Evidence map›Paper›PMID 29026293›Full record

ReviewClinical interventions in aging2017

Assessing capacity to consent for research in cognitively impaired older patients.

Thomas Gilbert, Antoine Bosquet, Catherine Thomas-Antérion, Marc Bonnefoy, Olivia Le Saux

Abstract readReview
In one paragraph

Review in Clinical interventions in aging, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing 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

32 citing papers in PubMed.

  1. Article
  2. Article
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  4. Development and validation of the Patient-Reported Outcome Measure-Older adult care Transitions from the Emergency Department (PROM-OTED) tool.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  5. Article
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  7. Article
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  9. Article
  10. Dementia in South Africa: A Situational Analysis.Dementia (London, England) · 2024
    Article
  11. Article
  12. Cognitive determinants of decisional capacity in neurodegenerative disorders.Annals of clinical and translational neurology · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Inclusion of older adults in emergency department clinical research: Strategies to achieve a critical goal.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022
    Article
  18. Article
  19. Review
  20. Article
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.

Thomas GilbertGeriatric Department, Hospices Civils de Lyon, Lyon Sud Hospital, Pierre-Bénite, France.
Antoine BosquetInternal Medicine Unit, AP-HP - Louis Mourier Hospital, Colombes, France.
Catherine Thomas-AntérionPlein Ciel, Lyon, France.
Marc BonnefoyGeriatric Department, Hospices Civils de Lyon, Lyon Sud Hospital, Pierre-Bénite, France.
Olivia Le SauxGeriatric Department, Hospices Civils de Lyon, Lyon Sud Hospital, Pierre-Bénite, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe number of clinical trials including older patients, and particularly patients with cognitive impairment, is increasing. While statutory provisions exist to make sure that the capacity to consent is assessed systematically for each patient, many gray areas remain with regard to how this assessment is made or should be made in the routine practice of clinical research.

objectivesThe aim of this review was to draw up an inventory of assessment tools evaluating older patients' capacity to consent specifically applicable to clinical research, which could be used in routine practice.

methodsTwo authors independently searched PubMed, Cochrane, and Google Scholar data-bases between November 2015 and January 2016. The search was actualized in April 2017. We used keywords (MeSH terms and text words) referring to informed consent, capacity to consent, consent for research, research ethics, cognitive impairment, vulnerable older patients, and assessment tools. Existing reviews were also considered.

resultsAmong the numerous existing tools for assessing capacity to consent, 14 seemed potentially suited for clinical research and six were evaluated in older patients. The MacArthur Competence Assessment Tool for Clinical Research (MacCAT-CR) was the most frequently cited.

conclusionThe MacCAT-CR is currently the most used and the best validated questionnaire. However, it appears difficult to use and time-consuming. A more recent tool, the University of California Brief Assessment of Capacity to Consent (UBACC), seems interesting for routine practice because of its simplicity, relevance, and applicability in older patients.

Indexed as

ComprehensionMental CompetencyAgedCognition DisordersCognitive DysfunctionDecision MakingFemaleHumansInformed ConsentMaleSurveys and Questionnairesagedassessment toolsclinical researchdecision-making capacity

Identifiers

PMID29026293
PMCPMC5627738

What OpenQuestion holds

Textmetadata
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.