Entire Transcript in Adobe Acrobat Format - National Reference ...
Entire Transcript in Adobe Acrobat Format - National Reference ... Entire Transcript in Adobe Acrobat Format - National Reference ...
131 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 and how having the option to participate in research gives a sense of control and be beneficial. Could you also talk a little bit about what are the concerns that women with breast cancer have about these sorts of archival projects? The second question has to do with the consent process. To amplify some themes that Alex raised, are there barriers to a layered consent process from the point of view of the woman at different stages of breast cancer so that we had heard some anecdotal information that, you know, you have so much on your mind at the time of diagnosis, definitive treatment, that really is not the optimal time from the woman's point of view to enter into the kind of nuance layered discussion that Dr. Old was talking about. So again most of the barriers you were talking about were barriers from the clinician side or from the cost side. Are there also barriers to a layered approach to consent from a woman's point of view? Finally, if you could -- MS. BARR: Okay. DR. LO: We all try and get three questions under the guise of one. So part 2B or part 3 is could you address the issue of being recontacted? MS. BARR: Yes.
132 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 DR. LO: You said that your group was very much against having recontact to provide research information back to women and yet other advocacy groups have said, "Give us the information and let us decide, do not tell us it is still experimental, it is our body, let us decide." Apparently you wanted an exception when there was clinical information that would make a difference to the woman, like a misdiagnosis, in either direction, more serious or less serious. How about being recontacted to be invited to participate in a research study in which it would be an identifiable link study? Is there -- is that a benefit? Is it a harm? It obviously is going to be different for different women but what should the policy be? MS. BARR: Let me tell you about the policy and the evolving policy. The policy of the Action Plan Working Group was that recontact for additional research was enough of an invasion that an individual should, indeed, agree to it at the time they donate tissue. I am going in for clinical work and one of the decisions I have to make is do I want to be part of this ongoing or not. The IRB community said that to promise that you would not be recontacted unless you gave your permission, which is what it is to ask that question, is misleading
- Page 83 and 84: 80 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 85 and 86: 82 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 87 and 88: 84 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 89 and 90: 86 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 91 and 92: 88 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 93 and 94: 90 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 95 and 96: 92 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 97 and 98: 94 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 99 and 100: 96 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 101 and 102: 98 1 2 3 4 5 6 7 8 9 10 11 12 13 14
- Page 103 and 104: 100 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 105 and 106: 102 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 107 and 108: 104 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 109 and 110: 106 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 111 and 112: 108 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 113 and 114: 110 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 115 and 116: 112 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 117 and 118: 114 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 119 and 120: 116 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 121 and 122: 118 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 123 and 124: 120 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 125 and 126: 122 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 127 and 128: 124 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 129 and 130: 126 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 131 and 132: 128 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 133: 130 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 137 and 138: 134 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 139 and 140: 136 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 141 and 142: 138 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 143 and 144: 140 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 145 and 146: 142 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 147 and 148: 144 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 149 and 150: 146 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 151 and 152: 148 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 153 and 154: 150 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 155 and 156: 152 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 157 and 158: 154 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 159 and 160: 156 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 161 and 162: 158 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 163 and 164: 160 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 165 and 166: 162 1 2 3 4 5 6 We will adjourn now
- Page 167 and 168: 164 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 169 and 170: 166 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 171 and 172: 168 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 173 and 174: 170 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 175 and 176: 172 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 177 and 178: 174 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 179 and 180: 176 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 181 and 182: 178 1 2 3 4 5 6 7 8 9 10 11 12 13 1
- Page 183 and 184: 180 1 2 3 4 5 6 7 8 9 10 11 12 13 1
132<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 />
DR. LO: You said that your group was very much<br />
aga<strong>in</strong>st hav<strong>in</strong>g recontact to provide research <strong>in</strong>formation<br />
back to women and yet other advocacy groups have said,<br />
"Give us the <strong>in</strong>formation and let us decide, do not tell us<br />
it is still experimental, it is our body, let us decide."<br />
Apparently you wanted an exception when there<br />
was cl<strong>in</strong>ical <strong>in</strong>formation that would make a difference to<br />
the woman, like a misdiagnosis, <strong>in</strong> either direction, more<br />
serious or less serious. How about be<strong>in</strong>g recontacted to be<br />
<strong>in</strong>vited to participate <strong>in</strong> a research study <strong>in</strong> which it<br />
would be an identifiable l<strong>in</strong>k study? Is there -- is that a<br />
benefit? Is it a harm? It obviously is go<strong>in</strong>g to be<br />
different for different women but what should the policy<br />
be?<br />
MS. BARR: Let me tell you about the policy and<br />
the evolv<strong>in</strong>g policy. The policy of the Action Plan Work<strong>in</strong>g<br />
Group was that recontact for additional research was enough<br />
of an <strong>in</strong>vasion that an <strong>in</strong>dividual should, <strong>in</strong>deed, agree to<br />
it at the time they donate tissue. I am go<strong>in</strong>g <strong>in</strong> for<br />
cl<strong>in</strong>ical work and one of the decisions I have to make is do<br />
I want to be part of this ongo<strong>in</strong>g or not.<br />
The IRB community said that to promise that you<br />
would not be recontacted unless you gave your permission,<br />
which is what it is to ask that question, is mislead<strong>in</strong>g