The Children’s Hospital Working Group has developed an ethical framework to guide patient care and research for prenatally diagnosed severe renal anomalies. It identifies ethical challenges in communication, timing of decisions and scarce resources. Key elements include shared decision-making, establishing a trusting relationship, and managing disagreement. The ethical framework will be used to develop a clinical pathway that operationalizes the key values of trust, honesty, transparency, beneficence, nonmaleficence, respecting parental authority, professional integrity, and justice.
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Other Members of the Ethics Consult Service at CHCO including Curtis R. Coughlin II, PhD, MBE, HEC-C; Brian M. Jackson, MD, MA, HEC-C; and Karen Jones, MS, RNC, HEC-C who reviewed and commented on drafts and the final paper.
The authors declare no competing interests.
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Glover, J., Bock, M., Reynolds, R. et al. Prenatally-diagnosed renal failure: an ethical framework for decision-making. J Perinatol (2023). https://doi.org/10.1038/s41372-023-01779-1