Ethics Committee Report

Ethics Committee Report

Stephen Honeybul & Ahmed Ammar, Co-Chairs


1. WFNS Neurosurgical Complications and Error Committee –December 19, 2020
- Ahmed Ammar “Mild Head trauma- An ethical question!”
2. International Society for Neurosurgical Technology and Instrument inventon (ISNRii)- December 10, 2020
- Ahmed Ammar “The Impact of idea”
- Marike Broekman “Ethics of invention”
3. Cervical Spine Research Society, Europe (CSRS-E) December 5, 2020
- Ahmed Ammar “Health Care challenges are facing LIMIC Ethical perspective”
4. Asian Congress of Neurological Surgeons, November 7, 2020
Ahmed Ammar Chairman of the webinar “Micro neurosurgery, Metacognition & Mentorship” presented by Prof. Anil Nanda
5. Second Congress of Ethics and Neurosurgery –September 25, 2020
Ethics & Neurosurgery: Innovative practice during COVID-19 (Chair: Marike Broekman)
- Tiit Mathiesen “Pitfalls in allocating resources”
- Ahmed Ammar “Telemedicine’
6. Asian Congress of Neurological Surgeons (ACNS) September 16, 2020
- Ahmed Ammar “Ethical dilemmas in Neurosurgery”
7. Global Neurosurgery webinar (WFNS and Rutgers University) September 10-12, 2020
- Ahmed Ammar “Ethical approach to global neurosurgery”

Publications (selected):

  1. Cote D, Balak N, Brennum J, Holsgrove DT, Kitchen N, Kolenda H, Moojen W, Schaller K, Robe PA, Mathiesen T, Broekman ML. Ethical difficulties in the innovative surgical treatment of patients with recurrent glioblastoma multiforme. J Neurosurg 126(6):2045-2050 (20167)
  2. Cote D, Bredenoord AL, Smith TR, Ammirati M, Brennum J, Mendez I, Ammar AS, Balak N, Bolles G, Esene IN, Mathiesen T, and Broekman ML. Ethical clinical translation of stem cell interventions for neurological disease. Neurology 88(3):322-328 (2017)
  3. Castlen JP, Cote DJ, Moojen WA, Robe PA, Balak N, Brennum J, Ammirati M, Mathiesen T, Broekman MLD; World Federation of Neurosurgical Societies Ethics Committee and European Association of Neurosurgical Societies Ethico-Legal Committee. The Changing Health Care Landscape and Implications of Organizational Ethics on Modern Medical Practice. World Neurosurg. 102:420-424 (2017)
  4. Balak N, Broekman MLD, Mathiesen T. Ethics in contemporary health care management and medical education. J Eval Clin Pract. 2020;1–8.
  5. Hulsbergen AFC, Eijkholt MM, Balak N, Brennum J, Bolger C, Bohrer AM, Feldman Z, Holsgrove D, Kitchen N, Mathiesen TI, Moojen WA, Samprón N, Sames M, Sandvik U, Tisell M, Broekman MLD. Ethical triage during the COVID-19 pandemic: a toolkit for neurosurgical resource allocation. Acta Neurochir (Wien). 2020 Jul;162(7):1485-1490. doi: 10.1007/s00701-020-04375-w. Epub 2020 May 14. PMID: 32405671; PMCID: PMC7220806.
  6. Mathiesen T, Arraez M, Asser T, Balak N, Barazi S, Bernucci C, Bolger C, Broekman MLD, Demetriades AK, Feldman Z, Fontanella MM, Foroglou N, Lafuente J, Maier AD, Meyer B, Niemelä M, Roche PH, Sala F, Samprón N, Sandvik U, Schaller K, Thome C, Thys M, Tisell M, Vajkoczy P, Visocchi M; EANS Ethico-legal committee. A snapshot of European neurosurgery December 2019 vs. March 2020: just before and during the Covid-19 pandemic. Acta Neurochir (Wien). 2020 Sep;162(9):2221-2233. doi: 10.1007/s00701-020- 04482-8. Epub 2020 Jul 8. PMID: 32642834; PMCID: PMC7343382.
  7. Eijkholt MM, Broekman M, Balak N, Mathiesen TI. Three pitfalls of accountable health-care rationing. Journal of Medical Ethics 2021 Jan 13: Medethics-2020-106943. doi: 10.1136/medethics-2020-106943
  8. Greer DM, Shemie SD, Lewis A, et al Determination of Brain Death/Death by Neurologic Criteria: The World Brain Death Project. JAMA. 2020 Sep 15;324(11):1078-1097
  9. Robertson FC, Esene IN, Kolias AG, Khan T, Rosseau G, Gormley WB, Park KB, Broekman MLD; Global Perspectives on Task Shifting and Task Sharing in Neurosurgery. Global Neurosurgery Survey Collaborators. World Neurosurg X. 2019 Sep 9;6:100060. doi: 10.1016/j.wnsx.2019.100060
  10. Robertson FC, Esene IN, Kolias AG, Kamalo P, Fieggen G, Gormley WB, Broekman MLD, Park KB; Collaborative Working Group. Task-Shifting and Task-Sharing in Neurosurgery: An International Survey of Current Practices in Low- and Middle-Income Countries. World Neurosurg X. 2019 Sep 9;6:100059. doi: 10.1016/j.wnsx.2019.100059.


Ethics in Neurosurgery. Cambridge University Press 2020

Ongoing projects:

Book soon to be finished - Traumatic brain injury; Science, practice, evidence and ethics – Springer Nature

Book soon to be started - Learning and Career development in Neurosurgery, surgery and Medicine: The impact of ethics and metacognition – Springer Nature

Curriculum – We are currently working in the development of a curriculum

August 2022