Evidence map›Paper›PMID 25716051›Full record

ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2015

Balancing ethical goals in challenging individual participant scenarios occurring in a trial conducted with exception from informed consent.

Michelle H Biros, Neal W Dickert, David W Wright, Victoria M Scicluna, Deneil Harney, Robert Silbergleit, Kurt Denninghoff, Rebecca D Pentz

Abstract read
In one paragraph

Article in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Trial
  2. American College of Medical Toxicology Research Agenda 2024-2030.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2024
    Article
  3. Ensuring the Efficacy and Safety of Approved Medications.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2024
    Article
  4. Review
  5. Article
  6. Article
  7. Capacity, Vulnerability, and Informed Consent for Research.The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics · 2018
    Article
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Michelle H BirosThe Department of Emergency Medicine Hennepin County Medical Center and University of Minnesota, Minneapolis, MN.
Neal W Dickert
David W Wright
Victoria M Scicluna
Deneil Harney
Robert Silbergleit
Kurt Denninghoff
Rebecca D Pentz

Funding

Neurologic Emergencies Treatment Trials Network: Clinical Coordinating CenterU01NS056975 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BARSAN, WILLIAM G · 2006 to 2015
$40.4M
ProTECT IIIU01NS062778 · NINDS · EMORY UNIVERSITY · PI WRIGHT, DAVID W · 2009 to 2013
$26.4M
Neurological Emergencies Treatment Trials (NETT) Network; U. of Mn. HubU10NS058994 · NINDS · UNIVERSITY OF MINNESOTA · PI MICHELLE BIROS, MICHELLE BIROS MICHELLE BIROS · 2007 to 2016
$2.7M
NINDS NIH HHS U01 NS056975NINDS NIH HHS U01 NS062778NINDS NIH HHS U10 NS058994
6 · The paper itself

Abstract

In 1996, federal regulations were put into effect that allowed enrollment of critically ill or injured patients into Food and Drug Administration (FDA)-regulated clinical trials using an exception from informed consent (EFIC) under narrowly prescribed research circumstances. Despite the low likelihood that a legally authorized representative (LAR) would be present within the interventional time frame, the EFIC regulations require the availability of an informed consent process, to be applied if an LAR is present and able to provide prospective consent for patient enrollment into the trial. The purpose of this article is to describe a series of unanticipated consent-related questions arising when a potential surrogate decision-maker appeared to be available at the time of patient enrollment into a trial proceeding under EFIC.

Indexed as

Clinical Trials as TopicEmergency Service, HospitalHumansInformed ConsentProspective StudiesThird-Party ConsentUnited StatesUnited States Food and Drug Administration

Identifiers

PMID25716051
PMCPMC7272239

What OpenQuestion holds

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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.