4.5 Review

The use of human biospecimens for research

Journal

JOURNAL OF ORTHOPAEDIC RESEARCH
Volume 39, Issue 8, Pages 1603-1610

Publisher

WILEY
DOI: 10.1002/jor.24885

Keywords

biomaterials; clinical; clinical outcomes

Categories

Funding

  1. Miriam Hospital

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This discussion addresses the ethical, legal, and financial issues surrounding research with human biospecimens, highlighting the potential constraints the donor control may place on researchers' freedom. Concepts underlying consent to donate biospecimens and the impact of the common rule revision on research are discussed. Transactional aspects of biospecimen donation and the implications of donor control of secondary research use are also examined.
This discussion presents many of the ethical, legal, and financial issues that underlie the contemporary regulatory framework for research with human biospecimens. Some considerations, such as claims of donor control over their biospecimens, could potentially constrain researchers' freedom of action. We first consider concepts underlying consent to donate biospecimens for research. A requirement to obtain consent for donation of a biospecimen could conceptually be based upon the autonomy of the donor, or on property rights of the donor, or a combination of both concepts. If these concepts affect how consent is implemented, it could have significant downstream consequences for research and researchers. We present elements of the revision of the common rule that affect the use of human biospecimens including the current consent regulations based on transparency and autonomy, and the distinction between consent for, and ownership of, biospecimens. One of the major judicial opinions that denied property rights for biospecimens is described together with some implications for the research community of attributing ownership of biospecimens to their donors. We then consider transactional aspects of biospecimen donation. Considering biospecimens as a negotiable commodity presents both constraints and opportunities for donors and researchers. Compensation for biospecimens can be negotiated under contract law. Allowing donor control of the secondary research use of deidentified biospecimens could have an inhibiting effect on research. If donors possessed such control, even deidentification would not necessarily eliminate their ability to influence future research. Accordingly, new models of biospecimen donation are appearing in which the research community will have a substantial interest.

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