Gatekeeping in cancer clinical trials in Canada: The ethics of recruiting the "ideal" patient.
Jennifer A H BellMary T KellyKaren GelmonKim ChiAnita HoPatricia RodneyLynda G BalneavesPublished in: Cancer medicine (2020)
CT personnel discussed navigating ethical challenges in CT recruitment by offering enrollment to specific patient populations, exacerbating other ethical tensions. Systems-level strategies are needed to address barriers to ethical CT recruitment. Future research should investigate the role of policies and/or tools (eg, decision aids) to support patients and CT personnel's discussions about CT participation, promote more ethical recruitment, and potentially increase accrual.
Keyphrases
- image quality
- dual energy
- computed tomography
- contrast enhanced
- clinical trial
- decision making
- public health
- positron emission tomography
- end stage renal disease
- case report
- magnetic resonance imaging
- ejection fraction
- randomized controlled trial
- healthcare
- newly diagnosed
- prognostic factors
- physical activity
- peritoneal dialysis
- big data
- squamous cell carcinoma
- health insurance
- young adults
- phase ii
- deep learning
- squamous cell
- artificial intelligence
- antiretroviral therapy