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- W1996361420 abstract "No AccessJournal of UrologyAdult Urology1 Jun 2009Variation in Institutional Review Board Responses to a Standard Protocol for a Multicenter Randomized, Controlled Surgical Trial Brian T. Helfand, Anne K. Mongiu, Claus G. Roehrborn, Robert F. Donnell, Reginald Bruskewitz, Steven A. Kaplan, John W. Kusek, Laura Coombs, Kevin T. McVary, and MIST Investigators Brian T. HelfandBrian T. Helfand Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois Equal study contribution. More articles by this author , Anne K. MongiuAnne K. Mongiu Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois Equal study contribution. More articles by this author , Claus G. RoehrbornClaus G. Roehrborn University of Texas Southwestern Medical Center, Dallas, Texas More articles by this author , Robert F. DonnellRobert F. Donnell Medical College of Wisconsin, Milwaukee, Wisconsin More articles by this author , Reginald BruskewitzReginald Bruskewitz University of Wisconsin Clinical Science Center, Madison, Wisconsin More articles by this author , Steven A. KaplanSteven A. Kaplan Weill Cornell Medical College, New York, New York More articles by this author , John W. KusekJohn W. Kusek Division of Kidney, Urologic and Hematologic Diseases, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, Maryland Financial interest and/or other relationship with Pfizer and Lilly. More articles by this author , Laura CoombsLaura Coombs American College of Radiology, Reston, Virginia More articles by this author , Kevin T. McVaryKevin T. McVary Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois Financial interest and/or other relationship with Sanofi Aventis Medical, GlaxoSmithKline, Lilly-ICOS, Beckman-Coulter and National Institutes of Diabetes and Digestive and Kidney Diseases. More articles by this author , and MIST Investigators More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2009.02.032AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: The primary responsibility of institutional review boards is to protect human research subjects and, therefore, ensure that studies are performed in accordance with a standard set of ethical principles. A number of groups have compared the responses of institutional review boards in multicenter clinical trials involving medical therapies. To our knowledge no such studies have been performed to date of trials investigating surgical intervention. We investigated the consistency of the recommendations issued by various institutional review boards in the Minimally Invasive Surgical Therapies study for benign prostatic hyperplasia, a multicenter trial with a uniform consent and study protocol. Materials and Methods: We obtained the institutional review board response from 6 of the 7 participating institutions after initial submission of the Minimally Invasive Surgical Therapies study protocol and classified the responses. We then redistributed the approved protocols to an institutional review board at another participating institution and analyzed that review of these protocols. Results: We found that the number and type of responses required for institutional review board approval of an identical study protocol varied significantly among participating institutions. We also found that institutional review board responses were inconsistent in the second review, although all protocols were ultimately approved. Conclusions: The current system of local institutional review board review in the context of a multicenter surgical trial is inefficient in the review process and may not provide expertise for overseeing surgical trials. Based on these results a central surgical institutional review board may be needed to improve the ethical review process in multicenter trials. References 1 : Variation in institutional review processes for a multisite observational study. Am J Surg2005; 190: 805. Google Scholar 2 Title 45 Code of Federal Regulations (CFR), Part 46: The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research. Washington, D. C: Office of Human Research Protection, United States Department of Health and Human Services1979. Google Scholar 3 : A protocol review guide to reduce IRB inconsistency. 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Google Scholar 24 : Ontario Cancer Research Ethics Board: lessons learned from developing a multicenter regional institutional review board. J Clin Oncol2008; 26: 1479. Google Scholar 25 : Growing pains: central review board project still developing. J Natl Cancer Inst2003; 95: 636. Google Scholar © 2009 by American Urological AssociationFiguresReferencesRelatedDetails Volume 181Issue 6June 2009Page: 2674-2679 Advertisement Copyright & Permissions© 2009 by American Urological AssociationKeywordsminimally invasiveresearch subjectsethics committeessurgical proceduresrandomized controlled trials as topicprostateresearchMetricsAuthor Information Brian T. Helfand Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois Equal study contribution. More articles by this author Anne K. Mongiu Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois Equal study contribution. More articles by this author Claus G. Roehrborn University of Texas Southwestern Medical Center, Dallas, Texas More articles by this author Robert F. Donnell Medical College of Wisconsin, Milwaukee, Wisconsin More articles by this author Reginald Bruskewitz University of Wisconsin Clinical Science Center, Madison, Wisconsin More articles by this author Steven A. Kaplan Weill Cornell Medical College, New York, New York More articles by this author John W. Kusek Division of Kidney, Urologic and Hematologic Diseases, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, Maryland Financial interest and/or other relationship with Pfizer and Lilly. More articles by this author Laura Coombs American College of Radiology, Reston, Virginia More articles by this author Kevin T. McVary Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois Financial interest and/or other relationship with Sanofi Aventis Medical, GlaxoSmithKline, Lilly-ICOS, Beckman-Coulter and National Institutes of Diabetes and Digestive and Kidney Diseases. More articles by this author MIST Investigators More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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