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      Comitês de monitoramento para a proteção de participantes de pesquisa Translated title: Comités de seguimiento para la protección de los participantes en investigación Translated title: Monitoring committees for research participant protection

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          Abstract

          Resumo O tema segurança tem sido intensamente discutido, mostrando-se cada vez mais relevante na saúde pública e em projetos de pesquisa envolvendo seres humanos. Participantes de estudos clínicos estão sujeitos a riscos, físicos ou não, que impactam em sua integridade, direitos ou autonomia. Este trabalho apresenta e discute a atuação do Comitê de Monitoramento de Dados e de Segurança para a proteção do participante de pesquisa e minimização de riscos em pesquisa clínica. A metodologia consiste em revisão integrativa da literatura, realizada com o propósito de identificar as funções dos comitês e seu papel na proteção dos participantes. Identificou-se que grande parte das publicações analisadas confirmam que os comitês de monitoramento têm como responsabilidade principal a proteção do participante de pesquisa, além da garantia de integridade e credibilidade da pesquisa.

          Translated abstract

          Resumen La seguridad ha sido un tema muy discutido, por lo que muestra su relevancia para la salud pública y los proyectos de investigación que involucran a seres humanos. Los participantes en estudios clínicos están sujetos a riesgos físicos o de otro tipo, que impactarán su integridad, derechos o autonomía. Este texto realiza un debate sobre el desempeño del Comité de Seguimiento de Datos y Seguridad destinado a la protección de los participantes de investigación y la mitigación de los riesgos en investigación clínica. Se realizó una revisión integradora de la literatura, con el propósito de identificar las funciones de los comités y su rol en la protección de los participantes. La mayoría de las publicaciones analizadas confirman que los comités de seguimiento tienen como principal responsabilidad la protección del participante de la investigación, además de garantizar la integridad y credibilidad de la investigación.

          Translated abstract

          Abstract Of increasingly relevance in public health and research projects involving human beings, the topic of safety has been intensely discussed. Participants in clinical trials are subject to risks, physical or otherwise, that impact their integrity, rights, or autonomy. This study outlines and discusses the performance of the Data and Safety Monitoring Committee for research participant protection and risk minimization in clinical research. An integrative literature review was conducted to identify the committees’ duties and role in protecting participants. Most of the analyzed articles confirm that the monitoring committees are mainly responsible for protecting research participants, as well as ensuring research integrity and credibility.

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          Most cited references41

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          A Critique of Clinical Equipoise: Therapeutic Misconception in the Ethics of Clinical Trials

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            Resolução nº 466, de 12 de dezembro de 2012. Aprova diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos

            (2012)
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              Organization, review, and administration of cooperative studies (Greenberg Report): a report from the Heart Special Project Committee to the National Advisory Heart Council, May 1967.

              (1988)
              Cooperative studies have been designed as a means of obtaining definite answers to significant questions not readily answerable by other means. Such studies should be initiated only if an important problem needs a rapid solution, the study is feasible and likely to answer the problem, and strong and stable leadership are assured. Protocol and operating procedures must be kept as simple as possible. Control of performance at all levels must be built into the structure. Organizational components should include: (a) a Policy or Advisory Board, (b) an Executive or Steering Committee, (c) a Coordinating Center, and (d) data-contributing participants. All of these components must interrelate with each other and with National Heart Institute staff and, through the staff, with scientific review groups and the National Advisory Heart Council. A chart of organization is shown in Figure 1. The most important position is that of Chairman of the Steering Committee; the key component is the Coordinating Center. The performance of the Coordinating Center is continuously dependent on full-time, highly disciplined leadership that must continually maintain active lines of communication with all participants. Failure to achieve this seriously undermines the effectiveness and value of the study. Participation in a cooperative study, with required adherence to a common protocol, can divert some scientists from original research. Conversely, others may be introduced to research methodology through participation. The benefits that can be achieved only through cooperative efforts must be carefully balanced against any adverse effects of encouraging large numbers of investigators to work in cooperative studies. Exceedingly complex value judgments are required of reviewers, who must constantly keep in mind the need to maintain a reasonable balance within the funds appropriated for research. Their deliberations should include an evaluation of technical approaches, organization, biostatistical aspects, duration, and budget. Comprehensive annual progress reports and recall of former consultants could facilitate continuity of review. Free communication between the National Advisory Heart Council and the initial review groups is essential to enhance working relationships and understanding between these two levels of review. Approval of a preliminary study should carry with it a degree of commitment to a major study if feasibility can be demonstrated and adequate methodology developed.(ABSTRACT TRUNCATED AT 400 WORDS)
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                Author and article information

                Journal
                bioet
                Revista Bioética
                Rev. Bioét.
                Conselho Federal de Medicina (Brasília, DF, Brazil )
                1983-8042
                1983-8034
                December 2022
                : 30
                : 4
                : 758-768
                Affiliations
                [1] Rio de Janeiro Rio de Janeiro orgnameUniversidade Federal do Rio de Janeiro Brazil
                Article
                S1983-80422022000400758 S1983-8042(22)03000400758
                10.1590/1983-80422022304567pt
                8e50fc6d-66a5-4911-bc6c-ab90f7acea89

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 30 August 2021
                : 30 November 2022
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 41, Pages: 11
                Product

                SciELO Brazil

                Categories
                Pesquisa

                Ética en investigación,Ethics, research,Patient safety,Clinical trials data monitoring committees,Ética em pesquisa,Segurança do paciente,Comitês de monitoramento de dados de ensaios clínicos,Seguridad del paciente,Comités de monitoreo de datos de ensayos clínicos

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