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.

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