caa a22 4500 386356637 CHVBK 20180307111855.0 cr unu---uuuuu 161130e198907 xx s 000 0 eng 10.1017/S0266462300007364 doi S0266462300007364 pii (NATIONALLICENCE)cambridge-10.1017/S0266462300007364 Baum Michael King's College School of Medicine and Dentistry, Rayne Institute Assessment, Ethics, and the Randomized Controlled Trial [Elektronische Daten] [Michael Baum] Decision-making in surgical practice is a highly complex interaction between the client (patient) and his or her professional advisor (surgeon). The client approaches the professional advisor full of expectations and fears. The expectations may be realistic or unrealistic, and, in the same way, the fears may be justified or unjustified. Furthermore, the client may have a variety of priorities not immediately apparent to the surgeon and may wish to express different degrees of autonomy. For example, some patients may demand the final say in determining the balance between length and quality of survival, whereas others would be happy to allow complete abrogation of their responsibilities to the surgeon, who is invited to make the difficult decisions concerning the patient's utilities. From the viewpoint of the surgeon, the transaction is equally complex, and his or her decisions may be constrained by resource allocation and time available. However, in the final analysis, assuming a beneficent doctor, the most appropriate decision will be determined by the weight of evidence that can be adduced in favor of any intervention. Copyright © Cambridge University Press 1989 International Journal of Technology Assessment in Health Care Cambridge University Press 5/3(1989-07), 305-308 0266-4623 5:3<305 1989 5 THC https://doi.org/10.1017/S0266462300007364 text/html Onlinezugriff via DOI 1 editorial jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S0266462300007364 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Baum Michael King's College School of Medicine and Dentistry, Rayne Institute NATIONALLICENCE 773 0- International Journal of Technology Assessment in Health Care Cambridge University Press 5/3(1989-07), 305-308 0266-4623 5:3<305 1989 5 THC CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge