[Ethical stakes of information in radiation oncology: Thinking the risk and building the therapeutic alliance]

Cancer Radiother. 2023 Sep;27(6-7):480-486. doi: 10.1016/j.canrad.2023.06.006. Epub 2023 Aug 10.
[Article in French]

Abstract

Informing patients before receiving radiation therapy is a fundamental ethical imperative. As a condition of the possibility of autonomy, information allows people to make health decisions concerning themselves, which is required by French law. This information includes in particular the potential risks due to radiation therapy. It is therefore necessary to think about what risk is, and how to define and assess it, in order to finally communicate it. The practice of informing people involves many ethical issues relating to the very content of the information, the form in which it is transmitted or even the intention that leads the health professional to say (or not to say) the risk. The transmission of information also questions the way to build a relationship of trust with the patients and how to integrate their own representations about these treatments. Between the risks of paternalism or even defensive medicine, this practice is at the heart of our professional practice.

Keywords: Ethics; Information; Oncologie radiothérapie; Radiation oncology; Éthique.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Humans
  • Paternalism
  • Personal Autonomy
  • Physician-Patient Relations
  • Radiation Oncology*
  • Therapeutic Alliance*