Evidence map›Paper›PMID 11711455›Full record

ArticleHeart (British Cardiac Society)2001

Patients' experiences of intervention trials on the treatment of myocardial infarction: is it time to adjust the informed consent procedure to the patient's capacity?

A Agård, G Hermerén, J Herlitz

Abstract read
In one paragraph

Article in Heart (British Cardiac Society), 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  16. Emergency research without consent under Polish law.Science and engineering ethics · 2007
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

A AgårdDepartment of Medicine, Sahlgrens University Hospital, SE-413 45 Gothenburg, Sweden. anders.agard@telia.com
G Hermerén
J Herlitz

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate how patients included in trials on treatment in the early phase of acute myocardial infarction experience the consent procedure.

designA combined qualitative and quantitative interview concerning the patients' knowledge of the trial, their feelings about being asked to participate, and their attitudes towards the consent procedure.

settingTertiary referral centre. PATIENTS: 31 patients who had given written informed consent for their participation in randomised intervention trials of acute myocardial infarction.

resultsThe patients interviewed had only fragmentary knowledge about the trial they were involved in. Most considered that reading and signing a consent form was an unwanted or unnecessary procedure. Instead, they would have preferred to have been given concise verbal information about the study. Most were willing to allow a physician to decide for them in the event of their being too ill to be asked about their participation.

conclusionsPatients who are asked to participate in intervention trials in the early phase of acute myocardial infarction often appear to lack sufficient knowledge to reach an autonomous choice. There were problems and disadvantages associated with the process of obtaining written informed consent in this particular situation, especially regarding the need for the patient to sign a consent form during the acute phase of the disease.

Indexed as

Health Knowledge, Attitudes, PracticeInformed ConsentPatient SatisfactionAbciximabAgedAged, 80 and overAngioplasty, Balloon, CoronaryAntibodies, MonoclonalAttitude to HealthFemaleHumansImmunoglobulin Fab FragmentsMaleMental CompetencyMiddle AgedMyocardial InfarctionAbciximabAntibodies, MonoclonalImmunoglobulin Fab FragmentsTenecteplaseTissue Plasminogen Activator

Identifiers

PMID11711455
PMCPMC1730006

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.