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Published on: November 30, 2022
Ethical Challenges for Pediatric Biobanks
Tamsin E Tarling1, Aaron Goldenberg2, Ashton Ellis1
1Department of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Insights
Pediatric biobanking requires special ethical considerations, including child assent and reconsent at adulthood. This review highlights best practices for ethically managing children
Area of Science:
- Bioethics
- Pediatric Research
- Biobanking
Background:
- Children's vulnerability necessitates unique ethical considerations in biobanking.
- Standard adult biobanking practices may not adequately address pediatric-specific issues.
Purpose of the Study:
- To review ethical challenges unique to pediatric biobanking.
- To describe best practices for pediatric biobank operations.
- To share experiences from a pediatric institutional biobank.
Main Methods:
- Literature review of ethical issues in pediatric biobanking.
- Analysis of institutional biobank practices.
- Focus on assent, reconsent, capacity, and genetic result implications.
Main Results:
- Key ethical issues include assent, reconsent at majority, capacity, and family impact.
- Best practices involve tailored consent/assent processes.
- Institutional biobanks can implement specific protocols for pediatric populations.
Conclusions:
- Ethical pediatric biobanking demands specific protocols beyond adult standards.
- Implementing robust assent and reconsent procedures is crucial.
- Addressing the unique vulnerabilities of children ensures ethical research integrity.
Abstract:
Biobank participation of children is an ethically complicated process as the vulnerability of this population is a concern throughout the entire process of biobanking. Some ethical issues are more prominent in pediatric biobanking and may not need to be considered in biobanking of adult specimens and data. These include assent, reconsent at the age of majority, capacity to consent, and consequences of genetic results on the child and family members. This article describes current processes and best practices described in the literature as well as our experience at the BC Children's Hospital BioBank, a pediatric institutional biobank in Vancouver, Canada. The focus is on processes more specific to pediatric biobanking, such as assent, as well as topics that affect the pediatric population differently compared to adult biobanking.
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