Evidence map›Paper›PMID 28235011›Full record

ArticlePloS one2017

Informed consent in oncology clinical trials: A Brown University Oncology Research Group prospective cross-sectional pilot study.

Andrew Schumacher, William M Sikov, Matthew I Quesenberry, Howard Safran, Humera Khurshid, Kristen M Mitchell, Adam J Olszewski

Registry-linked trialAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01772511 (BrUOG 274), which is not on this map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 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.

NCT01772511 completednot on this map

BrUOG 274: Do Patients Participating In Oncology Clinical Trials Understand the Informed Consent Form?

TypeobservationalSponsorAndrew Sch umacherRan2012 to 2014Enrolled50ConditionsCancer, Oncology ProblemArmsQuestionnaire
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  3. Comparative Effectiveness of eConsent: Systematic Review.Journal of medical Internet research · 2023
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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.

Andrew SchumacherThe Brown University Oncology Research Group, Providence, Rhode Island, United States of America.
William M SikovThe Brown University Oncology Research Group, Providence, Rhode Island, United States of America.
Matthew I QuesenberryThe Brown University Oncology Research Group, Providence, Rhode Island, United States of America.
Howard SafranThe Brown University Oncology Research Group, Providence, Rhode Island, United States of America.
Humera KhurshidThe Brown University Oncology Research Group, Providence, Rhode Island, United States of America.
Kristen M MitchellThe Brown University Oncology Research Group, Providence, Rhode Island, United States of America.
Adam J OlszewskiThe Brown University Oncology Research Group, Providence, Rhode Island, United States of America.ORCID http://orcid.org/0000-0002-6472-6658

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInformed consent forms (ICFs) for oncology clinical trials have grown increasingly longer and more complex. We evaluated objective understanding of critical components of informed consent among patients enrolling in contemporary trials of conventional or novel biologic/targeted therapies.

methodsWe evaluated ICFs for cancer clinical trials for length and readability, and patients registered on those studies were asked to complete a validated 14-question survey assessing their understanding of key characteristics of the trial. Mean scores were compared in groups defined by trial and patient characteristics.

resultsFifty patients, of whom half participated in trials of immunotherapy or biologic/targeted agents and half in trials of conventional therapy, completed the survey. On average, ICFs for industry-originated trials (N = 9 trials) were significantly longer (P < .0001) and had lower Flesch ease-of-reading scores (P = .003) than investigator-initiated trials (N = 11). At least 80% of patients incorrectly responded to three key questions which addressed the experimental nature of their trial therapy, its purported efficacy and potential risks relative to alternative treatments. The mean objective understanding score was 76.9±8.8, but it was statistically significantly lower for patients who had not completed high school (P = .011). The scores did not differ significantly by type of cancer therapy (P = .12) or trial sponsor (P = .38).

conclusionsMany participants enrolled on cancer trials had poor understanding of essential elements of their trial. In order to ensure true informed consent, innovative approaches, such as expanded in-person counseling adapted to the patient's education level or cultural characteristics should be evaluated across socio-demographic groups.

trial registrationClinicaltrials.gov NCT01772511.

Indexed as

Informed ConsentAdultAgedAged, 80 and overClinical Trials as TopicConsent FormsCross-Sectional StudiesFemaleHumansMaleMedical OncologyMiddle AgedPilot ProjectsProspective Studies

Identifiers

PMID28235011
PMCPMC5325585

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.