Evidence map›Paper›PMID 19997084›Full record

ArticleThe pharmacogenomics journal2010

Ethical considerations in the collection of genetic data from critically ill patients: what do published studies reveal about potential directions for empirical ethics research?

B D Freeman, C R Kennedy, H L Frankel, B Clarridge, D Bolcic-Jankovic, E Iverson, E Shehane, A Celious, B A Zehnbauer, T G Buchman

Abstract read
In one paragraph

Article in The pharmacogenomics journal, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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  5. Article
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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

10 authors.

B D FreemanDepartment of Surgery, Washington University School of Medicine, St Louis, MO 63110, USA. freemanb@wustl.edu
C R Kennedy
H L Frankel
B Clarridge
D Bolcic-Jankovic
E Iverson
E Shehane
A Celious
B A Zehnbauer
T G Buchman

Funding

Establishing the Ethical Framework for Critical Care GeneticsR01GM080591 · NIGMS · WASHINGTON UNIVERSITY · PI FREEMAN, BRADLEY D · 2008 to 2012
$2.5M
NIGMS NIH HHS GM080591NIGMS NIH HHS R01 GM080591
6 · The paper itself

Abstract

Critical illness trials involving genetic data collection are increasingly commonplace and pose challenges not encountered in less acute settings, related in part to the precipitous, severe and incapacitating nature of the diseases involved. We performed a systematic literature review to understand the nature of such studies conducted to date, and to consider, from an ethical perspective, potential barriers to future investigations. We identified 79 trials enrolling 24 499 subjects. Median (interquartile range) number of participants per study was 263 (116.75-430.75). Of these individuals, 16 269 (66.4%) were Caucasian, 1327 (5.4%) were African American, 1707 (7.0%) were Asian Pacific Islanders and 139 (0.6%) were Latino. For 5020 participants (20.5%), ethnicity was not reported. Forty-eight studies (60.8%) recruited subjects from single centers and all studies examined a relatively small number of genetic markers. Technological advances have rendered it feasible to conduct clinical studies using high-density genome-wide scanning. It will be necessary for future critical illness trials using these approaches to be of greater scope and complexity than those so far reported. Empirical research into issues related to greater ethnic inclusivity, accuracy of substituted judgment and specimen stewardship may be essential for enabling the conduct of such trials.

Indexed as

Critical IllnessGenetic VariationAdultAsianBiomedical ResearchBlack or African AmericanHispanic or LatinoHumansInformed ConsentMultiple Organ FailurePatient SelectionRandomized Controlled Trials as TopicSepsisShock, SepticWhite People

Identifiers

PMID19997084
PMCPMC2860600

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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.