THE CONSENT FORM AS A POSSIBLE CAUSE OF SIDE-EFFECTS
THE CONSENT FORM AS A POSSIBLE CAUSE OF SIDE-EFFECTS
复制标题
DOI:
10.1038/clpt.1987.142
复制
发表时间:
1987-09-01
影响因子:
6.7
通讯作者:
SINGER, J
中科院分区:
文献类型:
--
作者:
MYERS, MG;CAIRNS, JA;SINGER, J
In a multicenter trial of aspirin or sulfinpyrazone in the treatment of unstable angina, we examined the possible importance to the outcome of mentioning potential side effects in the consent form. Inclusion, in two of the three centers, of a statement outlining possible gastrointestinal side effects resulted in a sixfold increase (P < 0.001) in the number of subjects in these centers withdrawing from the study because of subjective, minor gastrointestinal symptoms. Major gastrointestinal complications such as peptic ulcer or bleeding as diagnosed by study physicians were similar in the three centers. Furthermore, no patients discontinued therapy because of subjective, nongastrointestinal side effects. Post hoc analysis suggests that the inclusion of gastrointestinal side effects in the consent form may have increased the likelihood of patients attributing gastrointestinal symptoms to drug therapy, leading to subsequent withdrawal from the study.