“…A primary focus of RECs on principles of autonomy, beneficence or ethics as harm and benefits was reported in seven studies that analysed RECs outputs, 22–28 but none considered equitable recruitment, equitable distribution of risks and benefits, fair participation and/or justice issues under which gender would fall. Another five studies reported on the concerns of RECs around issues of fair participation or related criteria such as inclusion criteria, recruitment criteria, representativeness, legitimacy and appropriate risk benefit analysis, 10 , 29–32 with none mentioning sex or gender. A case study of a REC for ‘tribal nations’ described its role vis-a-vis culture and norms in reviewing multicentric research, but did not include sex and gender considerations.…”