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Variation in Institutional Review processes for a multisite observational study
Quantitative Health Sciences Publications and Presentations
  • Catherine C. Vick, University of Alabama
  • Kelly R. Finan, University of Alabama
  • Catarina I. Kiefe, University of Massachusetts Medical School
  • Leigh Neumayer, University of Utah
  • Mary T. Hawn, University of Alabama
UMMS Affiliation
Department of Quantitative Health Sciences
Publication Date
Document Type
Ethics Committees, Research; Health Services Research; Hernia, Ventral; Humans; Observation; *Outcome Assessment (Health Care); *Program Evaluation; United States; United States Department of Veterans Affairs
BACKGROUND: The Veterans Administration is an ideal setting for multisite studies; however, individual VA Institutional Review Board (IRB) approval is necessary. This study examines the burden of multisite IRB approval on a Health Services Research and Development (HSRD) ventral hernia outcomes observational study. METHODS: Data gathered on the IRB process per site included time required for application completion, staff training and compliance, IRB affiliation (VA or university), approval status, and time to IRB approval. Wilcoxon rank sum tests were used to determine differences in median times for application completion and approval. Financial and temporal expenses were calculated. RESULTS: Significant differences were found in median time to complete applications by IRB affiliation (P < .01) and median time to approval by changes required to the consent letter (P < .05). CONCLUSIONS: The IRB process for a multisite observational study is expensive in both time and money. A VA national IRB for multisite studies would significantly decrease the financial and temporal burden for observational studies.
DOI of Published Version
Am J Surg. 2005 Nov;190(5):805-9. Link to article on publisher's site
PubMed ID
Related Resources
Link to Article in PubMed
Citation Information
Catherine C. Vick, Kelly R. Finan, Catarina I. Kiefe, Leigh Neumayer, et al.. "Variation in Institutional Review processes for a multisite observational study" Vol. 190 Iss. 5 (2005) ISSN: 0002-9610 (Linking)
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