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OPINION
Ethical issues in tuberculosis comorbidity with cancer
Yaroslavl State Medical University, Yaroslavl, Russia
Correspondence should be addressed: Olga G. Chelnokova
Revolutsionnaya str., 5, Yaroslavl, 150000, Russia; chelnоur.kb@avok
Author contribution: Khokhlov AL — setting a problem, discussion of key ethical issues, planning and discussion of the article; Chelnokova OG — consultations with patients, study of literature on the topic, systematization and generalization of data, participation in discussion of results, writing and formatting of the article; Skrypnik NV — supervising patients, studying literature on the topic, participating in discussion of the results and writing an article; Dmitrieva AP — studying literature on the topic, participating in discussion of patients and results, and writing an article.
Compliance with ethical standards: meeting of the ethics committee was not held, as the questions to be discussed included practical experience of observing patients in real clinical practice and compliance with ethical standards.
An increased number of patients who have tuberculosis (TB) comorbidity with cancer leads to a number of ethical problems. Approaches to treatment of oncological diseases in patients with TB have not been developed yet limiting provision of care to patients with comorbidities. The priority of TB treatment leads to a loss of time spent on treatment of oncological diseases and occurrence of vicious circles when progression of an oncological disease prevents from an effective treatment of TB and initiation of cancer treatment. At the same time, interaction of anti-tuberculosis and antitumor drugs has not been studied, limiting their simultaneous administration. Long-term diagnostics of TB represents an ethical problem. The set problems can be solved during scientific research on TB prevention in cancer patients, treatment of patients with comorbidities and interdisciplinary interaction in practical healthcare on an individual basis.
Keywords: comorbidity, ethical issues, treatment of tuberculosis, treatment of oncological diseases