The Role of Ethics Commission for national Health Services Research- a Cross Sectional Study of the Expense of obtaining Secondary Votes on the basis of DACAPO- Study

Blecha, S. and Thomann-Hackner, K. and Brandstetter, S. and Dodoo-Schittko, F. and Seboek, P. and Apfelbacher, C. and Graf, B. M. and Bein, T. (2015) The Role of Ethics Commission for national Health Services Research- a Cross Sectional Study of the Expense of obtaining Secondary Votes on the basis of DACAPO- Study. DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT, 140 (18). E186-E193. ISSN 0012-0472, 1439-4413

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Abstract

Background: Health services research (HSR) is of fundamental importance for the continuous improvement of preventive, diagnostic or therapeutic measures. The conduct of multi-centre HSR studies requires that ethical approval by Institutional review boards (IRB's) is obtained. We documented the effort, the complexity and the man power necessary to obtain secondary ethical approval for a national HSR in Germany (Surviving the Acute Respiratory Distress Syndrome [DACAPO-study]). Methods: Having obtained a primary ethical approval by the IRB of Regensburg University, the time, correspondence, necessity for amendments, corrections, or additional costs by 34 IRB's for 64 participating study centers was documented. Results: The complete obtainment was found to be time consuming and associated with a high workload and man power. A time span of seven month was needed to receive votes from all IRB's. The median time span was 25,5 days (25%/75% percentile 13 and 42 days, respectively). Requirements in terms of corrections or amendments were inhomogeneous and frequent changes were necessary. There were additional fees for secondary votes of 4328,40Euro. Total costs for the study center Regensburg were 21.193,40Euro (2,6% of the grant volume). Conclusion: Obtaining all ethical approvals for a multi-centre observational HSR study in Germany is complex and time consuming. Various and inhomogeneous formalities may delay the plan and realization of HSR. A Homogenization and simplification of the procedure of ethics votes should be discussed.

Item Type: Article
Uncontrolled Keywords: BOARD APPROVAL; MULTICENTER; PROTOCOL; IRB; CHALLENGES; MULTISITE; RESPONSES; STANDARD; Versorgungsforschung; Ethikvotum; Ethikkommission; Vorgehen; Aufwand; health services research; institutional review board; ethical vote; procedure; workload
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Anästhesiologie
Medicine > Institut für Epidemiologie und Präventivmedizin > Medical Sociology
Depositing User: Dr. Gernot Deinzer
Date Deposited: 11 Jun 2019 13:43
Last Modified: 11 Jun 2019 13:43
URI: https://pred.uni-regensburg.de/id/eprint/4885

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