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[Pediatric informed consent in medical care and research]
Robin Cremer1, Sylvie Din-Dorel2, Dominique Ploin3
1Espace de réflexion éthique régional des Hauts-de-France et réanimation pédiatrique, CHU de Lille et université de Lille, Lille, France.
Abstract:
Pediatric informed consent in medical care and research. The obligation to obtain informed consent from a patient prior to any care does not depend solely on the personal ethics of the practitioner. It is defined and framed by law. However, innumerable legal difficulties emanate from the simple fact that the subject is a child, a vulnerable person who must be protected, and that this protection is exercised under the aegis of the parental authority. If in most cases there is an alliance with the holders of parental authority, the views sometimes diverge. The article lists the most frequently observed cases in clinical practice and the way in which the french Public Health Code plans to solve them. Problems specific to research are discussed. Difficulties for consent about off-label prescribing are briefly exposed.
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