Considerações éticas e bioéticas em relatos de caso publicados em periódicos brasileiros da área da saúde

Abstract

After 18 years the issuance of Resolution No. 196 of 1996 of the National Health Council (CNS) (Brazil, 2002), with introduction of the Research Ethics Committee (CEP) and other recommendations for research activities involving human subjects, it is time to assess what ethical requirements and bioethical are described in publications in the form of case report, to list the number of publications in this format in the consulted journals; and to describe the ethical and bioethical instructions are provided by journals to authors (approval by the Research Ethics Committee (CEP), request of the approval document by the CEP; Informed consent; Helsinki declaration; CNS Resolution No. 196/1996; CNS Resolution No. 466/2012;Declaration of conflict of interest). In this study, were select 96 (29%) of the 331 periodicals available in Scielo-Brazil Platform (http://www.scielo.br) on March 14, 2014, more directly linked to clinical research in the area of human health and excluded (n=235) from the other areas of knowledge or editorial focused on basic research in the health field. In the second stage of selection, were exclude among those 96 pre-selected journals, eight (8.3%) magazines that did not meet the objectives of the study. Among the 88 selected journals, the majority (67%; n= 59) have clearly defined, in the guidelines, the availability to publish case reports. It was observed that the group of journals that defined the availability to publish case reports, the variable, approval by the Research Ethics Committee (CEP) was the most frequent (n=47; 79.7%), while in the group that was not defined availability to publish case reports (n=29), the frequency was 69% (n=20). 168 case reports were published in 35 (39.8%) of the 88 surveyed journals (last issue of 2014, and first number 2015) and these 51.8% (n=87) in the last issue of 2014 and 48.2% (n=81) in the first number of the 2015 year. In both periods, those seven instructions surveyed, the variable, declaration of conflict of interest was the most frequent, respectively 75.9% (n=66) and 67.9% (n=55). In conclusion, it was found that of seven instructions analyzed in the periodicals, almost none was described in articles in the form of the case report