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Ethics in systematic reviews
Abstract
Since its introduction by the Nuremberg Code and the Declaration of Helsinki, the place held by ethics in biomedical research has been continuously increasing in importance. The past 30 years have also seen exponential growth in the number of biomedical articles published. A systematic review of the literature is the scientific way of synthesising a plethora of information, by exhaustively searching out and objectively analysing the studies dealing with a given issue. However, the question of ethics in systematic reviews is rarely touched upon. This could lead to some drawbacks, as systematic reviews may contain studies with ethical insufficiencies, may be a possible way to publish unethical research and may also be prone to conflict of interest. Finally, informed consent given for an original study is not necessarily still valid at the systematic review level. There is no doubt that routine ethical assessment in systematic reviews would help to improve the ethical and methodological quality of studies in general. However, ethical issues change so much with time and location, and are so broad in scope and in context that it appears illusory to search for a universal, internationally accepted standard for ethical assessment in systematic reviews. Some simple suggestions could nevertheless be drawn from the present reflection and are discussed in the paper.
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“Systematic reviews potentially present two ethical challenges. First, informed consent provided for the original study is not necessarily valid for inclusion of data in the systematic review. Second, systematic reviews may include studies with ethical insufficiencies.105”
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“Whilst no ethical approval was required to undertake this research as systematic reviews do not use human participants (Vergnes et al. 2010, 772), papers were quality assessed to ensure ethical considerations were acknowledged and included information on authorship, funding and competing interests…”
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“Ethical issues not only question the authority of randomized controlled trials but also the systematic reviews.(114) Interpretation of systematic reviews(115,116) is the”
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Souter, B., Jones, A., Sheppard, L. A., & Crowe, M. J. (2022) · Internet Journal of Allied Health Sciences and Practice · doi:10.46743/1540-580x/2022.2130 · Cited by 1
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“This study was conducted using the qualitative research approach and narrative design (Creswell & Creswell, 2018; Vergnes et al., 2010).”
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“Ethics approval and consent to participate There are ethical considerations to consider in the synthesis of primary research studies [51]; however, approval was not required for this analysis.”
(Mis)trusting Health Research Synthesis Studies: Exploring Transformations of 'Evidence'
Petrova, M. (2014) · Open Research Exeter (University of Exeter) · Cited by 1
Nursing interventions to reduce preoperative anxiety: A literature review.
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Otu, F. (2020) · Theseus (Ammattikorkeakoulujen)
Siriwan, T., & Walker, S. (2022) · Journal of Public Health and Development · doi:10.55131/jphd/2022/200222
Ras, J., Soteriades, E. S., Kengne, A. P., Smith, D. L., & Leach, L. L. (2022) · medRxiv · doi:10.1101/2022.08.29.22279323
Makuyana, T., Ndhlovu, E., & Dube, K. (2024) · Springer eBooks · doi:10.1007/978-3-031-63069-9_2
The Aim and Scope of a Systematic Review: A Logical Approach
Purssell, E., & McCrae, N. (2024) · Springer eBooks · doi:10.1007/978-3-031-71159-6_2
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Sharan, V. (2025) · Springer eBooks · doi:10.1007/978-981-96-5154-2_7
Khoza‐Shangase, K. (2025) · Frontiers in Education · doi:10.3389/feduc.2025.1551800
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Metadata
- Authors
- Vergnes, J.-N., Marchal-Sixou, C., Nabet, C., Maret, D., & Hamel, O.
- Affiliations
- Université Toulouse III - Paul Sabatier (FR)
- Venue
- Journal of Medical Ethics
- Publisher
- BMJ
- Published
- 2010-10-15
- Volume
- 36
- Issue
- 12
- Pages
- 771-774
- ISSN
- 0306-6800 (ISSN-L)
- 1473-4257
- OpenAlex
- W2149106853
- Cited by
- 102
- References
- 20
- Citations by year
- 2026: 7 · 2025: 16 · 2024: 11 · 2023: 10 · 2022: 14 · 2021: 6 · 2020: 8 · 2019: 7 · 2018: 5 · 2017: 1 · 2016: 6 · 2015: 2 · 2014: 6 · 2013: 1 · 2012: 1
- FWCI
- 0.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Medical Ethics (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- HighWire Press Open Archive (submittedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Topics
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Meta-analysis and systematic reviews
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics in Clinical Research
- Social Sciences › Education › Academic integrity and plagiarism
- Keywords
- ethical assessment, informed consent, conflicts of interest, Nuremberg Code, Declaration of Helsinki, research ethics guidelines, methodological quality
- MeSH terms
- Humans, Informed Consent, Review Literature as Topic, Ethics, Research, Biomedical Research
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