Research imperative

There is a note of caution expressed when clinical care providers enroll their own patients into investigational trials, a concern expressed in the called dual-role consent. There is concern that this circumstance may create a conflict of interest for the physician-investigator, lead to loss of pati...

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Main Author: Howard Trachtman
Format: Article
Language:English
Published: Elsevier 2019-06-01
Series:Contemporary Clinical Trials Communications
Online Access:http://www.sciencedirect.com/science/article/pii/S2451865419300055
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author Howard Trachtman
author_facet Howard Trachtman
author_sort Howard Trachtman
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description There is a note of caution expressed when clinical care providers enroll their own patients into investigational trials, a concern expressed in the called dual-role consent. There is concern that this circumstance may create a conflict of interest for the physician-investigator, lead to loss of patient voluntarism, and promote the therapeutic misconceptions. In this opinion paper, I review the circumstances surrounding participation in clinical research and the conduct of standard patient care. I propose that when a patient is eligible for an institutional review board-approved clinical trial, instead of representing a potential ethical lapse, soliciting enrollment by the clinician-researcher may represent optimal care for the patient.
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spelling doaj.art-c428e730091043ad81d3f3f9b5071ba62022-12-22T01:40:34ZengElsevierContemporary Clinical Trials Communications2451-86542019-06-0114Research imperativeHoward Trachtman0403 E34th Street, Room 1-02, New York, NY, 10016, USA; Department of Pediatrics, Division of Nephrology, NYU, Langone Health, New York, NY, 10016, USAThere is a note of caution expressed when clinical care providers enroll their own patients into investigational trials, a concern expressed in the called dual-role consent. There is concern that this circumstance may create a conflict of interest for the physician-investigator, lead to loss of patient voluntarism, and promote the therapeutic misconceptions. In this opinion paper, I review the circumstances surrounding participation in clinical research and the conduct of standard patient care. I propose that when a patient is eligible for an institutional review board-approved clinical trial, instead of representing a potential ethical lapse, soliciting enrollment by the clinician-researcher may represent optimal care for the patient.http://www.sciencedirect.com/science/article/pii/S2451865419300055
spellingShingle Howard Trachtman
Research imperative
Contemporary Clinical Trials Communications
title Research imperative
title_full Research imperative
title_fullStr Research imperative
title_full_unstemmed Research imperative
title_short Research imperative
title_sort research imperative
url http://www.sciencedirect.com/science/article/pii/S2451865419300055
work_keys_str_mv AT howardtrachtman researchimperative