Managing incidental findings in human subjects research: analysis and recommendations.
No consensus yet exists on how to handle incidental findings (IFs) in human subjects research. Yet empirical studies document IFs in a wide range of research studies, where IFs are findings beyond the aims of the study that are of potential health or reproductive importance to the individual research participant. This paper reports recommendations of a two-year project group funded by NIH to study how to manage IFs in genetic and genomic research, as well as imaging research. We conclude that researchers have an obligation to address the possibility of discovering IFs in their protocol and communications with the IRB, and in their consent forms and communications with research participants. Researchers should establish a pathway for handling IFs and communicate that to the IRB and research participants. We recommend a pathway and categorize IFs into those that must be disclosed to research participants, those that may be disclosed, and those that should not be disclosed.
Wolf
Susan M
SM
University of Minnesota, MN, USA.
Lawrenz
Frances P
FP
Nelson
Charles A
CA
Kahn
Jeffrey P
JP
Cho
Mildred K
MK
Clayton
Ellen Wright
EW
Fletcher
Joel G
JG
Georgieff
Michael K
MK
Hammerschmidt
Dale
D
Hudson
Kathy
K
Illes
Judy
J
Kapur
Vivek
V
Keane
Moira A
MA
Koenig
Barbara A
BA
Leroy
Bonnie S
BS
McFarland
Elizabeth G
EG
Paradise
Jordan
J
Parker
Lisa S
LS
Terry
Sharon F
SF
Van Ness
Brian
B
Wilfond
Benjamin S
BS
D035843:Biomedical Research / Q000941:ethics* / Q000331:legislation & jurisprudence; D023281:Genomics / Q000639:trends*; D006801:Humans; D033162:Incidental Findings; D012017:Referral and Consultation / Q000941:ethics*; D035842:Research Subjects; D014342:Truth Disclosure / Q000941:ethics*