Evidence map›Paper›PMID 32082417›Full record

ArticlePublic health ethics2019

Authority and the Future of Consent in Population-Level Biomedical Research.

Mark Sheehan, Rachel Thompson, Jon Fistein, Jim Davies, Michael Dunn, Michael Parker, Julian Savulescu, Kerrie Woods

Abstract read
In one paragraph

Article in Public health ethics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Dynamic consent and personalised medicine.The Medical journal of Australia · 2022
    Article
  12. The ethical challenges of artificial intelligence-driven digital pathology.The journal of pathology. Clinical research · 2022
    Review
  13. Article
  14. Review
  15. Multicomponent Informed Consent with Marshallese Participants.Journal of empirical research on human research ethics : JERHRE · 2021
    Article
  16. Review
  17. Article
  18. Reflections on dynamic consent in biomedical research: the story so far.European journal of human genetics : EJHG · 2021
    Article
  19. Article
  20. Article
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

8 authors.

Mark SheehanEthox, Oxford University.ORCID https://orcid.org/0000-0002-7191-901X
Rachel ThompsonSchool of School of Sport & Exercise Science, Swansea University.ORCID 0000-0001-6332-545X
Jon FisteinInter-Disciplinary Ethics Applied Centre (IDEA), Leeds University.ORCID 0000-0002-5807-7241
Jim DaviesBig Data Institute, Oxford University.ORCID https://orcid.org/0000-0003-4664-6862
Michael DunnEthox, Oxford University.ORCID https://orcid.org/0000-0002-5603-6200
Michael ParkerWellcome Centre for Ethics and Humanities, Oxford University and Ethox, Oxford University.
Julian SavulescuUehiro Centre, Oxford University.ORCID 0000-0003-1691-6403
Kerrie WoodsDigital Division, Oxford University.ORCID https://orcid.org/0000-0001-8106-8290

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Population-level biomedical research has become crucial to the health system's ability to improve the health of the population. This form of research raises a number of well-documented ethical concerns, perhaps the most significant of which is the inability of the researcher to obtain fully informed specific consent from participants. Two proposed technical solutions to this problem of consent in large-scale biomedical research that have become increasingly popular are meta-consent and dynamic consent. We critically examine the ethical and practical credentials of these proposals and find them lacking. We suggest that the consent problem is not solved by adopting a technology driven approach grounded in a notion of 'specific' consent but by taking seriously the role of research governance in combination with broader conceptions of consent. In our view, these approaches misconstrue the rightful location of authority in the way in which population-level biomedical research activities are structured and organized. We conclude by showing how and why the authority for determining the nature and shape of choice making about participation ought not to lie with individual participants, but rather with the researchers and the research governance process, and that this necessarily leads to the endorsement of a fully articulated broad consent approach.

Identifiers

PMID32082417
PMCPMC7020771

What OpenQuestion holds

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LicenceCC BY
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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.