PT  - JOURNAL ARTICLE
AU  - R K Lie
AU  - E Emanuel
AU  - C Grady
AU  - D Wendler
TI  - The standard of care debate: the Declaration of Helsinki versus the international consensus opinion
AID  - 10.1136/jme.2003.006031
DP  - 2004 Apr 01
TA  - Journal of Medical Ethics
PG  - 190--193
VI  - 30
IP  - 2
4099  - http://jme.bmj.com/content/30/2/190.short
4100  - http://jme.bmj.com/content/30/2/190.full
SO  - J Med Ethics2004 Apr 01; 30
AB  - The World Medical Association’s revised Declaration of Helsinki endorses the view that all trial participants in every country are entitled to the worldwide best standard of care. In this paper the authors show that this requirement has been rejected by every national and international committee that has examined this issue. They argue that the consensus view now holds that it is ethically permissible, in some circumstances, to provide research participants less than the worldwide best care. Finally, the authors show that there is also consensus regarding the broad conditions under which this is acceptable.