Retrospective observational studies: Lights and shadows for medical writers

Retrospective observational studies: Lights and shadows for medical writers

Authors

  • Vincenzo De Sanctis Quisisana Hospital, Ferrara
  • Ashraf T Soliman Pediatrics and Endocrinology Department of Pediatrics, Hamad Medical Center, Doha, Qatar and Department of Pediatrics, University of Alexandria, Alexandria, Egypt
  • Shahina Daar Department of Haematology, College of Medicine and Health Sciences, Sultan Qaboos University, Sultanate of Oman and Stellenbosch Institute for Advanced Study (STIAS), Wallenberg Research Centre at Stellenbosch University, Stellenbosch, South Africa
  • Ploutarchos Tzoulis Consultant Endocrinologist and Diabetologist, Whittington Hospital- UCL Medical School, London, UK
  • Bernadette Fiscina Department of Pediatrics, NYU School of Medicine, New York, NY, USA
  • Christos Kattamis First Department of Paediatrics, National Kapodistrian University of Athens, Athens, Greece
  • International Network of Clinicians for Endocrinopathies in Thalassemia and Adolescence Medicine (ICET-A)

Keywords:

Retrospective studies, Ethical Committee, low-risk research, exemption, international variation, human, ICET-A survey.

Abstract

A retrospective study (by definition non-interventional) is a purely observational review and/or reassessment of database records with the aim of analyzing previous events of interest. The ethical and scientific standards for conducting biomedical research with humans have been established in international guidelines. Nevertheless, the reporting of ethical considerations in human research is not yet agreed upon globally, although some progress has been made in recent years. If a study has been granted exemption from ethics approval, this should be indicated in the manuscript (including the reasons for the exemption) and, if formal review by an ethics committee is not available, a statement should be included indicating that the research was conducted according to the principles of the Declaration of Helsinki. Editors play an important role in adherence to these ethical requirements for all submitted and published research papers in their journals. This short review paper focuses on the main lights and shadows of ethical aspects for conducting retrospective observational studies in humans and implications for medical writers.

Author Biography

International Network of Clinicians for Endocrinopathies in Thalassemia and Adolescence Medicine (ICET-A)

Atanas Banchev (Sofia, Bulgaria), Denka Stoyanova  (Sofia, Bulgaria), Michael Angastiniotis (Nicosia, Cyprus), Soteroula Christou  (Nicosia, Cyprus), Heba  Elsedfy (Cairo,Egypt), Mohamed El Kholy (Cairo, Egypt), Doaa Khater (Alexandria, Egypt), Antonis Kattamis (Athens, Greece), Polyxeni Delaporta  (Athens, Greece), Haleh Bozorgi (Shiraz, Islamic Republic of Iran), Mehran Karimi (Shiraz, Islamic Republic of Iran), Saveria Campisi  (Siracusa, Italy), Salvatore Di Maio (Naples, Italy), Carmelo Fortugno (Catanzaro Italy), Maria Concetta Galati (Catanzaro, Italy), Giuseppe Raiola (Catanzaro, Italy), Soad K Al Jaouni  (Jeddah, Kingdom of Saudi Arabia), Yasser Wali (Muscat, Oman), Mohamed A Yassin  (Doha, Qatar), Joan Lluis Vives Corrons (Barcelona, Catalonia, Spain), Dulani Kottahachchi  (Ragama, Sri Lanka), Duran Canatan (Antalya, Turkey)

References

Sarkar S, Seshadri D. Conducting record review studies in clinical practice. J Clin Diagn Res 2014; 8:JG01-4.

International Committee of Medical Journal Editors (ICMJE). Preparing for Submission. Available from: http://www.icmje.org/ recommendations/browse/ manuscriptpreparation/ preparing-for-submission. 2016 [cited 2017 June 07].

Anja van Biezen A, Ljungman P, Oneto R et al; European Group for Blood and Marrow Transplantation. Guidelines for the Conduct of Registry Studies. www.ebmt.org; pp.1-24.Last modified: 26/05/15.

Vassar M, Holzmann M. The retrospective chart review: important methodological considerations. J Educ Eval Health Prof 2013;10:12.

Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC. 2016. https://eur-lex.europa.eu/legal-content/IT. Accessed 21 Mar 2021.

International Committee of Medical Journal Editors. Recommendations for the Conduct R, Editing, and Publication of Scholarly Work in Medical Journals. Available from: http://www.icmje.org. [Last accessed on 2016 Jan 30; Last updated in 2021].

Directive 2001/20/EC of the European Parliament and of the Council of 4 April 2001 on the approximation of the laws, regulations and administrative provisions of the Member States relating to the implementation of good clinical practice in the conduct of clinical trials on medicinal products for human use. OJ L 121,1.5.2001.

Research in developing countries. Bull Med Ethics 2005; 208:7- 11.

Benfatto G; Regulatory Group; Ethics Committee Catania 1 (Group), Drago F. Regulatory, scientific, and ethical issues arising from institutional activity in one of the 90 Italian Research Ethics Committees. BMC Med Ethics. 2021;22(1):40.

Naureen Z, Beccari T, Marks RS, et al. Ethics committees for clinical experimentation at international level with a focus on Italy. Acta Biomed 2020;91(13-S):e2020016.

Sluga-O'Callaghan M, Ansquer V, Frugier G, Mai C. Evolution of regulatory requirements for retrospective observational studies using medical records in Austria, Belgium, Italy, Netherlands and Switzerland. Value Health. 2018; 21(Suppl 1):Abs. 51.

http://www.hra-decisiontools.org.uk/research/docs/DefiningResearchTable_Oct2017-1.

de Lange DW, Guidet B, Andersen FH, et al. Huge variation in obtaining ethical permission for a non-interventional observational study in Europe. BMC Med Ethics 2019;20(1):39.

De Sanctis V, Soliman AT. ICET-A an Opportunity for Improving Thalassemia Management. J Blood Disord 2014;1(1): 2.

Lapid MI, Clarke BL, Wright RS. Institutional Review Boards: What Clinician Researchers Need to Know. Mayo Clin Proc 2019;94:515-25.

Stefansson E, Atladottir OY, Guðbjornsson B. Are ethics rules too strict in retrospective clinical studies? Acta Ophthalmol 2008: 86: 588–90.

Byerly WG. Working with the institutional review board. Am J Health Syst Pharm 2009;66:176-84.

Yank V, Rennie D. Reporting of informed consent and ethics committee approval in clinical trials. JAMA 2002;287:2835-8.

Munung NS, Che CP, Ouwe-Missi-Oukem-Boyer O, Tangwa GB. How often are ethics approval and informed consent reported in publications on health research in Cameroon? A five-year review. J Empir Res Hum Res Ethics 2011;6:93-7.

Hiroi S, Uda A, Tokaji A, Takeshima T, Iwasaki K. Ethical standards in reporting research from retrospective observational studies based on databases using anonymous and personally unidentifiable. Value Health 2016;19:PRM 61.

Singh N. Registration and ethics committee approval for observational studies: Current status and way forward. Med Writing 2017;26:29-34.

Leavy MB. Multinational Registries: Challenges and Opportunities: Addendum to Registries for Evaluating Patient Outcomes: A User’s Guide, Third Edition [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2018 Feb. Variations In How Observational Studies Are Defined. Available from: https://www.ncbi.nlm.nih.gov/books/NBK493601.

Belhekar MN, Bhalerao SS, Munshi RP. Ethics reporting practices in clinical research publications: A review of four Indian journals. Perspect Clin Res 2014;5:129-33.

Wu Y, Howarth M, Zhou C, et al. Reporting of ethical approval and informed consent in clinical research published in leading nursing journals: a retrospective observational study. BMC Med Ethics 2019;20(1):94.

Uecker M, Ure BM, Dingemann J. Ethical publication standards in articles reporting on novel surgical methods: analysis of three pediatric surgical journals. Eur J Pediat Surg. 2021;31:34-39.

Murphy S, Nolan C, O’Rourke C, et al. The reporting of research ethics committee approval and informed consent in otolaryngology journals. Clin Otolaryngol 2015;40:36–40.

Schroter S, Plowman R, Hutchings A, et al. Reporting ethics committee approval and patient consent by study design in five general medical journals. J Med Ethics 2006;32:718–23.

Marusic A. Editors as gatekeepers of responsible science. Biochemia Medica 2010;20:282-7.

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Published

26-10-2022

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How to Cite

1.
De Sanctis V, Soliman AT, Daar S, et al. Retrospective observational studies: Lights and shadows for medical writers. Acta Biomed. 2022;93(5):e2022319. doi:10.23750/abm.v93i5.13179