Kreicbergs Ulrika, Valdimarsdóttir Unnur, Steineck Gunnar, Henter Jan-Inge
Clinical Cancer Epidemiology, Department of Oncology and Pathology, Karolinska Institutet, Z6:01 Karolinska Hospital, SE-171 76 Stockholm, Sweden.
Lancet. 2004;364(9436):787-9. doi: 10.1016/S0140-6736(04)16939-0.
A proposed nationwide postal questionnaire to Swedish parents who had lost a child due to cancer between 1992 and 1997 was denied approval by the local ethics committee. However, a pilot study to assess the harm and benefit of the questionnaire was approved. 95% of parents found the pilot study valuable; thus, we were allowed to proceed with the main study, which consisted of 129 questions about the child's care and death and five about the parents' perceptions of the study. 423 (99%) parents found the investigation valuable, 285 (68%) were positively affected, and 123 (28%) were negatively affected (10 [2%] of whom, very much). Although the numerical data cannot be directly translated to ethical conclusions, they can provide guidance for future ethical decisions.