The Journal of clinical endocrinology and metabolism · 2026
Approach to the Patient: Ethics Cases in Pediatric Endocrinology and Their Management.
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Ladd Jennifer M, Weaver Meaghann S, Henry Rohan K
Аннотация
CONTEXT: With advancing technologies and expanding indications for existing therapies, ethical dilemmas increasingly arise in pediatric endocrinology practice.
AIM: This article presents practical, case-based scenarios to guide clinicians in navigating common ethical challenges in pediatric endocrinology.
CASES: We present four case vignettes which present ethical dilemmas regarding (1) growth hormone treatment prescribed for idiopathic short stature, (2) precocious puberty management in a child with neurodevelopmental delay, (3) technology use in type 1 diabetes care, and (4) glucagon-like peptide 1 receptor agonist use for obesity management. For each case, we outline patient presentations and management approaches which highlight the application of the four-principle ethical framework based on Beauchamp and Childress. Salient historical events are mentioned to serve as a basis to contextualize and situate the specific ethical dilemmas.
CONCLUSION: Ethical dilemmas have the potential to arise in the everyday practice of pediatric endocrinology. Application of the principles of beneficence, non-maleficence, respect for autonomy, and justice will allow for a pragmatic incorporation of ethical decision making in medical care.
AIM: This article presents practical, case-based scenarios to guide clinicians in navigating common ethical challenges in pediatric endocrinology.
CASES: We present four case vignettes which present ethical dilemmas regarding (1) growth hormone treatment prescribed for idiopathic short stature, (2) precocious puberty management in a child with neurodevelopmental delay, (3) technology use in type 1 diabetes care, and (4) glucagon-like peptide 1 receptor agonist use for obesity management. For each case, we outline patient presentations and management approaches which highlight the application of the four-principle ethical framework based on Beauchamp and Childress. Salient historical events are mentioned to serve as a basis to contextualize and situate the specific ethical dilemmas.
CONCLUSION: Ethical dilemmas have the potential to arise in the everyday practice of pediatric endocrinology. Application of the principles of beneficence, non-maleficence, respect for autonomy, and justice will allow for a pragmatic incorporation of ethical decision making in medical care.