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AJOB Neuroscience Volume 12, 2021 - Issue 2-3
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Open Peer Commentaries

Empiricism and Rights Justify the Allocation of Health Care Resources to Persons with Disorders of Consciousness

Joseph T. Giacinoa Harvard Medical School;b Spaulding Rehabilitation HospitalCorrespondence[email protected]
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,
Yelena G. Bodiena Harvard Medical School;b Spaulding Rehabilitation Hospital;c Massachusetts General HospitalView further author information
,
David Zuckermana Harvard Medical SchoolView further author information
,
Jaimie Hendersond Stanford School of MedicineView further author information
,
Nicholas D. Schiffe Weill Cornell Medical College;f The Rockefeller UniversityView further author information
&
Joseph J. Finse Weill Cornell Medical College;f The Rockefeller University;g Yale Law SchoolView further author information
Pages 169-171 | Published online: 07 May 2021

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  • Fins, J. J. 2015. Rights come to mind: Brain injury, ethics and the struggle for consciousness. New York: Cambridge University Press.
  • Fins, J. J., M. S. Wright, and S. R. Bagenstos. 2020. Disorders of consciousness and disability law. Mayo Clinic Proceedings 95 (8):1732–9. doi:10.1016/j.mayocp.2020.02.008.
  • Giacino, J. T., D. I. Katz, N. D. Schiff, J. Whyte, E. Ashman, S. Ashwal, R. L. Barbano, F. Hammond, S. Laureys, G. S. F. Ling, et al. 2018a. Comprehensive systematic review update summary: Disorders of consciousness: Report of the guideline development, dissemination, and implementation Subcommittee of the American Academy of Neurology; the American Congress of Rehabilitation Medicine; and the National Institute on Disability, Independent Living, and Rehabilitation Research. Neurology 91 (10):461–70. doi:10.1212/WNL.0000000000005928.
  • Giacino, J. T., D. I. Katz, N. D. Schiff, J. Whyte, E. Ashman, S. Ashwal, R. L. Barbano, F. Hammond, S. Laureys, G. S. F. Ling, et al. 2018b. Practice guideline update recommendations summary: Disorders of consciousness: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology; the American Congress of Rehabilitation Medicine; and the National Institute on Disability, Independent Living, and Rehabilitation Research. Neurology 91 (10):450–60. (see also invited ethics commentary by Fins JJ and Bernat JL: Ethical, Palliative, and Policy Considerations in Disorders of Consciousness. Neurology. 2018;91(10): 471–475)). doi:10.1212/WNL.0000000000005926.
  • Giacino, J. T., M. Sherer, A. Christoforou, P. Maurer-Karattup, F. Hammond, D. Long, and E. Bagiella. 2020. Behavioral recovery and early decision making in patients with prolonged disturbance in consciousness after traumatic brain injury. Journal of Neurotrauma 37 (2):357–65. doi:10.1089/neu.2019.6429.
  • Peterson, A., S. Aas, and D. Wasserman. 2021. What justifies the allocation of health care resources to patients with disorders of consciousness? AJOB Neuroscience 12 (2-3):127–139.
  • Turgeon, A. F., F. Lauzier, J. F. Simard, D. C. Scales, K. E. Burns, L. Moore, D. A. Zygun, F. Bernard, M. O. Meade, T. C. Dung, for the Canadian Critical Care Trials Group, et al. 2011. Canadian Critical Care Trials Group. Mortality associated with withdrawal of life-sustaining therapy for patients with severe traumatic brain injury: A Canadian multicentre cohort study. Canadian Medical Association Journal 183 (14):1581–18. doi:10.1503/cmaj.101786.
  • Williamson, T., M. D. Ryser, P. A. Ubel, J. Abdelgadir, C. A. Spears, B. Liu, J. Komisarow, M. E. Lemmon, A. Elsamadicy, S. P. Lad, et al. 2020. Withdrawal of life-supporting treatment in severetraumatic brain injury. JAMA Surgery 155 (8):723–31. doi:10.1001/jamasurg.2020.1790.

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