Clinical correlates of the ability to consent to research participation in brain metastasis.

Clinical correlates of the ability to consent to research participation in brain metastasis.
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同意参与脑转移研究的能力的临床相关性。

DOI:
10.1002/pon.5487
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发表时间:
2020
期刊:
影响因子:
3.6
通讯作者:
Triebel,Kristen
Triebel,Kristen
中科院分区:
医学2区
文献类型:
--
作者:
Gerstenecker,Adam;Gammon,Meredith;Marotta,Dario;Fiveash,John;Nabors,Burt;Mulhauser,Kyler;Triebel,Kristen

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提供知情同意的能力受损在脑转移患者中很常见。然而,很少有人知道是什么因素导致这种损害的患者群体。我们的目标是确定人口统计学,认知和临床变量之间的关联是否与提供知情同意的能力,在人与braintransferation.MethodsWe管理一个全面的神经心理电池一组61人与脑转移。还收集了人口统计学和临床信息。所有诊断均由委员会认证的肿瘤学家做出,并经过组织学验证。统计分析包括皮尔逊积矩相关性,点二阶相关性,和线性regression.ResultsResults结果表明,教育,文字记忆,执行功能,全脑放射治疗和化疗的组合影响各个方面的能力,提供知情同意。随后的回归模型表明,这些变量贡献了显着的共享方差的能力,以提供知情consense.ConclusionWe发现,脑转移的人提供知情同意的能力是一个认知复杂的能力,也是受教育和治疗变量。这些信息可以帮助临床研究人员识别有脑转移风险的患者,以提供知情同意和协助同意过程。
ObjectiveImpairment in the ability to provide informed consent is common in persons with brain metastasis. However, little is known about what factors contribute to this impairment in the patient group. Our objective is to determine if the associations between demographic, cognitive, and clinical variables correlate with the ability to provide informed consent in persons with brain metastasis.MethodsWe administered a comprehensive neuropsychological battery to a group of 61 persons with brain metastasis. Demographic and clinical information was also collected. All diagnoses were made by board‐certified oncologists and were verified histologically. Statistical analyses included Pearson's product‐moment correlations, point biserial correlations, and linear regression.ResultsResults indicated that combinations of education, verbal memory, executive function, whole brain radiation therapy, and chemotherapy affected various aspects of the ability to provide informed consent. Subsequent regression models demonstrated that these variables contributed a significant amount of shared variance to the ability to provide informed consent.ConclusionWe found that the ability of persons with brain metastasis to provide informed consent is a cognitively complex ability that is also affected by education and treatment variables. This information can help clinical researchers in identifying persons with brain metastasis at risk of an impaired ability to provide informed consent and aid in the consenting process.
肠静脉曲张导致下消化道大量出血。
DOI: --
发表时间: 1979
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作者:
S. Wilson;R. Stone;J. Christie;E. Passaro
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作者:
S. W. Hosking;A. Johnson;H. Smart;D. Triger
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肝硬化患者十二指肠环静脉曲张导致大出血1
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发表时间: 1963
期刊:
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作者:
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DOI: --
发表时间: 1967
影响因子: 158.5
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DOI: --
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期刊: Journal of the American Medical Association (JAMA)
影响因子: --
作者:
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