Reasons for accepting or declining to participate in randomized clinical trials for cancer therapy
2000

Reasons for Participating in Cancer Trials

Sample size: 204 publication Evidence: moderate

Author Information

Author(s): Jenkins V, Fallowfield L

Primary Institution: CRC Psychosocial Oncology Group, Royal Free and University College London Medical School

Hypothesis

What factors influence patients' decisions to accept or decline participation in randomized clinical trials for cancer therapy?

Conclusion

Patients are more likely to participate in cancer trials if they trust their doctor and if the trial offers active treatment.

Supporting Evidence

  • 72.1% of patients accepted entry to a randomized clinical trial.
  • 23.1% of patients participated because they believed others would benefit.
  • 21.1% of patients participated due to trust in their doctor.
  • 19.6% of patients declined participation because they were worried about randomization.
  • Acceptance rate was higher for trials providing active treatment in every arm.

Takeaway

This study found that many patients join cancer trials because they want to help others and trust their doctors, but some are scared of being randomly assigned to a group.

Methodology

Patients completed a 16-item questionnaire after consultations about trial participation.

Participant Demographics

112 (55%) were women with breast cancer.

Statistical Information

P-Value

0.003

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1054/bjoc.2000.1142

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