Approach to the Patient: Ethics Cases in Pediatric Endocrinology and Their Management

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ID: 326807
2026
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Abstract
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.
Reference Key
openalex_W7204482042 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Jennifer M. Ladd, Meaghann S. Weaver, Rohan K. Henry
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Journal the journal of clinical endocrinology & metabolism
Year 2026
DOI
10.1210/clinem/dgag354
URL
https://doi.org/10.1210/clinem/dgag354
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