When are research risks reasonable in relation to anticipated benefits?

被引:117
作者
Weijer, C [1 ]
Miller, PB [1 ]
机构
[1] Dalhousie Univ, Dept Bioeth, Halifax, NS B3H 4H7, Canada
基金
加拿大健康研究院;
关键词
D O I
10.1038/nm0604-570
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
The question "When are research risks reasonable in relation to anticipated benefits?" is at the heart of disputes in the ethics of clinical research. Institutional review boards are often criticized for inconsistent decision-making, a problem that is compounded by a number of contemporary controversies, including the ethics of research involving placebo controls, developing countries, incapable adults and emergency rooms. If this pressing ethical question is to be addressed in a principled way, then a systematic approach to the ethics of risk in research is required. Component analysis provides such a systematic approach.
引用
收藏
页码:570 / 573
页数:4
相关论文
共 27 条
[1]   The ethics of clinical research in the Third World [J].
Angell, M .
NEW ENGLAND JOURNAL OF MEDICINE, 1997, 337 (12) :847-849
[2]  
[Anonymous], 1978, BELM REP ETH PRINC G
[3]   REDUCTION OF MATERNAL-INFANT TRANSMISSION OF HUMAN-IMMUNODEFICIENCY-VIRUS TYPE-1 WITH ZIDOVUDINE TREATMENT [J].
CONNOR, EM ;
SPERLING, RS ;
GELBER, R ;
KISELEV, P ;
SCOTT, G ;
OSULLIVAN, MJ ;
VANDYKE, R ;
BEY, M ;
SHEARER, W ;
JACOBSON, RL ;
JIMENEZ, E ;
ONEILL, E ;
BAZIN, B ;
DELFRAISSY, JF ;
CULNANE, M ;
COOMBS, R ;
ELKINS, M ;
MOYE, J ;
STRATTON, P ;
BALSLEY, J .
NEW ENGLAND JOURNAL OF MEDICINE, 1994, 331 (18) :1173-1180
[4]   AZT trials and tribulations [J].
Crouch, RA ;
Arras, JD .
HASTINGS CENTER REPORT, 1998, 28 (06) :26-34
[5]  
ELLIS G, 1993, 933 OFF PROT RES RIS
[6]   What makes clinical research ethical? [J].
Emanuel, EJ ;
Wendler, D ;
Grady, C .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2000, 283 (20) :2701-2711
[7]   The ethics of placebo-controlled trials - A middle ground. [J].
Emanuel, EJ ;
Miller, FG .
NEW ENGLAND JOURNAL OF MEDICINE, 2001, 345 (12) :915-919
[8]  
Fost Norman, 1980, IRB, V2, P5, DOI 10.2307/3564363
[9]   EQUIPOISE AND THE ETHICS OF CLINICAL RESEARCH [J].
FREEDMAN, B .
NEW ENGLAND JOURNAL OF MEDICINE, 1987, 317 (03) :141-145
[10]   IN-LOCO-PARENTIS - MINIMAL RISK AS AN ETHICAL THRESHOLD FOR RESEARCH UPON CHILDREN [J].
FREEDMAN, B ;
FUKS, A ;
WEIJER, C .
HASTINGS CENTER REPORT, 1993, 23 (02) :13-19