL@wudosis.wustl.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Commerce
/
economics,
ethics* Ethics, Professional* Female Gynecologic Surgical Procedures / economics, ethics*, methods Health Care Sector / ethics* Humans Practice Guidelines as Topic / standards* Suburethral Slings / adverse effects, economics, ethics United States Urinary Incontinence, Stress / surgery Uterine Prolapse / surgery* |
| Comments/Corrections | |
Comment In:
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Int Urogynecol J Pelvic Floor Dysfunct. 2009 Dec;20(12):1523; author reply 1525
[PMID:
19779657
]
Int Urogynecol J Pelvic Floor Dysfunct. 2009 Dec;20(12):1519-20; author reply 1521-2 [PMID: 19779659 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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