In a world rich with diversity, practicing culturally sensitive medicine is a unique challenge. Western medical ethical principles do not always translate well to other cultures. This is especially the case with regard to disclosure of prognosis in patients with terminal illness, particularly pediatric patients.

In the review by Rosenberg and colleagues,¹ the authors discuss the issue of request for nondisclosure of terminal prognosis using a hypothetical case example of Sara, a 15-year-old girl from the Middle East. A review of Western and Middle Eastern literature reveals great variability by country, medical specialty, and individual preference.² The diversity of preferences underscores the importance of not making assumptions regarding patient and family values and beliefs and stresses the importance of individual assessments by the health care professional.

在一个充满多样性的世界中，实践对文化敏感的医学是一个独特的挑战。西方医学伦理原则并不总是能很好地转化为其他文化。关于患有绝症的患者，特别是儿科患者的预后的披露尤其如此。

在Rosenberg及其同事的评论中，[ ^1]作者使用一个15岁的中东女孩Sara的假设案例，讨论了要求不披露最终预后的问题。对西方和中东文献的回顾表明，不同国家，医学专业和个人偏爱的差异很大。²偏好的多样性强调了不对患者和家庭的价值观和信念做出假设的重要性，并强调了医疗保健专业人员进行个人评估的重要性。