Compliance with ethical standards in the reporting of donor sources and ethics review in peer-reviewed publications involving organ transplantation in China: a scoping review

ObjectivesThe objective of this study is to investigate whether papers reporting research on Chinese transplant recipients comply with international professional standards aimed at excluding publication of research that: (1) involves any biological material from executed prisoners; (2) lacks Institu...

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Veröffentlicht in:BMJ open 2019-02, Vol.9 (2), p.e024473-e024473
Hauptverfasser: Rogers, Wendy, Robertson, Matthew P, Ballantyne, Angela, Blakely, Brette, Catsanos, Ruby, Clay-Williams, Robyn, Fiatarone Singh, Maria
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container_title BMJ open
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creator Rogers, Wendy
Robertson, Matthew P
Ballantyne, Angela
Blakely, Brette
Catsanos, Ruby
Clay-Williams, Robyn
Fiatarone Singh, Maria
description ObjectivesThe objective of this study is to investigate whether papers reporting research on Chinese transplant recipients comply with international professional standards aimed at excluding publication of research that: (1) involves any biological material from executed prisoners; (2) lacks Institutional Review Board (IRB) approval and (3) lacks consent of donors.DesignScoping review based on Arksey and O’Mallee’s methodological framework.Data sourcesMedline, Scopus and Embase were searched from January 2000 to April 2017.Eligibility criteriaWe included research papers published in peer-reviewed English-language journals reporting on outcomes of research involving recipients of transplanted hearts, livers or lungs in mainland China.Data extraction and synthesisData were extracted by individual authors working independently following training and benchmarking. Descriptive statistics were compiled using Excel.Results445 included studies reported on outcomes of 85 477 transplants. 412 (92.5%) failed to report whether or not organs were sourced from executed prisoners; and 439 (99%) failed to report that organ sources gave consent for transplantation. In contrast, 324 (73%) reported approval from an IRB. Of the papers claiming that no prisoners’ organs were involved in the transplants, 19 of them involved 2688 transplants that took place prior to 2010, when there was no volunteer donor programme in China.DiscussionThe transplant research community has failed to implement ethical standards banning publication of research using material from executed prisoners. As a result, a large body of unethical research now exists, raising issues of complicity and moral hazard to the extent that the transplant community uses and benefits from the results of this research. We call for retraction of this literature pending investigation of individual papers.
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Descriptive statistics were compiled using Excel.Results445 included studies reported on outcomes of 85 477 transplants. 412 (92.5%) failed to report whether or not organs were sourced from executed prisoners; and 439 (99%) failed to report that organ sources gave consent for transplantation. In contrast, 324 (73%) reported approval from an IRB. Of the papers claiming that no prisoners’ organs were involved in the transplants, 19 of them involved 2688 transplants that took place prior to 2010, when there was no volunteer donor programme in China.DiscussionThe transplant research community has failed to implement ethical standards banning publication of research using material from executed prisoners. As a result, a large body of unethical research now exists, raising issues of complicity and moral hazard to the extent that the transplant community uses and benefits from the results of this research. We call for retraction of this literature pending investigation of individual papers.</description><identifier>ISSN: 2044-6055</identifier><identifier>EISSN: 2044-6055</identifier><identifier>DOI: 10.1136/bmjopen-2018-024473</identifier><identifier>PMID: 30723071</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Bans ; Blood &amp; organ donations ; China ; Consent ; Ethical Review ; Ethics ; Guideline Adherence - statistics &amp; numerical data ; Humans ; Liver cancer ; Massacres ; Medical research ; Organ Transplantation - ethics ; Organ Transplantation - standards ; Organ Transplantation - statistics &amp; numerical data ; Peer Review - standards ; Periodicals as Topic - standards ; Periodicals as Topic - statistics &amp; numerical data ; Researchers ; Sanctions ; Systematic review ; Tissue Donors - ethics ; Transplants &amp; implants</subject><ispartof>BMJ open, 2019-02, Vol.9 (2), p.e024473-e024473</ispartof><rights>Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2019 Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b472t-94a62d72dc75702b960dc139691ec0d0fe50f621b6f668aca2a1f538d9075b0a3</citedby><cites>FETCH-LOGICAL-b472t-94a62d72dc75702b960dc139691ec0d0fe50f621b6f668aca2a1f538d9075b0a3</cites><orcidid>0000-0001-9186-870X ; 0000-0002-6107-7445</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://bmjopen.bmj.com/content/9/2/e024473.full.pdf$$EPDF$$P50$$Gbmj$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://bmjopen.bmj.com/content/9/2/e024473.full$$EHTML$$P50$$Gbmj$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27549,27550,27924,27925,53791,53793,77601,77632</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30723071$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rogers, Wendy</creatorcontrib><creatorcontrib>Robertson, Matthew P</creatorcontrib><creatorcontrib>Ballantyne, Angela</creatorcontrib><creatorcontrib>Blakely, Brette</creatorcontrib><creatorcontrib>Catsanos, Ruby</creatorcontrib><creatorcontrib>Clay-Williams, Robyn</creatorcontrib><creatorcontrib>Fiatarone Singh, Maria</creatorcontrib><title>Compliance with ethical standards in the reporting of donor sources and ethics review in peer-reviewed publications involving organ transplantation in China: a scoping review</title><title>BMJ open</title><addtitle>BMJ Open</addtitle><description>ObjectivesThe objective of this study is to investigate whether papers reporting research on Chinese transplant recipients comply with international professional standards aimed at excluding publication of research that: (1) involves any biological material from executed prisoners; (2) lacks Institutional Review Board (IRB) approval and (3) lacks consent of donors.DesignScoping review based on Arksey and O’Mallee’s methodological framework.Data sourcesMedline, Scopus and Embase were searched from January 2000 to April 2017.Eligibility criteriaWe included research papers published in peer-reviewed English-language journals reporting on outcomes of research involving recipients of transplanted hearts, livers or lungs in mainland China.Data extraction and synthesisData were extracted by individual authors working independently following training and benchmarking. Descriptive statistics were compiled using Excel.Results445 included studies reported on outcomes of 85 477 transplants. 412 (92.5%) failed to report whether or not organs were sourced from executed prisoners; and 439 (99%) failed to report that organ sources gave consent for transplantation. In contrast, 324 (73%) reported approval from an IRB. Of the papers claiming that no prisoners’ organs were involved in the transplants, 19 of them involved 2688 transplants that took place prior to 2010, when there was no volunteer donor programme in China.DiscussionThe transplant research community has failed to implement ethical standards banning publication of research using material from executed prisoners. As a result, a large body of unethical research now exists, raising issues of complicity and moral hazard to the extent that the transplant community uses and benefits from the results of this research. 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Robertson, Matthew P ; Ballantyne, Angela ; Blakely, Brette ; Catsanos, Ruby ; Clay-Williams, Robyn ; Fiatarone Singh, Maria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b472t-94a62d72dc75702b960dc139691ec0d0fe50f621b6f668aca2a1f538d9075b0a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Bans</topic><topic>Blood &amp; organ donations</topic><topic>China</topic><topic>Consent</topic><topic>Ethical Review</topic><topic>Ethics</topic><topic>Guideline Adherence - statistics &amp; numerical data</topic><topic>Humans</topic><topic>Liver cancer</topic><topic>Massacres</topic><topic>Medical research</topic><topic>Organ Transplantation - ethics</topic><topic>Organ Transplantation - standards</topic><topic>Organ Transplantation - statistics &amp; numerical data</topic><topic>Peer Review - standards</topic><topic>Periodicals as Topic - standards</topic><topic>Periodicals as Topic - statistics &amp; 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Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database (ProQuest)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rogers, Wendy</au><au>Robertson, Matthew P</au><au>Ballantyne, Angela</au><au>Blakely, Brette</au><au>Catsanos, Ruby</au><au>Clay-Williams, Robyn</au><au>Fiatarone Singh, Maria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Compliance with ethical standards in the reporting of donor sources and ethics review in peer-reviewed publications involving organ transplantation in China: a scoping review</atitle><jtitle>BMJ open</jtitle><addtitle>BMJ Open</addtitle><date>2019-02-05</date><risdate>2019</risdate><volume>9</volume><issue>2</issue><spage>e024473</spage><epage>e024473</epage><pages>e024473-e024473</pages><issn>2044-6055</issn><eissn>2044-6055</eissn><abstract>ObjectivesThe objective of this study is to investigate whether papers reporting research on Chinese transplant recipients comply with international professional standards aimed at excluding publication of research that: (1) involves any biological material from executed prisoners; (2) lacks Institutional Review Board (IRB) approval and (3) lacks consent of donors.DesignScoping review based on Arksey and O’Mallee’s methodological framework.Data sourcesMedline, Scopus and Embase were searched from January 2000 to April 2017.Eligibility criteriaWe included research papers published in peer-reviewed English-language journals reporting on outcomes of research involving recipients of transplanted hearts, livers or lungs in mainland China.Data extraction and synthesisData were extracted by individual authors working independently following training and benchmarking. Descriptive statistics were compiled using Excel.Results445 included studies reported on outcomes of 85 477 transplants. 412 (92.5%) failed to report whether or not organs were sourced from executed prisoners; and 439 (99%) failed to report that organ sources gave consent for transplantation. In contrast, 324 (73%) reported approval from an IRB. Of the papers claiming that no prisoners’ organs were involved in the transplants, 19 of them involved 2688 transplants that took place prior to 2010, when there was no volunteer donor programme in China.DiscussionThe transplant research community has failed to implement ethical standards banning publication of research using material from executed prisoners. As a result, a large body of unethical research now exists, raising issues of complicity and moral hazard to the extent that the transplant community uses and benefits from the results of this research. We call for retraction of this literature pending investigation of individual papers.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>30723071</pmid><doi>10.1136/bmjopen-2018-024473</doi><orcidid>https://orcid.org/0000-0001-9186-870X</orcidid><orcidid>https://orcid.org/0000-0002-6107-7445</orcidid><oa>free_for_read</oa></addata></record>
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subjects Bans
Blood & organ donations
China
Consent
Ethical Review
Ethics
Guideline Adherence - statistics & numerical data
Humans
Liver cancer
Massacres
Medical research
Organ Transplantation - ethics
Organ Transplantation - standards
Organ Transplantation - statistics & numerical data
Peer Review - standards
Periodicals as Topic - standards
Periodicals as Topic - statistics & numerical data
Researchers
Sanctions
Systematic review
Tissue Donors - ethics
Transplants & implants
title Compliance with ethical standards in the reporting of donor sources and ethics review in peer-reviewed publications involving organ transplantation in China: a scoping review
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