Procedimiento experimental, innovador y establecido. Ética y ciencia en la introducción de la tecnología médica
Experimental, innovative and standard procedures. Ethics and sciencie in the introduction of medical technology
J.M.V. Pons
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jpons@aatrm.catsalut.net
Correspondencia: Esteve Terradas, 30. Recinte Parc Sanitari Pere Virgili. Edifici Mestral, 1.a planta. 08023 Barcelona. España.
Correspondencia: Esteve Terradas, 30. Recinte Parc Sanitari Pere Virgili. Edifici Mestral, 1.a planta. 08023 Barcelona. España.
Agència d'Avaluació de Tecnologia i Recerca Mèdiques. Barcelona. España
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Pons, X. Castells" "autores" => array:2 [ 0 => array:2 [ "nombre" => "J.M.V." "apellidos" => "Pons" ] 1 => array:2 [ "nombre" => "X." "apellidos" => "Castells" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911103717798?idApp=WGSE" "url" => "/02139111/0000001700000005/v1_201310251605/S0213911103717798/v1_201310251605/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Procedimiento experimental, innovador y establecido. Ética y ciencia en la introducción de la tecnología médica" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "422" "paginaFinal" => "429" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.M.V. Pons" "autores" => array:1 [ 0 => array:4 [ "nombre" => "J.M.V." "apellidos" => "Pons" "email" => array:1 [ 0 => "jpons@aatrm.catsalut.net" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Agència d'Avaluació de Tecnologia i Recerca Mèdiques. Barcelona. España" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Esteve Terradas, 30. Recinte Parc Sanitari Pere Virgili. Edifici Mestral, 1.<span class="elsevierStyleSup">a</span> planta. 08023 Barcelona. España." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Experimental, innovative and standard procedures. Ethics and sciencie in the introduction of medical technology" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2002-12-17" "fechaAceptado" => "2003-05-22" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec268722" "palabras" => array:5 [ 0 => "Investigación" 1 => "Innovación" 2 => "Cirugía" 3 => "Productos sanitarios" 4 => "Ética" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec268721" "palabras" => array:5 [ 0 => "Investigation" 1 => "Innovation" 2 => "Surgery" 3 => "Health devices" 4 => "Ethics" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La frontera que delimita un procedimiento como experimental, innovador o establecido, dentro del proceso médico asistencial, suele ser imprecisa en gran parte de los casos. Aún lo es más en el campo quirúrgico y de los productos implantables que difieren sustancialmente de las intervenciones terapéuticas farmacológicas, que están mucho más reguladas.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Sin embargo, tanto ética como científicamente, conviene delimitar al máximo el carácter de las distintas intervenciones médicas que se aplican en sujetos humanos, sin dejar a criterio individual el margen de discreción existente hoy en día, especialmente en la innovación quirúrgica.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El examen de forma externa e independiente del cociente beneficio/riesgo de la innovación propuesta ha de permitir transparentar, en la relación médico-paciente, el carácter particular de la técnica, así como los requerimientos éticos y científicos para su evaluación más apropiada.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The dividing lines between experimental, innovative and standard medical procedures are frequently blurred in current clinical practice. This is even more true in the fields of surgery and implantable devices. These differ substantially from pharmacological interventions, which are better regulated.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">However, the character of the various medical interventions applied in human subjects should be ethically and scientifically delimited as clearly as possible. This task cannot be abandoned to personal discretion and criteria, which are currently used, especially in the field of surgical innovation.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">External and independent review of the risk-benefit ratio of proposed innovations should enable specification of the particular features of a technique in the patient-doctor relationship, as well as the ethical and scientific requirements for more appropriate evaluation.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:29 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
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| 2021 Diciembre | 27 | 35 | 62 |
| 2021 Noviembre | 30 | 36 | 66 |
| 2021 Octubre | 29 | 48 | 77 |
| 2021 Septiembre | 26 | 39 | 65 |
| 2021 Agosto | 17 | 21 | 38 |
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| 2017 Marzo | 14 | 1 | 15 |
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| 2017 Enero | 7 | 3 | 10 |
| 2016 Diciembre | 26 | 4 | 30 |
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| 2016 Octubre | 34 | 12 | 46 |
| 2016 Septiembre | 24 | 13 | 37 |
| 2016 Agosto | 24 | 6 | 30 |
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| 2016 Enero | 1 | 0 | 1 |
| 2015 Diciembre | 1 | 0 | 1 |
| 2015 Septiembre | 1 | 0 | 1 |
| 2015 Agosto | 2 | 0 | 2 |
| 2015 Mayo | 1 | 0 | 1 |
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| 2015 Enero | 3 | 0 | 3 |
| 2014 Diciembre | 3 | 0 | 3 |
| 2014 Noviembre | 3 | 0 | 3 |
| 2014 Octubre | 2 | 0 | 2 |
| 2014 Septiembre | 4 | 0 | 4 |
| 2014 Agosto | 6 | 0 | 6 |
| 2014 Julio | 18 | 0 | 18 |
| 2014 Junio | 9 | 0 | 9 |
| 2014 Mayo | 6 | 0 | 6 |
| 2014 Abril | 4 | 1 | 5 |
| 2014 Marzo | 8 | 0 | 8 |
| 2014 Febrero | 6 | 2 | 8 |
| 2014 Enero | 9 | 2 | 11 |
| 2013 Diciembre | 13 | 1 | 14 |
| 2013 Noviembre | 35 | 8 | 43 |
| 2013 Octubre | 42 | 10 | 52 |
| 2013 Septiembre | 27 | 6 | 33 |
| 2013 Agosto | 32 | 10 | 42 |
| 2013 Julio | 25 | 2 | 27 |
| 2003 Agosto | 794 | 0 | 794 |
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