title: Ethical review of a multicentre study in Scotland: a weighty problem.
abstract: OBJECTIVE
  To assess the current working practices of local research ethics committees (LRECs) in their review of a multicentre study approved by the new multicentre research ethics committee in Scotland.
  
  
  METHODS
  Observational data collected from correspondence with LRECs.
  
  
  METHODS
  All LRECs within the geographical area of the study in Scotland.
  
  
  METHODS
  None.
  
  
  METHODS
  Delay from application to calling an LREC meeting, to an initial LREC decision, to final LREC approval, and the number of A4 pages required.
  
  
  RESULTS
  The median delay to review of an application at an LREC meeting was 28 days (range 14-97), the median delay from application to the time of LREC final approval was 39 days (range 21-109) and a total of 5,789 A4 pages (26.9 kg) were required to complete the application process.
  
  
  CONCLUSIONS
  Despite recent standardisation of ethical review of multicentre research, elimination of unnecessary delay, cost and variation in LREC operating procedures is still necessary.
authors.affiliation: Department of Clinical Neurosciences, Western General Hospital, Edinburgh.
authors.forename: R
authors.initials: R
authors.lastname: al-Shahi
authors.forename: C P
authors.initials: CP
authors.lastname: Warlow
mesh_terms: D017041:Ethics Committees / Q000458:organization & administration; D006801:Humans; D015337:Multicenter Studies as Topic; D011446:Prospective Studies; D012606:Scotland