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Volume 361:916-921 August 27, 2009 Number 9
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Disclosure of Financial Relationships to Participants in Clinical Research
Kevin P. Weinfurt, Ph.D., Mark A. Hall, J.D., Nancy M.P. King, J.D., Joëlle Y. Friedman, M.P.A., Kevin A. Schulman, M.D., and Jeremy Sugarman, M.D., M.P.H.

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In keeping with previous statements by a number of prominent groups,1,2,3,4 the Institute of Medicine has recently stressed the need for vigilance in managing conflicts of interest to ensure the integrity of clinical research.5 The Institute of Medicine adopts a position similar to that of the Association of American Medical Colleges1 — that is, it assumes that there is a rebuttable presumption of a conflict of interest if the investigator has a financial interest in the outcome of research that involves human subjects. Although the institute's report emphasizes the need for disclosure of financial interests to institutions and peer reviewers, . . . [Full Text of this Article]

Goals of Disclosure

Promoting Informed Decision Making

Respecting Participants' Perceived Right to Know

Establishing or Maintaining Trust

Minimizing Risk of Legal Liability

Deterring Troubling Financial Relationships

Protecting Research Participants' Welfare

Conclusions and Recommendations


Source Information

From the Center for Clinical and Genetic Economics, Duke Clinical Research Institute (K.P.W., J.Y.F., K.A.S.), and the Departments of Psychiatry and Behavioral Sciences (K.P.W.) and Medicine (K.A.S.), Duke University School of Medicine, Durham, NC; Wake Forest University Center for Bioethics, Health, and Society and the Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine (M.A.H., N.M.P.K.) — both in Winston-Salem, NC; and the Berman Institute of Bioethics and the Department of Medicine, Johns Hopkins University, Baltimore (J.S.).

Address reprint requests to Dr. Sugarman at the Berman Institute of Bioethics, Johns Hopkins University, Hampton House 351, 624 N. Broadway, Baltimore, MD 21205, or to jsugarm1@jhmi.edu.




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