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Ann Thorac Surg 2004;77:757
© 2004 The Society of Thoracic Surgeons

Ethics in cardiothoracic surgery

Are surgeons ethically obligated to refer patients to other surgeons who achieve better results?

Nicholas T. Kouchoukos, MDa, Lawrence H. Cohn, MDb, Robert M. Sade, MDc

a Cardiac, Thoracic and Vascular Surgery, Inc, St. Louis, Missouri, USA
b Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
c Institute of Human Values in Health Care, Medical University of South Carolina, Charleston, South Carolina, USA

The first 20% of the full text of this article appears below.

At the Annual Meeting of The Society of Thoracic Surgeons in January 2003, The Ethics Forum sponsored a debate on a topic of great interest to cardiothoracic surgeons. When patients who need an operation are referred to us, we feel obligated for a variety of reasons to provide surgical care to the patient. There may be times when we ought to refer a patient to a more experienced surgeon for the good of the patient, yet we . . . [Full Text of this Article]






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