Data research on child abuse and neglect without informed consent? Balancing interests under Dutch law.
According to the Declaration of Helsinki, participation of human subjects in medical research is only acceptable if subjects have given their consent. But in child abuse and neglect, many studies use a design in which subjects do not actively participate. Data in these studies are gathered from sources such as medical records or Child Protective Services. As long as such data are used anonymously, this does not interfere with individual privacy rights. However, some research is only possible when carried out with personally identifiable data, which could potentially be misused. In this paper, we discuss in which situations and under which conditions personal data of children may be used for a study without obtaining consent. In doing so, we make use of two recent studies, performed in our hospital, in which we encountered this issue. Both studies involved collecting personal data. After careful consideration, we decided not to ask informed consent; instead, we arranged for specific safeguards to protect the subject's and their parents' privacy as well as possible.


CONCLUSIONS
Altogether, we conclude that our approach fits within the Dutch legal framework and seems a reasonable solution in situations in which individual privacy rights are at odds with the public interest of child abuse and neglect research. We argue that, although, in principle, data research is only acceptable after informed consent is obtained, the law should allow that, under specific circumstances and safeguards, this requirement is put aside to make research in the field of child abuse and neglect possible.


BACKGROUND
• In principle, data research is only acceptable after informed consent is obtained.• In practice, this is not always feasible.


BACKGROUND
• Under specific circumstances and safeguards, the informed consent requirement can be put aside.
Department of Pediatrics, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands. Eva.HoytemavanKonijnenburg@amc.uva.nl.
Eva M M
EM
Hoytema van Konijnenburg
Department of Pediatrics, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands. a.h.teeuw@amc.nl.
Arianne H
AH
Teeuw
Department of Public Health, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands. m.c.ploem@amc.nl.
M Corrette
MC
Ploem
D002648:Child; D002649:Child Abuse / Q000331:legislation & jurisprudence*; D003219:Confidentiality / Q000331:legislation & jurisprudence*; D032984:Ethics, Research; D055991:Health Records, Personal / Q000941:ethics*; D006801:Humans; D007258:Informed Consent / Q000331:legislation & jurisprudence*; D009426:Netherlands; D010290:Parents
Child abuse; Informed consent (by minors); Parental informed consent; Privacy/legislation & jurisprudence; Research