1 40 1 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Citation List Month Backlog URL Address <a href="http://doi.org/10.1001/jama.290.3.360" target="_blank" rel="noreferrer">http://doi.org/10.1001/jama.290.3.360</a> Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Problematic variation in local institutional review of a multicenter genetic epidemiology study Publisher An entity responsible for making the resource available Jama Date A point or period of time associated with an event in the lifecycle of the resource 2003 Subject The topic of the resource Humans; United States; Cystic Fibrosis; Empirical Approach; Ethics Committees; Biomedical and Behavioral Research; Epidemiologic Measurements; Epidemiologic Research Design; Epidemiology; Genetic Research/ethics; Genetics and Reproduction; Molecular/ethics/standards; Multi-site Ethics; Multicenter Studies as Topic/ethics/standards; Research/ethics/standards Creator An entity primarily responsible for making the resource McWilliams R; Hoover-Fong JE; Hamosh A; Beck S; Beaty T; Cutting G Description An account of the resource CONTEXT: Sequencing of the human genome provides an immense resource for studies correlating DNA variation and epidemiology. However, appropriately powered genetic epidemiology studies often require recruitment from multiple sites. OBJECTIVES: To document the burden imposed by review of multicenter studies and to determine the variability among local institutional review boards (IRBs) in the approval of a multicenter genetic epidemiology study. DESIGN: A PubMed search was performed to determine the frequency of citations of multicenter studies by 5-year intervals from 1974 through 2002. A 7-question survey was sent to all participating study centers to obtain information on frequency of IRB meetings, dates for submission and approval, use/nonuse of a specific consent form, type of review performed, types of consent forms required, preparation time, and number of changes requested by the IRB at each center. Centers also provided a copy of all consent forms they generated and IRB correspondence regarding the study. SETTING AND PARTICIPANTS: Thirty-one of 42 cystic fibrosis care centers in this single US multicenter genetic epidemiology study of cystic fibrosis replied, yielding a 74% response rate. MAIN OUTCOME MEASURES: Frequency of published research studies and consistency among IRBs. RESULTS: The number of all published single-center studies has increased 1.3-fold since 1985, while the number of published epidemiology and genetic epidemiology multicenter studies increased by 8- and 9-fold, respectively, during this same period. Evaluation of the risk of the same genetic epidemiology study by 31 IRBs ranged from minimal to high, resulting in 7 expedited reviews (23%) and 24 full reviews (77%). The number of consents required by the IRBs ranged from 1 to 4; 15 IRBs (48%) required 2 or more consents, while 10 (32%) did not require assent for children. The most common concern (52%) of IRBs pertained to the genetic aspects of the study. CONCLUSIONS: Review of a protocol for a multicenter genetic epidemiology study by local IRBs was highly variable. Lack of uniformity in the review process creates uneven human subjects protection and incurs considerable inefficiency. The need for reform, such as the proposed centralized review, is underscored by the ever increasing rate of genetic discoveries facilitated by the Human Genome Project and the unprecedented opportunity to assess the relevance of genetic variation to public health. 2003 Identifier An unambiguous reference to the resource within a given context <a href="http://doi.org/10.1001/jama.290.3.360" target="_blank" rel="noreferrer">10.1001/jama.290.3.360</a> Rights Information about rights held in and over the resource Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s). Type The nature or genre of the resource Journal Article 2003 Backlog Beaty T Beck S Biomedical and Behavioral Research Cutting G Cystic Fibrosis Empirical Approach Epidemiologic Measurements Epidemiologic Research Design Epidemiology Ethics Committees Genetic Research/ethics Genetics and Reproduction Hamosh A Hoover-Fong JE Humans JAMA Journal Article McWilliams R Molecular/ethics/standards Multi-site Ethics Multicenter Studies as Topic/ethics/standards Research/ethics/standards United States