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Correspondence
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Volume 341:448-450 August 5, 1999 Number 6
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Is Informed Consent Always Necessary for Randomized, Controlled Trials?

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 by Truog, R. D.
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To the Editor: Truog et al. (March 11 issue)1 propose expanding the categories of research for which institutional review boards could waive the requirement for obtaining informed consent beyond the categories currently allowed under applicable federal regulations. Such a proposal would allow investigators to ignore the central bioethical principle of respect for persons on which informed consent is grounded. The authors fail to marshal a persuasive argument for violating this basic tenet of research ethics with regard to human subjects.

Truog et al. begin their argument by observing that many physicians rely on "general" informed consent, rather than "specific" informed . . . [Full Text of this Article]

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