When is waiver of consent appropriate in a neonatal clinical trial?

It is difficult to do scientifically rigorous research on treatments that must be administered urgently or emergently. Therefore, such treatments are often provided without a strong evidence base. Research would be facilitated if it were permissible to waive the requirement for parental consent. How...

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Veröffentlicht in:Pediatrics (Evanston) 2014-11, Vol.134 (5), p.1006-1012
Hauptverfasser: Schreiner, Mark S, Feltman, Dalia, Wiswell, Thomas, Wootton, Susan, Arnold, Cody, Tyson, Jon, Lantos, John D
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container_end_page 1012
container_issue 5
container_start_page 1006
container_title Pediatrics (Evanston)
container_volume 134
creator Schreiner, Mark S
Feltman, Dalia
Wiswell, Thomas
Wootton, Susan
Arnold, Cody
Tyson, Jon
Lantos, John D
description It is difficult to do scientifically rigorous research on treatments that must be administered urgently or emergently. Therefore, such treatments are often provided without a strong evidence base. Research would be facilitated if it were permissible to waive the requirement for parental consent. However, that raises a different set of concerns. Federal regulations allow waiver of the requirement for consent but only if studies meet certain conditions. Institutional review boards must decide whether those conditions are met. Sometimes, reasonable people disagree. We present and analyze a protocol for which investigators request a waiver of consent.
doi_str_mv 10.1542/peds.2014-0207
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Care and treatment
Clinical trials
Consent
Diseases
Emergency Medical Services - ethics
Emergency Medical Services - methods
Ethical aspects
Ethics Rounds
Evidence-based medicine
Humans
Infant, Newborn
Infants (Newborn)
Informed Consent - ethics
Neonatal diseases
Parental Consent - ethics
Parents & parenting
Pediatrics
Protocol
Randomized Controlled Trials as Topic - ethics
Randomized Controlled Trials as Topic - methods
Review boards
Risk factors
title When is waiver of consent appropriate in a neonatal clinical trial?
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