Medical Ethics
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Parents, IRBs Hold Different Views on Phase I Pediatric Oncology Trials
IRB members are more likely than the public to think the risks outweigh the potential medical benefits. Parents think about the possibility of caring for a child with severe cancer and no treatment alternatives. IRBs ensure trials are ethical and that pediatric subjects are not exposed to excessive risk.
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Ethics Consults During Pandemic Inform Preparation for Future Crises
Lessons learned on ethics consults during the COVID-19 pandemic carry important implications for future disasters.
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New Guidance on Incorporating Patient-Reported Outcomes in Clinical Research
Patient-reported outcomes can be used to develop healthcare policy and regulatory decisions, and also to monitor symptoms to provide timely care tailored to the patient’s needs.
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Few People with Limited English Proficiency Participate in Stroke Studies
Rather than making the IRB processes more difficult for researchers who wish to include underrepresented populations in their study, IRBs should work with researchers to overcome obstacles.
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Updated Guidance Provides Sense of Urgency to Improve Clinical Trial Diversity
Organizations must invest in research infrastructure to support investigators in enrolling and retaining diverse study populations.
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Patients Share Preferences About Data Privacy
Most want security and accountability, are concerned about who can access their information and for what purposes.
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Cancer Death Rate for Black Americans Declines, Remains Higher Than That of Other Groups
Rapid declines in deaths from lung and stomach cancers parallels rise in mortality from uterine and liver cancers.
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Participant Distress Is Concern for IRBs Reviewing Child Maltreatment Studies
Surveys measuring prevalence of child maltreatment are important knowledge, but IRBs might overestimate the risk to participants.
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Conflict Common Between ICU Clinicians
Ethicists often are seen as a neutral party. Their review of a situation can help provide space to reflect on how the conflict arose.
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Consult Services Should Address Racism and Bias
Hospitals are addressing health equity and combatting racism in all areas, including ethics. Members of an ethics consult service can develop recommendations for consultants to help address health equity and promote anti-racism, both in care of individual patients and in institutional policy.