Evidence map›Paper›PMID 16223793›Full record

ArticleBMJ (Clinical research ed.)2005

Bias from requiring explicit consent from all participants in observational research: prospective, population based study.

Rustam Al-Shahi, Céline Vousden, Charles Warlow, Scottish Intracranial Vascular Malformation Study (SIVMS) Steering Committee

Abstract readMulticenter Study
In one paragraph

Article in BMJ (Clinical research ed.), 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 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

34 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  15. Vasectomy and the risk of prostate cancer: a meta-analysis of cohort studies.International journal of clinical and experimental medicine · 2015
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  19. Management of anaphylaxis in schools: Evaluation of an epinephrine auto-injector (EpiPen®) use by school personnel and comparison of two approaches of soliciting participation.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2012
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Rustam Al-ShahiBramwell Dott Building, Division of Clinical Neurosciences, University of Edinburgh, Western General Hospital, Edinburgh EH4 2XU. Rustam.Al-Shahi@ed.ac.uk
Céline Vousden
Charles Warlow
Scottish Intracranial Vascular Malformation Study (SIVMS) Steering Committee

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the differences between adults who consent to participate in observational research, and those who do not.

designProspective, population based cohort study.

settingPrimary and secondary care throughout Scotland.

participants187 adults (aged > or = 16 years) resident in Scotland at the time of their first diagnosis of a brain arteriovenous malformation in 1999-2002.

interventionPostal consent form sent via participants' general practitioner.

main outcome measuresDifferences between consenters and non-consenters in demographic and clinical features at first presentation, and outcome during follow-up.

results111 adults (59%) consented to participate in the study. These consenters were not significantly different from non-consenters in age, sex, or socioeconomic status at first presentation. However, consenters were significantly more likely than non-consenters to present alive and independent, and with a seizure. During follow-up, consenters were significantly more likely to receive interventional treatment. Although consenters' survival was significantly better, they were more likely to have a seizure during follow-up. Presentation with intracranial haemorrhage conferred a higher risk of subsequent haemorrhage when the whole cohort was analysed, but not when it was restricted to consenters.

conclusionsWe have found differences between adults who consent to participate in observational records-based research and those who do not, or cannot, consent. Blanket requirements for explicit consent for the use of individuals' identifiable data can bias disease registers, epidemiological studies, and health services research.

Indexed as

Informed ConsentAdolescentAdultAgedCentral Nervous System Vascular MalformationsEpidemiologic MethodsFemaleHumansIntracranial HemorrhagesMaleMiddle AgedPatient SelectionPrognosisScotlandSeizuresSelection BiasBiomedical and Behavioral ResearchEmpirical Approach

Identifiers

PMID16223793
PMCPMC1261192

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.