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Phase 1 clinical tr...
Phase 1 clinical trials in end-stage cancer : patient understanding of trial premises and motives for participation
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- Godskesen, Tove (författare)
- Uppsala universitet,Centrum för forsknings- och bioetik,Ersta Sköndal University College
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- Nygren, Peter (författare)
- Uppsala universitet,Enheten för onkologi
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- Nordin, Karin (författare)
- Uppsala universitet,Vårdvetenskap,Uppsala universitet; University of Bergen, Norway
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- Hansson, Mats (författare)
- Uppsala universitet,Centrum för forsknings- och bioetik
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- Kihlbom, Ulrik (författare)
- Uppsala universitet,Centrum för forsknings- och bioetik
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(creator_code:org_t)
- 2013-07-18
- 2013
- Engelska.
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Ingår i: Supportive Care in Cancer. - : Springer. - 0941-4355 .- 1433-7339. ; 21:11, s. 3137-3142
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- BACKGROUND: In cancer, phase 1 clinical trials on new drugs mostly involve patients with advanced disease that is unresponsive to standard therapy. The purpose of this study was to explore the difficult ethical problems related to patient information and motives for participation in such trials.METHOD: A descriptive and explorative qualitative design was used. Fourteen cancer patients from three different phase 1 trials in end-stage cancer were interviewed. The interviews were analysed using qualitative content analysis.RESULTS: The patients expressed unrealistic expectations of therapeutic benefit and inadequate understanding of the trials' purpose, so-called therapeutic misconception. However, they reported a positive attitude towards participation. Thus, the patients valued the close and unique medical and psychological attention they received by participating. Participation also made them feel unique and notable.CONCLUSIONS: Patients with end-stage cancer participating in phase 1 clinical trials are unaware of the very small potential for treatment benefit and the risk of harm. Trial participation may offer hope and social-emotional support and a strategy for coping with the emotional stress associated with advanced cancer and may, consequently, improve emotional well-being.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Medicinsk etik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Medical Ethics (hsv//eng)
Nyckelord
- Cancer
- Clinical trials
- Ethics
- Sweden
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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