ReviewBMJ global health2019
Emergency care research ethics in low-income and middle-income countries.
Review in BMJ global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06075108 (P-KIDs CARE), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled 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.
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.
P-KIDs CARE: An Intervention to Address Health Systems Delays to Care for Injured Children in Tanzania
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Research without prior consent procedure and intervention effect on mortality in critical care: a meta-epidemiological study of randomized controlled trials.Critical care (London, England) · 2025Pooled it
- A Characterization of Pediatric Burn Injury Patients Presenting to a Zonal Referral Hospital in Northern Tanzania.Journal of burn care & research : official publication of the American Burn Association · 2026Observational
- Ethical approval processes for research during public health emergencies in Africa: Experiences from a multicountry mpox study.Journal of public health in Africa · 2026Article
- Article
- Inclusion of older adults and reporting of consent processes in randomized controlled trials in the emergency department: A scoping review.Journal of the American College of Emergency Physicians open · 2022Article
- Out-of-hospital cardiac arrest in Africa: a scoping review.BMJ open · 2022Article
- The ethical considerations for emergency care research in low- and middle-income countries: A scoping review of the published literature.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
- The acceptability of delayed consent for prehospital emergency care research in the Western Cape province of South Africa.PloS one · 2022Article
- Pediatric Critical Care in Resource Limited Settings-Lessening the Gap Through Ongoing Collaboration, Advancement in Research and Technological Innovations.Frontiers in pediatrics · 2021Review
- Ethical Dimensions of Public Health Actions and Policies With Special Focus on COVID-19.Frontiers in public health · 2021Review
- Harnessing inter-disciplinary collaboration to improve emergency care in low- and middle-income countries (LMICs): results of research prioritisation setting exercise.BMC emergency medicine · 2020Article
- Challenges and strategies to research ethics in conducting COVID-19 research.Journal of evidence-based medicine · 2020Article
- Advancing research on emergency care systems in low-income and middle-income countries: ensuring high-quality care delivery systems.BMJ global health · 2019Review
- Emergency care research as a global health priority: key scientific opportunities and challenges.BMJ global health · 2019Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A large proportion of the total global burden of disease is caused by emergency medical conditions. Emergency care research is essential to improving emergency medicine but this research can raise some distinctive ethical challenges, especially with regard to (1) standard of care and risk-benefit assessment; (2) blurring of the roles of clinician and researcher; (3) enrolment of populations with intersecting vulnerabilities; (4) fair participant selection; (5) quality of consent; and (6) community engagement. Despite the importance of research to improve emergency care in low-income and middle-income countries (LMICs) and the widely acknowledged ethical challenges, very little has been written on the ethics of emergency care research in LMICs. This paper examines the ethical and regulatory challenges to conducting emergency care research with human participants in LMICs. We outline key challenges, present potential solutions or frameworks for addressing these challenges, and identify gaps. Despite the ethical and regulatory challenges, conducting high-quality, ethical emergency care research in LMICs is possible and it is essential for global health.
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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.