Evidence map›Paper›PMID 23498383›Full record

ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2013

Public's approach to surrogate consent for dementia research: cautious pragmatism.

Raymond De Vries, Kerry A Ryan, Aimee Stanczyk, Paul S Appelbaum, Laura Damschroder, David S Knopman, Scott Y H Kim

Abstract read
In one paragraph

Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

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

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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

7 authors.

Raymond De VriesCenter for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor.
Kerry A Ryan
Aimee Stanczyk
Paul S Appelbaum
Laura Damschroder
David S Knopman
Scott Y H Kim

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024156 · NCRR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2006 to 2011
$53.0M
An Observational Descriptive Study of IRB PracticesR01CA107295 · NCI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LIDZ, CHARLES W · 2006 to 2010
$3.2M
Ethics of Surrogate Consent for Dementia ResearchR01AG029550 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KIM, SCOTT Y · 2007 to 2010
$1.6M
Enhancing Consent for Alzheimer ResearchR01AG028827 · NIA · VETERANS MEDICAL RESEARCH FDN/SAN DIEGO · PI PALMER, BARTON W. · 2006 to 2010
$1.4M
Proxy Decision Making for Alzheimer Disease ResearchR01AG027986 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DUNN, LAURA B. · 2007 to 2010
$1.4M
Capacity to Appoint a Proxy for Research ConsentR01MH075023 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KIM, SCOTT Y · 2005 to 2009
$1.3M
The Blurring of Treatment and Research in Clinical Trials: two problemsRC1NR011612 · NINR · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LIDZ, CHARLES W · 2009 to 2010
$968k
Center for ELSI Research on Psychiatric Neurologic and Behavioral GeneticsP20HG005535 · NHGRI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI APPELBAUM, PAUL STUART · 2010 to 2012
$731k
NCI NIH HHS 1 R01 CA107295NCI NIH HHS R01 CA107295NCRR NIH HHS 1 UL1 RR024156-01NCRR NIH HHS UL1 RR024156NHGRI NIH HHS 1P20HG005535-01NHGRI NIH HHS P20 HG005535NIA NIH HHS 1 RO1 AG027986NIA NIH HHS 1 RO1 AG029550NIA NIH HHS R01 AG027986NIA NIH HHS R01 AG028827NIA NIH HHS R01 AG029550NIA NIH HHS R01-AG029550NIA NIH HHS R01AG029550NIMH NIH HHS R01 MH075023NIMH NIH HHS R01-MH075023NINR NIH HHS 1RC1 NR011612-01NINR NIH HHS RC1 NR011612
6 · The paper itself

Abstract

objectivesTo describe how members of the older general public deliberate with one another in finding solutions to the dilemma of involving persons with decisional incapacity in dementia research. DESIGN, SETTING, AND

participantsOne hundred sixty persons age 50 years and older who participated in an all-day deliberative democracy session on the ethics of surrogate consent for dementia research. The deliberative democracy day consisted of both extensive, interactive education with experts in clinical research and ethics, as well as small group deliberations. MEASUREMENTS: Audiotaped small group deliberations were transcribed and analyzed and the main thematic elements were coded.

resultsDuring deliberation, participants acknowledged the limitations of advanced research directives and discussed ways to improve their use. Although there was consensus about the necessity of surrogate consent, the participants recognized potential pitfalls and looked for ways to safeguard the process. Participants supporting surrogate consent for research emphasized societal and individual benefits, the importance of assent, and trust in surrogates and the oversight system. Other participants felt that the high risk of some research scenarios was not sufficiently offset by benefits to patients or society.

conclusionsMembers of the older general public are able to make use of in-depth education and peer deliberation to provide reasoned and informed opinions on the ethical use of surrogate consent for dementia research. The public's approach to surrogate consent is one of cautious pragmatism: an overall trust in science and future surrogates with awareness of the potential pitfalls, suggesting that their trust cannot be taken for granted.

Indexed as

Public OpinionAdvance DirectivesDementiaFemaleHumansMaleMiddle AgedThird-Party Consent

Identifiers

PMID23498383
PMCPMC3357450

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.