The Declaration of Helsinki is a set of ethical principles regarding human experimentation Clarifications of Articles 29, 30 (–); Sixth revision (); Seventh revision (). 3 Future; 4 Timeline (WMA meetings); 5 See. Helsingforsdeklarationen som en sam- ling etiska principer i syfte att vägleda läkare och andra som medverkar i medi- cinsk forskning som omfattar männi- skor. Från Helsingforsdeklarationen och Biomedicinkonventionen till den svenska Genom en ändring i lagen ändras etikprövningslagens definition av.

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Groups that are underrepresented in medical research should be provided appropriate access to participation in research.

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The most recent iteration of Helsinki was reflective of the controversy regarding the standard of care that arose from the vertical transmission trials. In addition, this group should stand to benefit from the knowledge, practices or interventions that result from the research.

There are a number of available tools which compare these. Physicians who combine medical research with medical care should involve their patients in research only to the extent that this is justified by its potential preventive, diagnostic or therapeutic value and if the physician has good reason to believe that participation in the research study will not adversely affect the health of the patients who serve as research subjects.

Medical research is subject to ethical standards that promote and ensure respect for all human subjects and protect their health and rights.

Helsingforsedklarationen precaution must be taken to protect the privacy of research subjects and the confidentiality of their personal information. The primary purpose of medical research involving human subjects is to understand the causes, development and effects of diseases and improve preventive, diagnostic and therapeutic interventions methods, procedures and treatments.

Helsingin julistusSwedish: Research should be based on a thorough knowledge of the scientific background Article 11a careful assessment of risks and benefits Articles 16, 17have a reasonable likelihood of benefit to the population studied Article 19 and be conducted by suitably trained investigators Article 15 using approved protocols, subject to independent ethical review and oversight by a properly convened committee Article The controversies helsingforsdeklarztionen national divisions over the text have continued.

British Journal of Clinical Pharmacology. Retrieved July 24, heksingforsdeklarationen It clearly stated that “concern for the interests of the subject must always prevail over the interests of science and society. These individuals must not be included in a research study that has no likelihood of benefit for them unless it is intended to promote the health of the group represented by the potential subject, the research cannot instead be performed with persons capable of providing informed consent, and the research entails only minimal risk and minimal burden.


This viewpoint argues that where no standards of care exist, as for instance in developing countries, then placebo-controlled trials are appropriate. Consent to remain in the research must be obtained as soon as possible from the subject or a legally authorised representative.

Annals of the New York Academy of Sciences. Nevertheless, what had started as a controversy over a specific series of trials and their designs in Sub-Saharan Africa, now had potential implications for all research. In this sense the Declaration endorsed ethical universalism.

New England Journal of Medicine. All vulnerable groups and individuals should receive specifically considered protection. The opposing view, as expressed by Levine [19] and by Temple and Ellenberg [43] is referred to as ‘placebo orthodoxy’, insisting that placebo controls are more helsingforsdeklaratiknen efficient and are justifiable where the risk of harm is low.

In such situations the research may be done only after consideration and approval of helsingforsdeklaratoinen research ethics committee. Investigators often find helsingtorsdeklarationen in the position of having to follow several different codes or guidelines, and are therefore required to understand the differences between them. Studies should be discontinued if the available information indicates that the original considerations are no longer satisfied Article Critics claimed that the Zidovudine trials in developing countries were in breach of this because Zidovudine was now the best proven treatment and the placebo group should have been given it.

Research Ethics Committees Wherever possible unproven helsingfrosdeklarationen should be tested in the context of research where there is reasonable belief of possible benefit Article No amendment to the protocol may be made without consideration and approval by the committee.

The Declaration developed the ten principles first stated helsingforsceklarationen the Nuremberg Code, and tied them to the Declaration of Genevaa statement of physicians’ ethical duties. The utilitarian argument [44] held that the disadvantage to a few such as denial of potentially beneficial interventions was justifiable for the advantage of many future patients.


Declaration of Helsinki

Unproven Interventions in Clinical Practice It then outlined circumstances in which a placebo might be ‘ethically acceptable’, namely ‘compelling The document was also made gender neutral. Canadian Medical Association Journal. Maintaining credibility in the face of ethical controversies. Views Read Edit View history. Article 29 restates the use of placebo where ‘no proven’ intervention exists.

Annals of Internal Medicine. Every research study involving human subjects must be registered in a publicly accessible database before recruitment of the first subject. For a potential research subject who is incapable of giving informed consent, the physician must seek informed consent from the legally authorised representative. The issue of the use of placebo in turn raised questions about the standard of care in developing counties and whether, as Marcia Angell wrote ” Human subjects in any part of the world should be protected by an irreducible set of ethical standards ” Information regarding the study should be publicly available Article This information must also be disclosed to participants during the informed consent process.

Human subject research Research ethics Clinical research ethics s in Helsinki in Finland documents. Research Registration and Publication and Dissemination of Results These arguments are intimately tied to the concept of distributive justicethe equitable distribution of the burdens of research. These included the claims that the continuing trials in developing countries were unethical, and pointing out a fundamental discrepancy in decisions to change the study design in Thailand but not Africa.

Research ethics Medical ethics Bioethics Clinical research ethics Biobank ethics. If no such representative is available and if the research helsingfrosdeklarationen be delayed, the study may proceed without informed consent provided that the specific reasons for involving subjects with a condition that renders them unable to give informed consent have been stated in the research protocol and the study has been approved by a research ethics committee.

Experimental investigations should always be compared against the best methods, but under certain circumstances a placebo or no treatment group may be utilised Article