Evidence map›Paper›PMID 25638751›Full record

ArticleContemporary clinical trials2015

Communication about the risks and benefits of phase I pediatric oncology trials.

Rebecca A Hazen, Stephen Zyzanski, Justin N Baker, Dennis Drotar, Eric Kodish

Abstract read
In one paragraph

Article in Contemporary clinical trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 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

5 authors.

Rebecca A HazenDepartment of Pediatrics, Case Western Reserve University and Rainbow Babies and Children's Hospital, 10524 Euclid Ave, Cleveland, OH 44106, USA. Electronic address: rebecca.hazen@uhhospitals.org.
Stephen ZyzanskiDepartment of Family Medicine, Case Western Reserve University, 11100 Euclid Ave, Cleveland, OH 44106, USA. Electronic address: sjz@case.edu.
Justin N BakerSt. Jude Children's Research Hospital, 262 Danny Thomas Place, Memphis, TN 38105-3678, USA. Electronic address: justin.baker@stjude.org.
Dennis DrotarDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center, 3333 Burnett Ave, Cincinnati, OH 45229-3026, USA. Electronic address: dennis.drotar@cchmc.org.
Eric KodishCenter for Ethics, Humanities, and Spiritual Care, Cleveland Clinic, 9500 Euclid Ave JJ60, Cleveland, OH 44195, USA. Electronic address: kodishe@ccf.org.

Funding

Informed Consent in Pediatric Phase I Cancer TrialsR01CA122217 · NCI · CLEVELAND CLINIC LERNER COM-CWRU · PI KODISH, ERIC D. · 2007 to 2011
$3.3M
NCI NIH HHS R01 CA122217NCI NIH HHS R01CA122217
6 · The paper itself

Abstract

introductionPhase 1 pediatric oncology trials offer only a small chance of direct benefit and may have significant risks and an impact on quality of life. To date, research has not examined discussions of risks and benefits during informed consent conferences for phase 1 pediatric oncology trials. The objective of the current study was to examine clinician and family communication about risks, benefits, and quality of life during informed consent conferences for phase 1 pediatric oncology trials.

methodsParticipants included clinician investigators, parents, and children recruited from 6 sites conducting phase 1 pediatric oncology trials. Eighty-five informed consent conferences were observed and audiotaped. Trained coders assessed discussions of risks, benefits, and quality of life. Types of risks discussed were coded (e.g., unanticipated risks, digestive system risks, and death). Types of benefits were categorized as therapeutic (e.g., discussion of how participation may or may not directly benefit child), psychological, bridge to future trial, and altruism.

resultsRisks and benefits were discussed in 95% and 88% of informed consent conferences, respectively. Therapeutic benefit was the most frequently discussed benefit. The impact of trial participation on quality of life was discussed in the majority (88%) of informed consent conferences.

conclusionTherapeutic benefit, risks, and quality of life were frequently discussed. The range of information discussed during informed consent conferences suggests the need for considering a staged process of informed consent for phase 1 pediatric oncology trials.

Indexed as

Clinical Trials, Phase I as TopicCommunicationInformed ConsentParentsPatient SelectionProfessional-Family RelationsAdolescentAdultAgedAntineoplastic AgentsChildChild, PreschoolFemaleHumansInfantInformed Consent By MinorsAntineoplastic AgentsEthicsInformed consentPhase 1 trials

Identifiers

PMID25638751
PMCPMC4404031

What OpenQuestion holds

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LicenceCC BY-NC
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.