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Ethics and observational studies in medical research: various rules in a common framework.
Claudot F., Alla F., Fresson J., Calvez T., Coudane H., Bonaïti-Pellié C.
International Journal of Epidemiology 38, 4 (2009) 1104-8 - http://www.hal.inserm.fr/inserm-00377284
 (19336436) 
Ethics and observational studies in medical research: various rules in a common framework.
Frédérique Claudot1, 2, 3, François Alla () 1, 4, 5, Jeanne Fresson6, 7, Thierry Calvez8, Henry Coudane1, Catherine Bonaïti-Pellié6, 9
1 :  Service Médecine légale et Droit de la Santé
Université de Nancy
Faculté de médecine
France
2 :  Pôle stratégie et ressources médicales
CHU Nancy
France
3 :  Comité de protection des personnes Est III
Comité de protection des personnes Est III
Nancy
France
4 :  Epidémiologie
CHU Nancy
France
5 :  Ecole de santé publique
Université de Nancy – Université Paris Descartes
France
6 :  Comité consultatif sur le traitement de l'information en matière de recherche dans le domaine de la santé
CCTIRS
Paris
France
7 :  Epidémiologie
Maternité Régionale Universitaire
France
8 :  Epidémiologie Clinique et Traitement de l'Infection à VIH
INSERM : U720 – IFR113 – Université Pierre et Marie Curie [UPMC] - Paris VI
Centre de Recherche Inserm 56, Boulevard Vincent Auriol 75625 PARIS CEDEX 13
France
9 :  Génétique épidémiologique et structures des populations humaines
INSERM : U535 – IFR69 – Université Paris XI - Paris Sud
Hopital Paul Brousse 94817 VILLEJUIF CEDEX
France
BACKGROUND: Research ethics have become universal in their principles through international agreements. The standardization of regulations facilitates the internationalization of research concerning drugs. However, in so-called observational studies (i.e. from data collected retrospectively or prospectively, obtained without any additional therapy or monitoring procedure) the modalities used for applying the main principles vary from one country to another. This situation may entail problems for the conduct of multi-centric international studies, as well as for the publication of results if the authors and editors come from countries governed by different regulations. In particular, several French observational studies were rejected or retracted by US peer-reviewed journals, because their protocols have not been submitted to an Institutional Review Board/Independent Ethics Committee (IRB/IEC). METHODS: National legislation case analysis. RESULTS: In accordance with European regulation, French observational studies from data obtained without any additional therapy or monitoring procedure, do not need the approval of an IRB/IEC. Nevertheless, these studies are neither exempt from scientific opinion nor from ethical and legal authorization. CONCLUSION: We wish to demonstrate through the study of this example that different bodies of law can provide equivalent levels of protection that respect the same ethical principles. Our purpose in writing this article was to encourage public bodies, scientific journals and researchers to gain a better understanding of the various sets of specific national regulations and to speak a common language.
Sciences du Vivant/Génétique
Sciences du Vivant/Ethique
Anglais
0300-5771

Articles dans des revues avec comité de lecture
10.1093/ije/dyp164
International Journal of Epidemiology (Int J Epidemiol)
Publisher Oxford University Press (OUP): Policy B
ISSN 0300-5771 (eISSN : 1464-3685)
internationale
08/2009
31/03/2009
38
4
1104-8

Biomedical Research – Ethics Committees – Research – Ethics – France – Helsinki Declaration – Humans – International Cooperation – Legislation – Drug – Multicenter Studies as Topic
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