Evidence map›Paper›PMID 34949637›Full record

ArticleArchives of disease in childhood. Fetal and neonatal edition2023

Implementing two-stage consent pathway in neonatal trials.

Eleanor Mitchell, Sam J Oddie, Jon Dorling, Chris Gale, Mark John Johnson, William McGuire, Shalini Ojha

Abstract read
In one paragraph

Article in Archives of disease in childhood. Fetal and neonatal edition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Eleanor MitchellNottingham Clinical Trials Unit, School of Medicine, University of Nottingham, Nottingham, UK eleanor.mitchell@nottingham.ac.uk.ORCID http://orcid.org/0000-0002-6998-4533
Sam J OddieDepartment of Neonatal Medicine, Bradford Teaching Hospitals NHS Foundation Trust, West Yorkshire, UK.ORCID http://orcid.org/0000-0001-8701-4912
Jon DorlingDepartment of Neonatal Medicine, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Chris GaleNeonatal Medicine, School of Public Health, Faculty of Medicine, Imperial College London, London, UK.ORCID http://orcid.org/0000-0003-0707-876X
Mark John JohnsonDepartment of Neonatal Medicine, University Hospital Southampton NHS Foundation Trust, Southampton, UK.ORCID http://orcid.org/0000-0003-1829-9912
William McGuireCentre for Reviews and Dissemination, University of York, York, UK.
Shalini OjhaPopulation and Applied Health Sciences, School of Medicine, University of Nottingham, Nottingham, UK.ORCID http://orcid.org/0000-0001-5668-4227

Funding

Medical Research Council MR/N008405/1
6 · The paper itself

Abstract

Perinatal trials sometimes require rapid recruitment processes to facilitate inclusion of participants when interventions are time-critical. A two-stage consent pathway has been used in some trials and is supported by national guidance. This pathway includes seeking oral assent for participation during the time-critical period followed by informed written consent later. This approach is being used in the fluids exclusively enteral from day one (FEED1) trial where participants need to be randomised within 3 hours of birth. There is some apprehension about approaching parents for participation via the oral assent pathway. The main reasons for this are consistent with previous research: lack of a written record, lack of standardised information and unfamiliarity with the process. Here, we describe how the pathway has been implemented in the FEED1 trial and the steps the trial team have taken to support sites. We provide recommendations for future trials to consider if they are considering implementing a similar pathway. Trial registration number: ISRCTN89654042.

Indexed as

Informed ConsentParentsFemaleHumansInfant, NewbornPregnancyRandomized Controlled Trials as Topicethicsintensive care unitsneonatalneonatology

Identifiers

PMID34949637
PMCPMC9763226

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.