26.10.2014 Views

Entire Transcript in Adobe Acrobat Format - National Reference ...

Entire Transcript in Adobe Acrobat Format - National Reference ...

Entire Transcript in Adobe Acrobat Format - National Reference ...

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

110<br />

1<br />

2<br />

3<br />

4<br />

5<br />

6<br />

7<br />

8<br />

9<br />

10<br />

11<br />

12<br />

13<br />

14<br />

15<br />

16<br />

17<br />

18<br />

19<br />

20<br />

21<br />

22<br />

23<br />

24<br />

this used <strong>in</strong> this way or that way, you get a very difficult<br />

storage problem. You get a very difficult cod<strong>in</strong>g problem.<br />

You get a very difficult transfer problem.<br />

So as much as we wanted <strong>in</strong> the cl<strong>in</strong>ical sett<strong>in</strong>g<br />

to layer the consent form and as much as we wanted to give<br />

choice to the participant donor we opted because of the<br />

practicalities for two choices, "I will participate and my<br />

tissue may be used for cancer research, my tissue may be<br />

used for other research." And even with that the pathology<br />

community is very concerned.<br />

NCI is work<strong>in</strong>g with them now on costs and<br />

management of the process.<br />

So there are costs to pathologists that is real<br />

time and money <strong>in</strong> cl<strong>in</strong>ical practice. There are costs to<br />

the surgeons <strong>in</strong> real time and money <strong>in</strong> add<strong>in</strong>g anyth<strong>in</strong>g to<br />

the standard consents that they now use which we deemed<br />

totally <strong>in</strong>adequate for the purpose.<br />

And then we have come to learn that <strong>in</strong> cl<strong>in</strong>ical<br />

practice pathologists will rout<strong>in</strong>ely throw samples away.<br />

If what we are truly concerned with is the value of<br />

archived tissue as a national resource then, <strong>in</strong> fact, we<br />

have a problem about not only keep<strong>in</strong>g the codes right but<br />

keep<strong>in</strong>g the tissue properly stored for use.<br />

(Slide.)

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!