DAI Xiaomin, JIANG Lindi. Practice and Application of Four-topics Theory in Decision-making of Treatment Strategies in Patients with Rheumatic Diseases[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(4): 589-593. DOI: 10.12290/xhyxzz.20200171
Citation: DAI Xiaomin, JIANG Lindi. Practice and Application of Four-topics Theory in Decision-making of Treatment Strategies in Patients with Rheumatic Diseases[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(4): 589-593. DOI: 10.12290/xhyxzz.20200171

Practice and Application of Four-topics Theory in Decision-making of Treatment Strategies in Patients with Rheumatic Diseases

Funds: 

Shanghai Educational Science Research General Projects C2021243

Medical Humanities Education and Medical Professional Courses Ideological and Political Research Project of Fudan University Shanghai Medical College in 2019 

More Information
  • Corresponding author:

    JIANG Lindi  Tel: 86-21-64041990, E-mail: zsh-rheum@hotmail.com

  • Received Date: June 23, 2020
  • Accepted Date: July 29, 2020
  • Available Online: June 06, 2021
  • Issue Publish Date: July 29, 2021
  • From the perspective of clinical ethics, this article aimed to identify ethical issues and explore resolutions during decision-making process of treatment strategies in patients with rheumatic diseases. We elaborated the topics of medical indications, preference of patients, quality of life, and contextual features by using the model of "four-topics theory". Its application helped to identify and refine ethical issues, search and explore medical evidence, listen to the voice of patients, and finally promote the doctor-patient mutual participation and shared decision-making.
  • [1]
    Jonsen AR. A short history of medical ethics[M]. New York: Oxford University Press, 1999.
    [2]
    张新庆, 李传俊, 蔡笃坚. 30年来我国临床伦理研究主题之特点与反思——基于《中国医学伦理学》刊登论文的分析[J]. 中国医学伦理学, 2018, 31: 461-464. https://www.cnki.com.cn/Article/CJFDTOTAL-XNLX201804015.htm

    Zhang XQ, Li CJ, Cai DJ. Characteristic of the Research Themes and Reflections on Clinical Ethics in China within Thirty Years: An Analysis Based on the Published Paper of Chinese Medical Ethics[J]. Zhongguo Yixue Lunlixue, 2018, 31: 461-464. https://www.cnki.com.cn/Article/CJFDTOTAL-XNLX201804015.htm
    [3]
    Jonsen AR, Siegler M, Winslade WJ. Clinical ethics: a practical approach to ethical decisions in clinical medicine[M]. 8th ed. New York: McGraw-Hill Education, 2015.
    [4]
    Shaban A, Leira EC. Neurological Complications in Patients with Systemic Lupus Erythematosus[J]. Curr Neurol Neurosci Rep, 2019, 19: 97. DOI: 10.1007/s11910-019-1012-1
    [5]
    Bertsias GK, Ioannidis JP, Aringer M, et al. EULAR recommendations for the management of systemic lupus erythematosus with neuropsychiatric manifestations: report of a task force of the EULAR standing committee for clinical affairs[J]. Ann Rheum Dis, 2010, 69: 2074-2082. DOI: 10.1136/ard.2010.130476
    [6]
    Ruiz-Arruza I, Lozano J, Cabezas-Rodriguez I, et al. Restrictive Use of Oral Glucocorticoids in Systemic Lupus Erythematosus and Prevention of Damage Without Worsening Long-Term Disease Control: An Observational Study[J]. Arthritis Care Res(Hoboken), 2018, 70: 582-591. DOI: 10.1002/acr.23322
    [7]
    Legge A, Doucette S, Hanly JG. Predictors of Organ Damage Progression and Effect on Health-related Quality of Life in Systemic Lupus Erythematosus[J]. J Rheumatol, 2016, 43: 1050-1056. DOI: 10.3899/jrheum.150985
    [8]
    Dubovsky AN, Arvikar S, Stern TA, et al. The neuropsychiatric complications of glucocorticoid use: steroid psychosis revisited[J]. Psychosomatics, 2012, 53: 103-115. DOI: 10.1016/j.psym.2011.12.007
    [9]
    Fanouriakis A, Kostopoulou M, Alunno A, et al. 2019 update of the EULAR recommendations for the management of systemic lupus erythematosus[J]. Ann Rheum Dis, 2019, 78: 736-745. http://d.wanfangdata.com.cn/periodical/5d75890ffea55aee4301e5e11dfdb949

Catalog

    Article Metrics

    Article views (323) PDF downloads (44) Cited by()
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return
    x Close Forever Close