Evidence map›Paper›PMID 28567113›Full record

ArticlePublic health ethics2017

Research Ethics Governance in Times of Ebola.

Doris Schopper, Raffaella Ravinetto, Lisa Schwartz, Eunice Kamaara, Sunita Sheel, Michael J Segelid, Aasim Ahmad, Angus Dawson, Jerome Singh, Amar Jesani and 1 more

Abstract read
In one paragraph

Article in Public health ethics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed.

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  12. How COVID-19 changed clinical research strategies: a global survey.The Journal of international medical research · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Doris SchopperMedical Faculty, University of Geneva, Center for Education and Research in Humanitarian Action (CERAH).
Raffaella RavinettoDepartment of Clinical Sciences, Institute of Tropical Medicine, Department of Pharmaceutical and Pharmacological Sciences, KU Leuven.
Lisa SchwartzFaculty of Health Sciences, McMaster University.
Eunice KamaaraDepartment of Philosophy, Religion and Theology, Moi University.
Sunita SheelIndependent Researcher in Global Health and Bioethics,Pune.
Michael J SegelidCentre for Human Bioethics, Monash University.
Aasim AhmadThe Kidney Centre, Pakistan, Aga Khan University.
Angus DawsonCentre for Values, Ethics & the Law in Medicine, School of Public Health, University of Sydney.
Jerome SinghCentre for the AIDS Programme of Research in South Africa (CAPRISA).
Amar JesaniAnusandhan Trust.
Ross UpshurDepartment of Family and Community Medicine and Dalla Lana School of Public Health, University of Toronto.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Médecins Sans Frontières (MSF) ethics review board (ERB) has been solicited in an unprecedented way to provide advice and review research protocols in an 'emergency' mode during the recent Ebola epidemic. Twenty-seven Ebola-related study protocols were reviewed between March 2014 and August 2015, ranging from epidemiological research, to behavioural research, infectivity studies and clinical trials with investigational products at (very) early development stages. This article examines the MSF ERB's experience addressing issues related to both the process of review and substantive ethical issues in this context. These topics include lack of policies regarding blood sample collection and use, and engaging communities regarding their storage and future use; exclusion of pregnant women from clinical and vaccine trials; and the difficulty of implementing timely and high-quality qualitative/anthropological research to consider potential upfront harms. Having noticed different standards across ethics committees (ECs), we propose that when multiple ethics reviews of clinical and vaccine trials are carried out during a public health emergency they should be accompanied by transparent communication between the ECs involved. The MSF ERB experience should trigger a broader discussion on the 'optimal' ethics review in an emergency outbreak and what enduring structural changes are needed to improve the ethics review process.

Identifiers

PMID28567113
PMCPMC5444563

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.