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关于知情同意的研究文章的批判性评估。

Critical evaluation of research articles in relation to informed consent.

作者信息

Biswas B, Ahmad R

机构信息

Deptt. of Transfussion Medicine, Sher-e-Bangla Medical College (SBMC), Barisal.

出版信息

Bangladesh Med Res Counc Bull. 2006 Dec;32(3):92-7.

Abstract

The concept of research bioethics arose and developed over the last three decades mainly in response to moral crisis created by rapidly advancing medical science and technology. Accordingly, reinterpretation of some fundamental principles of ethics is needed. At the heart of the ethical principle of respect for person, lies the informed consent process. Nuremberg Code, Helsinki Declaration of World Medical Association (WMA), Council for International Organizations of Medical Sciences (CIOMS) Guidelines etc. demonstrated the importance of informed consent in biomedical research involving human subjects. This article was planned to evaluate the reflection of informed consent in the published research articles. Fifty-two articles published in national and international journals were studied among which informed consent was found to be taken only in 21(40.4%) occasions and the same was not taken in 31(59.6%) occasions. Study showed that out of 38 articles published in national journals, informed consent was taken from only in 12(31.6%) situations, while out of 14 articles published in international journals, informed consent was taken in 9(64.3%) situations. Out of 36 observational studies, informed consent (both written and verbal) was taken from only 27.8% cases, whereas out of 16 interventional experiments, informed consent was taken in 68.8% situations.

摘要

研究生物伦理学的概念在过去三十年中兴起并发展,主要是为了应对医学科学技术迅速发展所引发的道德危机。因此,需要对一些基本伦理原则进行重新诠释。尊重人的伦理原则的核心在于知情同意程序。《纽伦堡法典》、世界医学协会(WMA)的《赫尔辛基宣言》、国际医学科学组织理事会(CIOMS)指南等都表明了知情同意在涉及人类受试者的生物医学研究中的重要性。本文旨在评估已发表研究文章中知情同意的体现情况。对在国内和国际期刊上发表的52篇文章进行了研究,其中仅在21例(40.4%)中获取了知情同意,而在31例(59.6%)中未获取。研究表明,在国内期刊发表的38篇文章中,仅在12例(31.6%)情况下获取了知情同意,而在国际期刊发表的14篇文章中,有9例(64.3%)情况下获取了知情同意。在36项观察性研究中,仅在27.8%的案例中获取了知情同意(包括书面和口头),而在16项干预性实验中,有68.8%的情况下获取了知情同意。

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