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Science 6 June 1997:
Vol. 276. no. 5318, pp. 1524 - 1525
DOI: 10.1126/science.276.5318.1524

Policy Forum

Lessons from Litigation over Silicone Breast Implants: A Call for Activism by Scientists

James T. Rosenbaum

In ongoing litigation to determine whether silicone breast implants cause autoimmune disease, the question of what constitutes good science is being addressed by courts, and the answer has implications for approximately $50 billion in settlements. A federal court recently used neutral scientific advisers in excluding the admissibility of the "expert" opinion that implants cause systemic disease. The lesson from this litigation paradigm is that scientists should actively ensure that neutral, reliable scientific expertise is available to the court.

The author is at Casey Eye Institute, Oregon Health Sciences University, 3375 S.W. Terwilliger Boulevard, Portland, OR 97201, USA, and is a Senior Scholar supported by Research to Prevent Blindness. The author has provided medico-legal advice for attorneys representing Baxter Healthcare, Bristol-Myers Squibb, Dow Chemical, Minnesota Mining & Manufacturing (3M), and plaintiffs in silicone breast implant litigation. The author has testified in court proceedings on behalf of manufacturers.


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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES:
Expert Witness Participation in Civil and Criminal Proceedings.
Committee on Medical Liability and Risk Management (2009)
Pediatrics 124, 428-438
   Abstract »    Full Text »    PDF »
Role of Professional Organizations in Regulating Physician Expert Witness Testimony.
A. S. Kesselheim and D. M. Studdert (2007)
JAMA 298, 2907-2909
   Full Text »    PDF »
Meta-Analyses of the Relation between Silicone Breast Implants and the Risk of Connective-Tissue Diseases.
E. C. Janowsky, L. L. Kupper, and B. S. Hulka (2000)
N. Engl. J. Med. 342, 781-790
   Abstract »    Full Text »    PDF »



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