Feedback of Individual Genetic Results to Research Participants: Is It Feasible in Europe?

被引:19
作者
Budin-Ljosne, Isabelle [1 ,2 ]
Mascalzoni, Deborah [3 ,4 ]
Soini, Sirpa [5 ]
Machado, Helena [6 ]
Kaye, Jane [7 ]
Bentzen, Heidi Beate [1 ,2 ,8 ]
Rial-Sebbag, Emmanuelle [9 ]
D'Abramo, Flavio [10 ]
Witt, Michal [11 ]
Schamps, Genevieve [12 ]
Katic, Visnja [13 ]
Krajnovic, Dusanca [14 ]
Harris, Jennifer R. [16 ]
机构
[1] Univ Oslo, Inst Hlth & Soc, Ctr Med Eth, POB 1130 Blindern, NO-0318 Oslo, Norway
[2] Kreftgenomikk No, Norwegian Canc Genom Consortium, Oslo, Norway
[3] Uppsala Univ, Ctr Res Eth & Bioeth, Uppsala, Sweden
[4] EURAC, Ctr Biomed, Bolzano, Italy
[5] Helsinki Univ Hosp, Helsinki Biobank, Helsinki, Finland
[6] Univ Coimbra, Ctr Social Studies, Coimbra, Portugal
[7] Univ Oxford, Ctr Hlth Law & Emerging Technol HeLEX, Nuffield Dept Populat Hlth, Oxford, England
[8] Univ Oslo, Fac Law, Norwegian Res Ctr Comp & Law, Oslo, Norway
[9] Univ Toulouse, INSERM, UMR 1027, Toulouse, France
[10] Charite, D-13353 Berlin, Germany
[11] Polish Acad Sci, Inst Human Genet, PL-60479 Poznan, Poland
[12] Catholic Univ Louvain, Ctr Med & Biomed Law, Leuven, Belgium
[13] Univ Rijeka, Sch Med, Rijeka, Croatia
[14] Univ Belgrade, Fac Pharm, Belgrade, Serbia
[15] Commiss European Communities, COST Action CHIP ME Citizens Hlth Publ Private In, B-1049 Brussels, Belgium
[16] Norwegian Inst Publ Hlth, Dept Genet & Bioinformat, Oslo, Norway
基金
欧洲研究理事会; 瑞典研究理事会; 英国惠康基金;
关键词
MANAGING INCIDENTAL FINDINGS; HEALTH-CARE; EMERGE NETWORK; RETURN; RECOMMENDATIONS; DISCLOSURE; GUIDELINES; EXPERIENCE; RECORDS;
D O I
10.1089/bio.2015.0115
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
Background: There is growing consensus that individual genetic research results that are scientifically robust, analytically valid, and clinically actionable should be offered to research participants. However, the general practice in European research projects is that results are usually not provided to research participants for many reasons. This article reports on the views of European experts and scholars who are members of the European COST Action CHIP ME IS1303 (Citizen's Health through public-private Initiatives: Public health, Market and Ethical perspectives) regarding challenges to the feedback of individual genetic results to research participants in Europe and potential strategies to address these challenges. Materials and Methods: A consultation of the COST Action members was conducted through an email survey and a workshop. The results from the consultation were analyzed following a conventional content analysis approach. Results: Legal frameworks, professional guidelines, and financial, organizational, and human resources to support the feedback of results are largely missing in Europe. Necessary steps to facilitate the feedback process include clarifying legal requirements to the feedback of results, developing harmonized European best practices, promoting interdisciplinary and cross-institutional collaboration, designing educational programs and cost-efficient IT-based platforms, involving research ethics committees, and documenting the health benefits and risks of the feedback process. Conclusions: Coordinated efforts at pan-European level are needed to enable equitable, scientifically sound, and socially robust feedback of results to research participants.
引用
收藏
页码:241 / 248
页数:8
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