Informed Consent Discussions Often Miss Key Topics

In discussion of clinical trials, prognosis often omitted; patients likely to misinterpret info

MONDAY, Nov. 29 (HealthDay News) -- When oncologists and cancer patients discuss informed consent for clinical trial participation, oncologists may leave out key topics, while patients may interpret information incorrectly, according to a study published online Nov. 22 in the Journal of Clinical Oncology.

Valerie Jenkins, Ph.D., of the University of Sussex in Brighton, U.K., and colleagues recorded informed consent conversations between 17 oncologists and 52 patients. After the conversations, the oncologists completed questionnaires on the topics they had discussed, while the researchers interviewed the patients to test their recall and understanding of the conversation. Both patients and oncologists also completed the Life Orientation Test-Revised questionnaire to determine post-conversation optimism.

The researchers found that information was either missing or had been explained but was misinterpreted by patients in several key areas. Discussion of prognosis was frequently omitted; coders and patients were significantly more likely to agree that oncologists had not discussed it. However, coders and oncologists were significantly more likely to agree that alternate care plans to trial entry had been explained.

"These data indicate that fundamental components of communication and information sharing about phase I trial participation are often missing from interviews. Important omissions included discussion of prognosis and ensuring patient understanding about supportive care," the authors write.

Full Text (subscription or payment may be required)

Copyright © 2010 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95

The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95

Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95

More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.

Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.

Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.

More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events