Version 1
: Received: 28 March 2024 / Approved: 17 April 2024 / Online: 17 April 2024 (17:01:42 CEST)
How to cite:
Jargin, S. Invasive Procedures Used in Tuberculosis With Questionable Indications: Report From Russia. Preprints2024, 2024041176. https://doi.org/10.20944/preprints202404.1176.v1
Jargin, S. Invasive Procedures Used in Tuberculosis With Questionable Indications: Report From Russia. Preprints 2024, 2024041176. https://doi.org/10.20944/preprints202404.1176.v1
Jargin, S. Invasive Procedures Used in Tuberculosis With Questionable Indications: Report From Russia. Preprints2024, 2024041176. https://doi.org/10.20944/preprints202404.1176.v1
APA Style
Jargin, S. (2024). Invasive Procedures Used in Tuberculosis With Questionable Indications: Report From Russia. Preprints. https://doi.org/10.20944/preprints202404.1176.v1
Chicago/Turabian Style
Jargin, S. 2024 "Invasive Procedures Used in Tuberculosis With Questionable Indications: Report From Russia" Preprints. https://doi.org/10.20944/preprints202404.1176.v1
Abstract
Surgical treatment of tuberculosis has been applied in the former Soviet Union more frequently than in other countries. On the contrary to the international practice, tuberculoma has been often operated. There has been a decreasing tendency since the last decades; but the surgery rate is still comparatively high. Surgeries were sometimes performed without preceding chemotherapy. Among others, an argument in favour of the early surgery was non-compliance increasing with time. Compulsory treatments of patients with Tb and/or alcoholism are discussed here. The factors predisposing to the use of invasive procedures with questionable indications included the partial isolation from international scientific community, insufficient consideration of the principles of informed consent, professional autonomy and scientific polemics, as well as paternalistic attitude to patients. The message of this preprint is that patients should not undergo operations to comply with doctrines. Evidence-based clinical indications must be determined individually.
Keywords
tuberculosis; surgery; bronchoscopy; surfactant; alcoholism; Russia
Subject
Medicine and Pharmacology, Clinical Medicine
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
