Prospective integration of cultural consideration in biomedical research for patients with advanced cancer: recommendations from an international conference on malignant bowel obstruction in palliative care.

Prospective integration of cultural consideration in biomedical research for patients with advanced cancer: recommendations from an international conference on malignant bowel obstruction in palliative care.
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在晚期癌症患者的生物医学研究中前瞻性地整合文化考虑:姑息治疗中恶性肠梗阻国际会议的建议。

DOI:
10.1016/j.jpainsymman.2007.04.009
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发表时间:
2007
影响因子:
4.7
通讯作者:
Krouse,RobertS
Krouse,RobertS
中科院分区:
医学2区
文献类型:
--
作者:
Fineberg,IrisCohen;Grant,Marcia;Aziz,NoreenM;Payne,Richard;Kagawa-Singer,Marjorie;Dunn,GeoffreyP;Kinzbrunner,BarryM;Palos,Guadalupe;Shinagawa,SusanMatsuko;Krouse,RobertS

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In the setting of an international conference on malignant bowel obstruction as a model for randomized controlled trials (RCTs) in palliative care, we discuss the importance of incorporating prospective cultural considerations into research design. The approach commonly used in biomedical research has traditionally valued the RCT as the ultimate “way of knowing” about how to best treat a medical condition. The foremost limitation of this approach is the lack of recognition of the impact of cultural viewpoints on research outcomes. We propose that interest relevant to cultural viewpoints should be emphasized in conceptualizing and interpreting research questions, designs, and results. In addition to recognizing our cultural biases as individuals and researchers, we recommend two major shifts in designing and implementing RCTs: 1) inclusion of a multidisciplinary team of researchers to inform the diversity of perspectives and expertise brought to the research, and 2) use of mixed methods of inquiry, reflecting both deductive and inductive modes of inference.
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