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As institutions seek to expand their international research portfolios, IRBs face increasing challenges differing regulations in different countries, cultural distinctions that may lead to unexpected risks and the difficulties of oversight at such a distance.
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A survey of nearly 5,500 cancer patients found that those with lower incomes were less likely to be enrolled in clinical trials, and more likely to be concerned about paying for participation in a trial.
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IRBs could improve and expedite their review process by hiring someone to pre-review submissions, an expert suggests.
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As the hurricane season picks up and the potential for other types of emergencies continues, a research institution might find it necessary to transfer its IRB-approved research to another institution. Or an IRB simply might need to transfer a single study for a variety of reasons. Federal guidance on how to handle these contingencies now is available.
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When research involves an international or multicultural population, there can be informed consent issues that no one anticipates not even the best-informed IRB.
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Pay-for-performance initiatives, which provide bonuses for physicians, hospitals and other providers who meet certain performance standards, are increasingly used by insurers such as Medicare to try to improve quality and efficiency.
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The first babies brought into the National Children's Study while they were still in utero are now about three years old. And they're not all that's grown.
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There have been many surveys of IRBs and their operations gauging how long protocols take in their journey through review, how much it costs to operate a human subjects protection program, and IRB members' attitudes about various aspects of their work.
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At Cedars-Sinai Medical Center, research compliance depends on a continuous loop of quality improvement and education, each enhancing the other.
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Cybercrime and data exposure pose a relatively new risk to research participants. IRBs have been addressing this threat in recent years, but they haven't given as much thought to their own responsibility and risk from wireless technology, an expert says.