BMJ  2004;329:241-242 (31 July), doi:10.1136/bmj.329.7460.241

Editorial

Clinical research under the cosh again

This time it is ethics committees

The first 150 words of the full text of this article appear below.

Today the BMJ publishes a clutch of papers on the regulation of clinical research by ethics committees.1-5 All describe, in one way or another, how ethics committee review may impede and delay research, sometimes even to distort the methods so much that the conclusions are flawed and patients damaged—an unintended unethical consequence.

Although this is not just a problem in the United Kingdom, to know exactly what is going on in other countries is difficult. If the situation is anything like that in the United Kingdom it will be confusing, changing all the time (just last month the UK government notably altered its human tissue bill), and made even more confusing by varying guidance from official bodies such as the General Medical Council and the BMA. Clearly, international differences are a particular problem for multicentre research across national boundaries. For example, unlike in the United Kingdom, the United States has . . . [Full text of this article]

Charles Warlow, professor

Department of Clinical Neurosciences, Western General Hospital, Crewe Road, Edinburgh EH4 2XU (charles.warlow@ed.ac.uk)


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This article has been cited by other articles:

  • Angell, E, Dixon-Woods, M (2009). Do research ethics committees identify process errors in applications for ethical approval?. J. Med. Ethics 35: 130-132 [Abstract] [Full text]  
  • Richardson, S., McMullan, M. (2007). Research Ethics in the UK: What Can Sociology Learn from Health?. Sociology 41: 1115-1132 [Abstract]  
  • Wade, D. (2007). Ethics of collecting and using healthcare data. BMJ 334: 1330-1331 [Full text]  
  • Macduff, C., McKie, A., Martindale, S., Rennie, A. M., West, B., Wilcock, S. (2007). A Novel Framework for Reflecting on the Functioning of Research Ethics Review Panels. Nurs Ethics 14: 99-116 [Abstract]  
  • Galbraith, N., Hawley, C., De-Souza, V. (2006). Research governance: Research governance approval is putting people off research. BMJ 332: 238-238 [Full text]  
  • Alphonso, N., Tan, C., Utley, M., Cameron, R., Dussek, J., Lang-Lazdunski, L., Treasure, T. (2005). A prospective randomized controlled trial of suction versus non-suction to the under-water seal drains following lung resection. Eur. J. Cardiothorac. Surg. 27: 391-394 [Abstract] [Full text]  
  • Wade, D. T (2005). Ethics, audit, and research: all shades of grey. BMJ 330: 468-471 [Full text]  

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