• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

我会因此被起诉吗?临床意义重大的基因研究结果披露的责任风险。

Can I be sued for that? Liability risk and the disclosure of clinically significant genetic research findings.

机构信息

Center for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, Texas 77030, USA;

出版信息

Genome Res. 2014 May;24(5):719-23. doi: 10.1101/gr.170514.113. Epub 2014 Mar 27.

DOI:10.1101/gr.170514.113
PMID:24676095
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4009601/
Abstract

Genomic researchers increasingly are faced with difficult decisions about whether, under what circumstances, and how to return research results and significant incidental findings to study participants. Many have argued that there is an ethical-maybe even a legal-obligation to disclose significant findings under some circumstances. At the international level, over the last decade there has begun to emerge a clear legal obligation to return significant findings discovered during the course of research. However, there is no explicit legal duty to disclose in the United States. This creates legal uncertainty that may lead to unmanaged variation in practice and poor quality care. This article discusses liability risks associated with the disclosure of significant research findings for investigators in the United States.

摘要

基因组学研究人员越来越多地面临着这样的艰难决策

在何种情况下,以及如何向研究参与者返还研究结果和重要的偶然发现。许多人认为,在某些情况下,披露重要发现是一种伦理责任——甚至可能是法律义务。在国际层面上,在过去十年中,人们开始认识到在研究过程中发现重要发现后有明确的法律义务予以返还。然而,在美国并没有明确的法律义务来披露这些发现。这造成了法律上的不确定性,可能导致实践中的管理不善和医疗质量下降。本文讨论了与美国研究人员披露重要研究结果相关的法律责任风险。

相似文献

1
Can I be sued for that? Liability risk and the disclosure of clinically significant genetic research findings.我会因此被起诉吗?临床意义重大的基因研究结果披露的责任风险。
Genome Res. 2014 May;24(5):719-23. doi: 10.1101/gr.170514.113. Epub 2014 Mar 27.
2
The legal risks of returning results of genomics research.基因组学研究结果回传的法律风险。
Genet Med. 2012 Apr;14(4):473-7. doi: 10.1038/gim.2012.10. Epub 2012 Feb 9.
3
Return of genomic results to research participants: the floor, the ceiling, and the choices in between.研究参与者的基因组结果返还:底线、上限和中间选择。
Am J Hum Genet. 2014 Jun 5;94(6):818-26. doi: 10.1016/j.ajhg.2014.04.009. Epub 2014 May 8.
4
Primer on medical genomics. Part XIII: Ethical and regulatory issues.医学基因组学入门。第十三部分:伦理与监管问题。
Mayo Clin Proc. 2004 May;79(5):645-50. doi: 10.4065/79.5.645.
5
Duty to disclose in medical genetics: a legal perspective.医学遗传学中的披露义务:法律视角
Am J Med Genet. 1991 Jun 1;39(3):347-54. doi: 10.1002/ajmg.1320390320.
6
Managing incidental genomic findings: legal obligations of clinicians.管理偶然发现的基因组学信息:临床医生的法律义务。
Genet Med. 2013 Aug;15(8):624-9. doi: 10.1038/gim.2013.7. Epub 2013 Feb 28.
7
Finding Fault? Exploring Legal Duties to Return Incidental Findings in Genomic Research.吹毛求疵?探索基因组研究中返还偶发发现的法律义务。
Georgetown Law J. 2014;102:795-843.
8
From Genetics to Genomics: Facing the Liability Implications in Clinical Care.从遗传学到基因组学:临床护理中的责任问题。
J Law Med Ethics. 2020 Mar;48(1):11-43. doi: 10.1177/1073110520916994.
9
The Responsibility to Recontact Research Participants after Reinterpretation of Genetic and Genomic Research Results.遗传和基因组研究结果重新解释后联系研究参与者的责任。
Am J Hum Genet. 2019 Apr 4;104(4):578-595. doi: 10.1016/j.ajhg.2019.02.025.
10
To disclose, or not to disclose? Perspectives of clinical genomics professionals toward returning incidental findings from genomic research.是否披露?临床基因组学专业人员对从基因组研究中返还偶然发现的观点。
BMC Med Ethics. 2021 Jul 27;22(1):101. doi: 10.1186/s12910-021-00670-y.

引用本文的文献

1
Primary care providers' preferences for the communication and management of actionable genomic findings from a research biobank.基层医疗服务提供者对来自研究生物样本库的可操作基因组发现的沟通与管理偏好。
Genet Med Open. 2023;1(1). doi: 10.1016/j.gimo.2023.100830. Epub 2023 Aug 30.
2
Ethical, legal, and social implications (ELSI) and challenges in the design of a randomized controlled trial to test the online return of cancer genetic research results to U.S. Black women.伦理、法律和社会影响(ELSI)以及设计一项随机对照试验以测试美国黑人女性癌症遗传研究结果在线返还的挑战。
Contemp Clin Trials. 2023 Sep;132:107309. doi: 10.1016/j.cct.2023.107309. Epub 2023 Jul 27.
3
How should we address the inevitable harms from non-negligent variant reclassification in predictive genetic testing?在预测性基因检测中,我们应该如何应对非疏忽性变异重新分类不可避免的危害?
J Genet Couns. 2023 Feb;32(1):18-30. doi: 10.1002/jgc4.1638. Epub 2022 Oct 19.
4
A systematic approach to the disclosure of genomic findings in clinical practice and research: a proposed framework with colored matrix and decision-making pathways.临床实践和研究中基因组发现披露的系统方法:提出一个带有彩色矩阵和决策路径的框架。
BMC Med Ethics. 2021 Dec 25;22(1):168. doi: 10.1186/s12910-021-00738-9.
5
Returning actionable genomic results in a research biobank: Analytic validity, clinical implementation, and resource utilization.研究生物库中可操作基因组结果的返还:分析有效性、临床实施和资源利用。
Am J Hum Genet. 2021 Dec 2;108(12):2224-2237. doi: 10.1016/j.ajhg.2021.10.005. Epub 2021 Nov 8.
6
Return of research results (RoRR) to the healthy CHRIS cohort: designing a policy with the participants.向健康的CHRIS队列返回研究结果(RoRR):与参与者共同制定一项政策。
J Community Genet. 2021 Oct;12(4):577-592. doi: 10.1007/s12687-021-00536-1. Epub 2021 Jul 9.
7
Key Expert Stakeholder Perceptions of the Law of Genomics: Identified Problems and Potential Solutions.关键专家利益攸关方对基因组学法律的看法:已识别的问题和潜在解决方案。
J Law Med Ethics. 2020 Mar;48(1):87-104. doi: 10.1177/1073110520916997.
8
The Responsibility to Recontact Research Participants after Reinterpretation of Genetic and Genomic Research Results.遗传和基因组研究结果重新解释后联系研究参与者的责任。
Am J Hum Genet. 2019 Apr 4;104(4):578-595. doi: 10.1016/j.ajhg.2019.02.025.
9
Integrating Genomics into Psychiatric Practice: Ethical and Legal Challenges for Clinicians.将基因组学纳入精神科实践:临床医生面临的伦理和法律挑战。
Harv Rev Psychiatry. 2019 Jan/Feb;27(1):53-64. doi: 10.1097/HRP.0000000000000203.
10
Psychiatric genetics researchers' views on offering return of results to individual participants.精神科遗传学研究人员对向个体参与者提供研究结果回报的看法。
Am J Med Genet B Neuropsychiatr Genet. 2019 Dec;180(8):589-600. doi: 10.1002/ajmg.b.32682. Epub 2018 Oct 25.

本文引用的文献

1
World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects.《世界医学协会赫尔辛基宣言:涉及人类受试者的医学研究伦理原则》
JAMA. 2013 Nov 27;310(20):2191-4. doi: 10.1001/jama.2013.281053.
2
Returning genetic research results: study type matters.反馈基因研究结果:研究类型很重要。
Per Med. 2013 Jan;10(1):27-34. doi: 10.2217/pme.12.109.
3
Minimizing liability risks under the ACMG recommendations for reporting incidental findings in clinical exome and genome sequencing.最小化 ACMG 建议中报告临床外显子组和基因组测序偶然发现的责任风险。
Genet Med. 2013 Dec;15(12):915-20. doi: 10.1038/gim.2013.135. Epub 2013 Sep 12.
4
Professional responsibility to and for patients and the ethics of health policy.对患者的专业责任以及卫生政策伦理
Am J Bioeth. 2013;13(8):16-8. doi: 10.1080/15265161.2013.804339.
5
ACMG recommendations for reporting of incidental findings in clinical exome and genome sequencing.ACMG 临床外显子组和基因组测序中偶然发现报告的推荐标准。
Genet Med. 2013 Jul;15(7):565-74. doi: 10.1038/gim.2013.73. Epub 2013 Jun 20.
6
Experiences and attitudes of genome investigators regarding return of individual genetic test results.基因组研究人员对个体基因检测结果回报的经验和态度。
Genet Med. 2013 Nov;15(11):882-7. doi: 10.1038/gim.2013.58. Epub 2013 May 2.
7
Managing incidental genomic findings: legal obligations of clinicians.管理偶然发现的基因组学信息:临床医生的法律义务。
Genet Med. 2013 Aug;15(8):624-9. doi: 10.1038/gim.2013.7. Epub 2013 Feb 28.
8
Reframing the ethical debate regarding incidental findings in genetic research.重新审视关于基因研究中偶然发现的伦理辩论。
Am J Bioeth. 2013;13(2):44-6. doi: 10.1080/15265161.2013.757972.
9
Managing incidental findings and research results in genomic research involving biobanks and archived data sets.管理涉及生物库和存档数据集的基因组研究中的偶发发现和研究结果。
Genet Med. 2012 Apr;14(4):361-84. doi: 10.1038/gim.2012.23.
10
Dialogues, dilemmas, and disclosures: genomic research and incidental findings.对话、困境与披露:基因组研究与偶发发现
Genet Med. 2012 Mar;14(3):293-5. doi: 10.1038/gim.2011.72.