Phase I cancer trials -: A collusion of misunderstanding

被引:96
作者
Miller, M [1 ]
机构
[1] Harvard Univ, Sch Publ Hlth, Cambridge, MA 02138 USA
关键词
D O I
10.2307/3527646
中图分类号
B82 [伦理学(道德学)];
学科分类号
摘要
Physician-investigators face the daunting task of enrolling desperate patients into Phase I cancer trials that are not meant to be therapeutic. Patients doggedly regard the trials as therapeutic, and researchers tend to collaborate in their confusion by glossing the trials' true purposes and noting the occasional benefit that subjects accidentally receive. The disparity between hope and fact must be redressed by degrees, from many angles at once.
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页码:34 / 43
页数:10
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共 50 条
[1]  
Allen-Mersh T., 1997, CANC PRINCIPLES PRAC
[2]   FALSE HOPES AND BEST DATA - CONSENT TO RESEARCH AND THE THERAPEUTIC MISCONCEPTION [J].
APPELBAUM, PS ;
ROTH, LH ;
LIDZ, CW ;
BENSON, P ;
WINSLADE, W .
HASTINGS CENTER REPORT, 1987, 17 (02) :20-24
[3]   ASSESSING PATIENTS CAPACITIES TO CONSENT TO TREATMENT [J].
APPELBAUM, PS ;
GRISSO, T .
NEW ENGLAND JOURNAL OF MEDICINE, 1988, 319 (25) :1635-1638
[4]  
Appelbaum PS, 1989, NEW ENGL J MED, V320, P748
[5]  
Arbuck SG, 1996, ANN ONCOL, V7, P567
[6]  
ARNOLD J, 1976, RES INVOLVING PRISON
[7]  
AZARNOFF DL, 1972, CLIN PHARMACOL THER, V13, P796
[8]  
BERDEL WE, 1988, ANTICANCER RES, V8, P313
[9]   CONTINUOUS IMPROVEMENT AS AN IDEAL IN HEALTH-CARE [J].
BERWICK, DM .
NEW ENGLAND JOURNAL OF MEDICINE, 1989, 320 (01) :53-56
[10]  
BLACKWELL B, 1972, CLIN PHARMACOL THER, V13, P812