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      IRB review points for studies utilizing paraffin blocks archived in the pathology laboratory

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          Abstract

          In the personalized medicine era, utilizing paraffin blocks in pathology archives for investigating human diseases has come into the limelight. This archived material with clinical data will reduce the research time and could prevent new patient recruitment to obtain tissue for research. However, the clause indicating the necessity of consent from human material providers in the Korean Bioethics and Safety Act has made the Institutional Review Board (IRB) deny permission to use paraffin blocks for research without consent, and alternatively to get the same before starting an experiment. Written consent may be waived off in studies using paraffin blocks with anonymous status or conditions not linked to personal information by applying the paragraph 3, article 16 of the current Bioethics and Safety Act. Also, the IRB should recommend researchers to preserve the blocks as medical records of patients in long-term archives.

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          Who Owns Diagnostic Tissue Blocks?

          Sarah Dry (2009)
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            Let Archived Paraffin Blocks Be Utilized for Research with Waiver of Informed Consent

            Advances in biomedical and genetic research have contributed to more effective public health improvement via bench-to-bed research and the emergence of personalized medicine. This has certainly showcased the importance of archived human tissues, especially paraffin-embedded blocks in pathology. Currently in Korea, undue legislative regulations of the Bioethics and Safety Act suspend and at times discourage studies from taking place. In this paper, the authors underline the value of paraffin blocks in the era of personalized and translational medicine. We discuss detailed clauses regarding the applicability of paraffin blocks from a legal perspective and compare Korea’s regulations with those of other countries. The necessity for allowing waived consent and Institutional Review Board (IRB) approval will be argued throughout. The authors suggest that researchers declare the following to obtain IRB approval and waiver of informed consents: research could not be practically carried out without a waiver of consent; the proposed research presents no more than minimal risk of harm to subjects, and the waiver of consent will not adversely affect the rights and welfare of subjects; and research will not utilize a tissue block if only 1 is available for each subject, to allow future clinical use such as re-evaluation or further studies.
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              Guidelines for understanding the conditions for waived consent when assessing study protocols utilizing remaining specimens to be discarded in the hospital [Internet]

              (2017)
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                Author and article information

                Journal
                Yeungnam Univ J Med
                Yeungnam Univ J Med
                YUJM
                Yeungnam University Journal of Medicine
                Yeungnam University College of Medicine
                2384-0293
                June 2018
                30 June 2018
                : 35
                : 1
                : 36-39
                Affiliations
                [1 ]Department of Pathology, Kyungpook National University School of Medicine, Daegu, Korea
                [2 ]Department of Ethics Education, Kyungpook National University Teachers College, Daegu, Korea
                [3 ]Department of Philosophy, Kyungpook National University College of Humanities, Daegu, Korea
                Author notes
                Corresponding Author: Yong-Jin Kim, Department of Pathology, Kyungpook National University School of Medicine, 130, Dongdeok-ro, Jung-gu, Daegu 41944, Korea Tel: +82-53-200-5250, Fax: +82-53-426-1525 E-mail: yyjjkim1@ 123456gmail.com
                Author information
                http://orcid.org/0000-0002-9867-0752
                Article
                yujm-2018-35-1-36
                10.12701/yujm.2018.35.1.36
                6784664
                215478ed-2f17-41c6-a254-9738d4c14311
                Copyright © 2018 Yeungnam University College of Medicine

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 5 April 2018
                : 10 June 2018
                : 11 June 2018
                Categories
                Review Article

                paraffin block,the bioethics and safety act,irb,human biological material,consent

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