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  • EELS (Ethical Economic Legal and Social) Article
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Ethical considerations in the collection of genetic data from critically ill patients: What do published studies reveal about potential directions for empirical ethics research?

The Pharmacogenomics Journal volume 10, pages 77–85 (2010)Cite this article

Abstract

Critical illness trials involving genetic data collection are increasingly commonplace and pose challenges not encountered in less acute settings, related in part to the precipitous, severe and incapacitating nature of the diseases involved. We performed a systematic literature review to understand the nature of such studies conducted to date, and to consider, from an ethical perspective, potential barriers to future investigations. We identified 79 trials enrolling 24 499 subjects. Median (interquartile range) number of participants per study was 263 (116.75–430.75). Of these individuals, 16 269 (66.4%) were Caucasian, 1327 (5.4%) were African American, 1707 (7.0%) were Asian Pacific Islanders and 139 (0.6%) were Latino. For 5020 participants (20.5%), ethnicity was not reported. Forty-eight studies (60.8%) recruited subjects from single centers and all studies examined a relatively small number of genetic markers. Technological advances have rendered it feasible to conduct clinical studies using high-density genome-wide scanning. It will be necessary for future critical illness trials using these approaches to be of greater scope and complexity than those so far reported. Empirical research into issues related to greater ethnic inclusivity, accuracy of substituted judgment and specimen stewardship may be essential for enabling the conduct of such trials.

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Acknowledgements

This research was supported in part by GM080591.

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Authors and Affiliations

  1. Department of Surgery, Washington University School of Medicine, St Louis, MO, USA

    B D Freeman, C R Kennedy & T G Buchman

  2. Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA

    H L Frankel

  3. Center for Survey Research, Boston, MA, USA

    B Clarridge & D Bolcic-Jankovic

  4. Childrens Hospital Los Angeles, Los Angeles, CA, USA

    E Iverson, E Shehane & A Celious

  5. Department of Pathology, Washington University School of Medicine, St Louis, MO, USA

    B A Zehnbauer

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  1. B D Freeman
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  2. C R Kennedy
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  3. H L Frankel
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  4. B Clarridge
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  5. D Bolcic-Jankovic
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  6. E Iverson
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  7. E Shehane
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  8. A Celious
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  9. B A Zehnbauer
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  10. T G Buchman
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Correspondence to B D Freeman.

Additional information

An abstract based on this article was selected for presentation at the 13th Genetics & Ethics in the 21st century conference, Breckenridge, CO 2009.

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Freeman, B., Kennedy, C., Frankel, H. et al. Ethical considerations in the collection of genetic data from critically ill patients: What do published studies reveal about potential directions for empirical ethics research?. Pharmacogenomics J 10, 77–85 (2010). https://doi.org/10.1038/tpj.2009.61

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  • DOI: https://doi.org/10.1038/tpj.2009.61

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