GDPR: an impediment to research?

Abstract:

BACKGROUND:The recent introduction of the General Data Protection Regulation and Health Research Regulations has been an area of significant concern for those engaged in clinical research. These European regulations, following subsequent interpretation by Ireland's Department of Health, now place Ireland in a unique position which differs substantially from other European countries and may prove a significant impediment to Irish clinical research, depriving Irish patients of timely access to potentially life-saving treatments and making Ireland less attractive to pharmaceutical companies engaged in this area. At the very least, the regulations, as applied in Ireland, will place a significant extra burden of work on Ireland's clinical researchers and at their worst will force individuals and institutions out of the clinical research field, which will result in significant loss to the Irish knowledge economy and lead to the detriment of patient care. AIM:In this article, we explore what exactly is proposed by Europe's GDPR and by Ireland's Health Research Regulations. We look at the challenges presented to clinical researchers, and we highlight those areas, which need clarification by the Department of Health and by the Data Protection Commissioner. CONCLUSIONS:We propose five recommendations, which would ameliorate some of the more restrictive impositions of these regulations. This review was commissioned by the Irish Academy of Medical Science.

journal_name

Ir J Med Sci

authors

Clarke N,Vale G,Reeves EP,Kirwan M,Smith D,Farrell M,Hurl G,McElvaney NG

doi

10.1007/s11845-019-01980-2

subject

Has Abstract

pub_date

2019-11-01 00:00:00

pages

1129-1135

issue

4

eissn

0021-1265

issn

1863-4362

pii

10.1007/s11845-019-01980-2

journal_volume

188

pub_type

杂志文章
  • In-situ emergency pediatric surgery in the intensive care unit.

    abstract:BACKGROUND:The role of surgery in the intensive care unit (ICU) remains unclear. Although previous studies have not shown any increase in morbidity when operating on patients in the ICU for surgical procedures; there remains a reluctance to operate on sick patients in the ICU. AIM:We did a retrospective study of criti...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-012-0819-4

    authors: Ghallab A,El-Gohary Y,Redmond M,Corbally M

    更新日期:2013-03-01 00:00:00

  • A clinical review of cervicography.

    abstract::A new investigative modality, cervicography, has been advocated for cervical screening. In the first 51 patients referred for colposcopy because of an abnormal cervicogram, none had invasive cancer and 75% had preinvasive cancer. The cervicogram appears superior to cytology but inferior to colposcopy in the detection ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02937249

    authors: Turner MJ,Byrne BM,Flannelly G,Maguire P,Lenehan PM,Murphy JF

    更新日期:1990-02-01 00:00:00

  • The effect of Rapid Access Prostate Clinics on the outcomes of Gleason 7 prostate cancer: does earlier diagnosis lead to better outcomes?

    abstract:INTRODUCTION:Rapid Access Prostate Clinics (RAPC) were introduced in Ireland by the National Cancer Control Programme bringing about expedited referral pathways and increased detection rates of prostate cancer. Lower Gleason (G) grade at diagnosis due to RAPC has been previously reported but grade at prostatectomy has ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-017-1583-2

    authors: Broe MP,Forde JC,Inder MS,Galvin DJ,Mulvin DW,Quinlan DM

    更新日期:2017-08-01 00:00:00

  • Smartphone and video game use and perceived effects in a community mental health service.

    abstract:BACKGROUND:Gaming is a growing area and there are conflicting reports on its harms and benefits. There is also increasing interest in the use of gaming clinically. AIMS:This research aims to enhance our understanding of video and smartphone game use, and perceptions, among outpatients attending an Irish general adult ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-019-02016-5

    authors: Rowntree R,Feeney L

    更新日期:2019-11-01 00:00:00

  • Biophysical fetal assessment--the Rotunda experience.

    abstract::The evaluation of fetal health using ultrasound to establish a biophysical profile in the Rotunda Hospital in 1987 is reported. The corrected perinatal mortality rate fell from 10.0 in 1986 to 6.9 per 1,000 for babies over 500g and from 5.9 in 1986 to 3.4 for babies over 1,000g. This was achieved without significant a...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02984636

    authors: Gaughan B

    更新日期:1989-07-01 00:00:00

  • Intravascular large B-cell lymphoma presenting clinically as rapidly progressive dementia.

    abstract:BACKGROUND:In patients presenting with rapidly progressive dementia, prion disease may enter the differential diagnosis. The commonest malignancies masquerading as prion disease are primary CNS lymphoma and intravascular large B-cell lymphoma, both rare and difficult to diagnose without brain biopsy. CASE PRESENTATION...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章,评审

    doi:10.1007/s11845-017-1653-5

    authors: Brett FM,Chen D,Loftus T,Langan Y,Looby S,Hutchinson S

    更新日期:2018-05-01 00:00:00

  • Sudden cardiac death in the young: a 1-year post-mortem analysis in the Republic of Ireland.

    abstract:AIMS:A retrospective post-mortem analysis was undertaken to determine the aetiology of sudden cardiac death (SCD) amongst individuals aged

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-009-0294-8

    authors: Morris VB,Keelan T,Leen E,Keating J,Magee H,O'Neill JO,Galvin J

    更新日期:2009-09-01 00:00:00

  • Skin manifestations in systemic lupus erythematosus.

    abstract::A study is presented of the skin manifestations of 30 patients, 25 females and 5 males, with systemic lupus erythematosus (S.L.E.) admitted to this hospital over a two year period. Their ages ranged from 20 years to 75 years. The diagnosis of S.L.E. was made according to the criteria laid down for the diagnosis of S.L...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02938956

    authors: Feely RH

    更新日期:1976-12-01 00:00:00

  • A survey of general practitioner's opinion on the proposal to introduce 'treat and referral' into the Irish emergency medical service.

    abstract:BACKGROUND:The introduction of treat and referral by ambulance practitioners is under active consideration in Ireland. The Irish ambulance services have traditionally transported all patients following an emergency (112/999) call to an emergency department. The introduction of treat and referral will present a signific...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-020-02224-4

    authors: Power B,Bury G

    更新日期:2020-11-01 00:00:00

  • Mohs micrographic surgery for periocular skin tumours in Ireland.

    abstract:OBJECTIVE:To describe the shared care and outcomes of patients with periocular skin tumours who underwent Mohs micrographic surgery (MMS) performed by dermatologists, followed by oculoplastic reconstruction undertaken by ophthalmologists at two teaching and one private hospital in Ireland. RESEARCH DESIGN AND METHODS:...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-015-1296-3

    authors: Treacy MP,Wynne NC,Gale JL,Duignan E,Moran B,Flynn AM,Ormond P,Barry R,Khan R,Moriarty P,Cassidy L

    更新日期:2016-11-01 00:00:00

  • Nicorandil related anal ulcer.

    abstract:BACKGROUND:Anal ulceration is uncommon. Patients are typically referred because of severe anal pain, bleeding, discharge, and ulceration. It is important to exclude anal carcinoma, and to consider more unusual causes. METHODS:A 74-year-old lady presented with severe anal pain and ulceration. This was subsequently note...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF03169175

    authors: Al-Hilli Z,Pritchard R,Roche-Nagle G,Deasy J,McNamara DA

    更新日期:2006-07-01 00:00:00

  • The ratio of hemoglobin to red cell distribution width predicts survival in patients with gastric cancer treated by neoadjuvant FLOT: a retrospective study.

    abstract:BACKGROUND:Hemoglobin (HB) and red cell distribution width (RDW) are known to be prognostic in many cancer types. The HB-RDW ratio (HRR) is a new biomarker that has been shown to be predictive in some cancer types. However, the prognostic significance of HRR in patients with gastric cancer (GC) is unknown. AIMS:In thi...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-019-02153-x

    authors: Yılmaz A,Mirili C,Tekin SB,Bilici M

    更新日期:2020-02-01 00:00:00

  • Early experience with leg lengthening by callotasis and chondrodiastasis.

    abstract::Over a four year period, 20 segments in 16 patients were treated by lengthening by callotasis or chondrodiastasis. The indications for treatment were leg length discrepancy in 13 patients and short stature in three. Patients with leg length discrepancy were all treated by femoral lengthening; the mean length gained wa...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02960724

    authors: O'Beirne J,Maher M,O'Flanagan S,McGuinness A

    更新日期:1993-08-01 00:00:00

  • The microbiology of bacterial peritonitis due to appendicitis in children.

    abstract:AIM:The aim of this study was to investigate the microbiology of secondary bacterial peritonitis due to appendicitis and the appropriateness of current antimicrobial practice in one institution. METHODS:A 14-year retrospective single-centre study of 69 consecutive paediatric patients (age 1-14 years) with appendicitis...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-013-1055-2

    authors: Obinwa O,Casidy M,Flynn J

    更新日期:2014-12-01 00:00:00

  • Microcarrier bioreactor culture system promotes propagation of human intervertebral disc cells.

    abstract:BACKGROUND:Cell-based tissue engineering has emerged as a potential therapy for intervertebral disc degeneration. However, propagating and maintaining high quantity and quality of the seed cells remains a challenge. AIMS:To investigate the feasibility of culturing human disc cells using a microcarrier bioreactor syste...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-010-0537-8

    authors: Zhang L,Ning B,Jia T,Gong W,Cong M,Chen JF,Yang SY

    更新日期:2010-12-01 00:00:00

  • Flank hernia secondary to phenol nerve block.

    abstract:BACKGROUND:The management of patients with chronic pain is challenging. The aim of treatment is alleviation of symptoms in an attempt to increase functional capacity. Interventional procedures, such as chemical neurolysis are adopted when other techniques fail to provide adequate pain control. RESULTS:An 82-year-old m...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-009-0312-x

    authors: Al-Hilli Z,Deasy J,Keaveny J

    更新日期:2010-09-01 00:00:00

  • A technical report on ultrasound-guided scapulocostal syndrome injection.

    abstract:INTRODUCTION:We describe a case report and technique for using an ultrasound scanner and a linear transducer to guide serratus posterior superior (SPS) muscle injection. A 43-year-old female presented with chronic pain centered under the right upper portion of her scapula impacting her activities of daily living. METH...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-015-1336-z

    authors: McCarthy C,Harmon D

    更新日期:2016-08-01 00:00:00

  • Symptomatic intra-cardiac metastasis complicating non-small cell lung cancer: imaging findings and clinical course.

    abstract::We describe a man who was diagnosed with non-small cell lung cancer following previous treatment for small cell lung cancer. He developed dyspnoea, paroxysmal nocturnal dyspnoea and orthopnoea. Trans-thoracic echocardiogram revealed a large mass within the right atrium. The patient proceeded to thoracotomy at which ti...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-008-0240-1

    authors: Power D,Murphy C,Shaw C,McCaffrey J

    更新日期:2011-06-01 00:00:00

  • Glycodelin gene expression in human peripheral white blood cells.

    abstract:BACKGROUND:Glycodelin plays an important role in normal and abnormal reproductive growth. The in vitro properties of glycodelin have been studied in K562 cells. The role of glycodelin in vivo in the peripheral circulation has not been determined. AIM:To determine if circulating leukocytes in normal subjects express th...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-007-0019-9

    authors: Lang EE,Venkatraman G

    更新日期:2007-07-01 00:00:00

  • High-mobility group box 1 regulates cytoprotective autophagy in a mouse spermatocyte cell line (GC-2spd) exposed to cadmium.

    abstract:BACKGROUND:Cadmium (Cd) is an environmental and industrial pollutant that induces a broad spectrum of toxicological effects, influences a variety of human organs, and is associated with poor semen quality and male infertility. Increasing evidence demonstrates that Cd induces testicular germ cell apoptosis in rodent ani...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-017-1595-y

    authors: Ou Z,Chen Y,Niu X,He W,Song B,Fan D,Sun X

    更新日期:2017-11-01 00:00:00

  • Lipid targets in clinical practice: successes, failures and lessons to be learned.

    abstract:INTRODUCTION:Optimal risk factor control is integral to managing patients with proven coronary heart disease (CHD+) and for those at risk of coronary heart disease (CHD-). The primary aim of the study was to assess the success rate of reaching lipid risk factor targets in a multiple risk factor clinic. METHODS:A retro...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-013-0954-6

    authors: Dunne M,Mac Ananey O,Markham C,Maher V

    更新日期:2013-12-01 00:00:00

  • High attenuation gyri CT in postasphyxial encephalopathy.

    abstract::Two term infants suffering severe asphyxial events were found to have diffusely high attenuation of the cortical gyri on CT scanning within 12 days. The findings are consistent with haemorrhagic necrosis or microcalcification. This feature has rarely been described in the literature. The evolution of the CT appearance...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02937934

    authors: Cullen A,Donoghue V,King MD

    更新日期:1998-07-01 00:00:00

  • Is repeat laparotomy of value in patients with suspected intra-abdominal sepsis in the intensive care unit?

    abstract::The management of patients with suspected post laparotomy intra-abdominal sepsis poses a major therapeutic challenge to clinicians. The mortality is high and the optimal interventional modality remains ill-defined. We define the incidence, diagnostic methodology, pre- and postoperative findings and outcome of patients...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02944195

    authors: McCrory C,Crowley K

    更新日期:1997-04-01 00:00:00

  • The "National Integrated Medical Imaging System" [NIMIS]-friend, not nimesis!

    abstract:INTRODUCTION:The "National Integrated Medical Imaging System" or NIMIS went live in 2011 and allows the movement of patient radiology imaging throughout the Irish health system. At the time of its launch, NIMIS was not only going to allow the filmless passage of patient radiology imaging but it was also envisaged that ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-018-1900-4

    authors: O' Reilly MF,Breathnach OP,Mohamed KM,Sheehan EC

    更新日期:2019-05-01 00:00:00

  • Radial artery spasm: reviews and updates.

    abstract::Elective and emergent coronary interventions via transradial access (TRA) are been used increasingly as they carry a reduced risk of complications. Percutaneous coronary intervention via TRA may lead to radial artery spasms (RAS) that may result in prolonged procedure time, cross-over of access site, and other complic...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章,评审

    doi:10.1007/s11845-020-02203-9

    authors: Khan MZ,Patel K,Franklin S,Faruqi A,Ahmad W,Saeed J

    更新日期:2020-11-01 00:00:00

  • Smartphones in clinical practice: doctors' experience at two Dublin paediatric teaching hospitals.

    abstract:INTRODUCTION:We conducted a study at two main centres for paediatric surgery in the Republic of Ireland, Temple Street Children's University Hospital (TSCUH) and Our Lady's Children's Hospital Crumlin (OLCHC). AIM:The aim of the study was to assess doctors' opinions, frequency and methods of smartphone use in clinical...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-017-1713-x

    authors: El Hadidy TS,Alshafei AE,Mortell AE,Doherty EM

    更新日期:2018-08-01 00:00:00

  • Biclonal lymphoproliferative disorders: another association with NOTCH1-mutated chronic lymphocytic leukaemias.

    abstract:INTRODUCTION:Biclonal lymphoid disorders, when two distinct lymphoproliferative disorders (LPD) co-exist, are rare (incidence of 1.4%) and associated with a poor prognosis. NOTCH1 mutations occur in 10% of CLL at diagnosis, associated with a short disease-free interval and increased risk of Richter's transformation. We...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-020-02386-1

    authors: Fogarty H,Dowling A,O'Brien D,Langabeer S,Bacon CL,Flavin R,O'Dwyer M,Hennessy B,O'Leary H,Crotty G,Henderson R,Nolan J,Thornton P,Vandenberghe E,Quinn F

    更新日期:2020-10-17 00:00:00

  • Long term efficacy of a pen injector.

    abstract::We assessed the long term efficacy of Novopen as a form of insulin administration. Records were obtained on 48 patients who were treated with Novopen between January '86 and October '88. Six patients were excluded due to insufficient data. The study group of 42 patients comprised 22 females and 20 males of average age...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02948414

    authors: Dinneen SF,Cronin CC,O'Sullivan DJ

    更新日期:1991-09-01 00:00:00

  • Irish Maternal Early Warning Score.

    abstract::Early Warning Systems (EWS) track the physiological parameters of individual patients and trigger a response when the parameter threshold has been reached. The use of early warning scores in adult hospital medicine has been shown to be beneficial in facilitating the early recognition of the deteriorating patient, ther...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章,评审

    doi:10.1007/s11845-019-02028-1

    authors: Nair S,Spring A,Dockrell L,Mac Colgain S

    更新日期:2020-02-01 00:00:00

  • Opiate-related deaths in Dublin.

    abstract:BACKGROUND:Intravenous drug misuse, principally heroin, occurs primarily in the Greater Dublin area. Methadone maintenance treatment has been an important part of the response to opiate misuse in Dublin since 1992. AIMS:To determine the number of opiate-related deaths in Dublin City and County during 1999, to establis...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF03167718

    authors: Ward M,Barry J

    更新日期:2001-01-01 00:00:00