Gaps in pediatric research in the Dominican Republic
DOI:
https://doi.org/10.24265/horizmed.2020.v20n2.06Keywords:
Health services research, Pediatrics, Institutional ethics, Bioethics, Healthcare financingAbstract
Objective: To identify the gaps in pediatric research regarding the origin of financing, the studies conducted without the ethical approval of the national regulatory body, the research topics concerning healthcare needs, and the study type. Materials and methods: A descriptive and observational study based on secondary sources of information was conducted to identify pediatric research projects developed in the Dominican Republic from 2005 to 2018. Such projects included a population between 0 and 17 years of age, regardless of the sponsor, institution in charge of the research and country region. Results: From all research conducted with national funds, health research accounted for 17 %, out of which 7.5 % was related to children. Health research carried out with international funds accounted for 40.9 %. However, the total number of research projects was lower than the number of research conducted with national funds. Thirty eight point nine percent (38.9 %) of the clinical trials included in the Clinical Trials registry were related to pediatric research, out of which 64.6 % were sponsored by private institutions. Conclusions: We found discrepancies between the research topics urged by our country and those sponsored by the pharmaceutical industry or national/international funds. Moreover, clinical trials were conducted without the pertinent ethical approval of the national regulatory body.
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References
Evans JA, Shim JM, Ioannidis JP. Attention to local health burden and the global disparity of health research. PLoS One. 2014; 9(4): e90147.
The World Bank. Poverty [internet]. The World Bank. 2019. Disponible en: https://www.worldbank.org/en/topic/poverty/overview
Pang T, Sadana R, Hanney S, Bhutta ZA, Hyder AA, Simon J. Knowledge for better health: a conceptual framework and foundation for health research systems. Bull World Health Organ. 2003; 81(11): 815-20.
United Nations. Sustainable developmental goals: report of the secretary [Internet]. 2019. Available at: https://sustainabledevelopment.un.org/sdg17
Walson PD. From research to the bedside: challenges for Pediatric Academic Researchers. Curr Ther Res Clin Exp. 2019; 90: 123-7.
Spadoni C. Pediatric drug development: challenges and opportunities. Curr Ther Res Clin Exp. 2019; 90: 119-22.
Harron K. Using reporting guidelines to publish paediatric research. Arch Dis Child. 2017; 102(5): 401-2.
Rossi J, Nelson RM. Minimal risk in Pediatric Research: a philosophical review and reconsideration. Account Res. 2017; 24(7): 407-32.
Petrini C, Rana I, Alleva E. For an alliance between science, ethics and politics in promoting paediatric trials: commentary. Ann Ist Super Sanita. 2016; 52(1): 9-10.
Brookman-Frazee L, Stahmer A, Stadnick N, Chlebowski C, Herschell A, Garland A. Characterizing the use of researchcommunity partnerships in studies of Evidence-Based Interventions in Children’s Community Services. Adm Policy Ment Health. 2016; 43(1): 93-104.
Gwara M, Smith S, Woods C, Sheeren E, Woods H. International Children’s Advisory Network: a multifaceted approach to patient engagement in Pediatric Clinical Research. Clin Ther. 2017; 39(10): 1933-8.
Joseph PD, Craig JC, Caldwell PH. Clinical trials in children. Br J Clin Pharmacol. 2015; 79(3): 357-69.
Joseph PD, Caldwell PH, Tong A, Hanson CS, Craig JC. Stakeholder views of clinical trials in low-and middle-income countries: a systematic review. Pediatrics. 2016; 137(2): e20152800.
Winch R, McColgan M, Modi N, Greenough A. Comparison of UK paediatric consultants’ participation in child health research between 2011 and 2015. Arch Dis Child. 2017; 102(8): 702-6.
Demirdjian G, Rodríguez S, Vassallo JC, Irazola V, Rodríguez J. In-hospital capacity-building in research and management for pediatric professionals. Arch Argent Pediat. 2017; 115 (1): 58-64.
Britz D. Electronic supplementary material. En: Digital Simulation in Electrochemistry [Internet]. Berlin, Heidelberg: Springer Berlin Heidelberg. 2005. p. 330. Disponible en: http://link.springer.com/10.1007/11009375_21
Lipstein EA, Brinkman WB, Fiks AG, Hendrix KS, Kryworuchko J, Miller VA, et al. An emerging field of research: challenges in pediatric decision making. Med Decis Making. 2015; 35(3): 403-8.
Benali N, Grojec A, Noeva R. Progress for every child in the SDG Era [internet]. United Children Fund. 2018. Disponible en: https://data.unicef.org/resources/progress-for-every-child-inthe-sdg-era-2019/
GBD 2016 Mortality Collaborators. Global, regional, and national under-5 mortality, adult mortality, age-specific mortality, and life expectancy, 1970–2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet. 2017; 390(10100): 1084-150.
GBD 2016 Causes of Death Collarobators. Global, regional, and national age-sex specific mortality for 264 causes of death, 1980– 2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet. 2017; 390(10100): 1151-210.
Ministerio de Salud Pública. Plan plurianual de salud 2017-2020 [internet]. 2019. Disponible en: https://www.msp.gob.do/web/ Transparencia/documentos_oai/51/planificacion-estrategica/7005/ plan-plurianual-salud-2017-2020.pdf
Ministerio de Salud Pública. Plan Decenal de Salud 2006-2015 [internet]. 2019. Disponible en: http://www.paho.org/hq/ dmdocuments/2010/Politicas_Nacionales_Salud-Rep_DominicanaPlan_Decenal_Salud_2006-15.pdf
Ministerio de Salud. Plan Plurianual de Salud [internet]. 2016. Disponible en: ftp://ftp2.minsa.gob.pe/descargas/ transparencia/05PlanEstrategico/Archivos/2016/RM367-2016MINSA.pdf
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