Informed choice requires information about both benefits and harms

Research output: Contribution to journalJournal articleResearchpeer-review

Standard

Informed choice requires information about both benefits and harms. / Jørgensen, K J; Brodersen, J; Hartling, O J; Nielsen, M; Gøtzsche, P C.

In: Journal of Medical Ethics, Vol. 35, No. 4, 2009, p. 268-9.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Jørgensen, KJ, Brodersen, J, Hartling, OJ, Nielsen, M & Gøtzsche, PC 2009, 'Informed choice requires information about both benefits and harms', Journal of Medical Ethics, vol. 35, no. 4, pp. 268-9. https://doi.org/10.1136/jme.2008.027961

APA

Jørgensen, K. J., Brodersen, J., Hartling, O. J., Nielsen, M., & Gøtzsche, P. C. (2009). Informed choice requires information about both benefits and harms. Journal of Medical Ethics, 35(4), 268-9. https://doi.org/10.1136/jme.2008.027961

Vancouver

Jørgensen KJ, Brodersen J, Hartling OJ, Nielsen M, Gøtzsche PC. Informed choice requires information about both benefits and harms. Journal of Medical Ethics. 2009;35(4):268-9. https://doi.org/10.1136/jme.2008.027961

Author

Jørgensen, K J ; Brodersen, J ; Hartling, O J ; Nielsen, M ; Gøtzsche, P C. / Informed choice requires information about both benefits and harms. In: Journal of Medical Ethics. 2009 ; Vol. 35, No. 4. pp. 268-9.

Bibtex

@article{023f7ce068c711df928f000ea68e967b,
title = "Informed choice requires information about both benefits and harms",
abstract = "A study found that women participating in mammography screening were content with the programme and the paternalistic invitations that directly encourage participation and include a pre-specified time of appointment. We argue that this merely reflects that the information presented to the invited women is seriously biased in favour of participation. Women are not informed about the major harms of screening, and the decision to attend has already been made for them by a public authority. This short-circuits informed decision-making and the legislation on informed consent, and violates the autonomy of the women. Screening invitations must present both benefits and harms in a balanced fashion, and should offer, not encourage, participation. It should be stated clearly that the choice not to participate is as sensible as the choice to do so. To allow this to happen, the responsibility for the screening programmes must be separated from the responsibility for the information material.",
author = "J{\o}rgensen, {K J} and J Brodersen and Hartling, {O J} and M Nielsen and G{\o}tzsche, {P C}",
note = "Keywords: Bias (Epidemiology); Breast Neoplasms; Decision Making; Decision Support Techniques; Early Detection of Cancer; Female; Humans; Informed Consent; Mammography; Patient Education as Topic; Risk Factors",
year = "2009",
doi = "10.1136/jme.2008.027961",
language = "English",
volume = "35",
pages = "268--9",
journal = "Journal of Medical Ethics",
issn = "0306-6800",
publisher = "BMJ Publishing Group",
number = "4",

}

RIS

TY - JOUR

T1 - Informed choice requires information about both benefits and harms

AU - Jørgensen, K J

AU - Brodersen, J

AU - Hartling, O J

AU - Nielsen, M

AU - Gøtzsche, P C

N1 - Keywords: Bias (Epidemiology); Breast Neoplasms; Decision Making; Decision Support Techniques; Early Detection of Cancer; Female; Humans; Informed Consent; Mammography; Patient Education as Topic; Risk Factors

PY - 2009

Y1 - 2009

N2 - A study found that women participating in mammography screening were content with the programme and the paternalistic invitations that directly encourage participation and include a pre-specified time of appointment. We argue that this merely reflects that the information presented to the invited women is seriously biased in favour of participation. Women are not informed about the major harms of screening, and the decision to attend has already been made for them by a public authority. This short-circuits informed decision-making and the legislation on informed consent, and violates the autonomy of the women. Screening invitations must present both benefits and harms in a balanced fashion, and should offer, not encourage, participation. It should be stated clearly that the choice not to participate is as sensible as the choice to do so. To allow this to happen, the responsibility for the screening programmes must be separated from the responsibility for the information material.

AB - A study found that women participating in mammography screening were content with the programme and the paternalistic invitations that directly encourage participation and include a pre-specified time of appointment. We argue that this merely reflects that the information presented to the invited women is seriously biased in favour of participation. Women are not informed about the major harms of screening, and the decision to attend has already been made for them by a public authority. This short-circuits informed decision-making and the legislation on informed consent, and violates the autonomy of the women. Screening invitations must present both benefits and harms in a balanced fashion, and should offer, not encourage, participation. It should be stated clearly that the choice not to participate is as sensible as the choice to do so. To allow this to happen, the responsibility for the screening programmes must be separated from the responsibility for the information material.

U2 - 10.1136/jme.2008.027961

DO - 10.1136/jme.2008.027961

M3 - Journal article

C2 - 19332586

VL - 35

SP - 268

EP - 269

JO - Journal of Medical Ethics

JF - Journal of Medical Ethics

SN - 0306-6800

IS - 4

ER -

ID: 19979270