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Clinical trials: do the patients get the thanks they deserve?
Anthony B, Bhatia R
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Introduction
• Patient-centric initiatives are becoming more common
• On 10 June, 2014, The BMJ launched a new strategy to promote patient partnership
• The BMJ will assess whether patient-dependent articles (i.e., using patient data) address the questions in theTable1,2
Questions asked by The BMJ from authors of patient-focused research1,2
1. Did you involve patients/service users/carers/lay people in the design of this study?
2. Was the development and/or selection of outcome measures informed by patients’ priorities and experiences?
3. Were patients/service users/carers/lay people involved in developing plans for participant recruitment and study conduct? If so, please specify how?
4. Have you planned to disseminate the results of the study to participants? If so, how will this be done?
5. Are patients thanked in the contributorship statement or acknowledgements?
6. For articles reporting randomised-controlled trials, did you assess the burden of the intervention on patients’ quality of life and health? If so, what evaluation method did you use, and what did you find?
21The BMJ author guide accessed on December 4, 2014, at http://www.bmj.com/about-bmj/resourcesauthors/ article-types/research
2Richards T, Godlee F. 2014. The BMJ’s own patient journey.BMJ:348:g3726
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Introduction
• Patient-centric initiatives are becoming more common
• On 10 June, 2014, The BMJ launched a new strategy to promote patient partnership
• The BMJ will assess whether patient-dependent articles (i.e., using patient data) address the questions in theTable1,2
Questions asked by The BMJ from authors of patient-focused research1,2
1. Did you involve patients/service users/carers/lay people in the design of this study?
2. Was the development and/or selection of outcome measures informed by patients’ priorities and experiences?
3. Were patients/service users/carers/lay people involved in developing plans for participant recruitment and study conduct? If so, please specify how?
4. Have you planned to disseminate the results of the study to participants? If so, how will this be done?
5. Are patients thanked in the contributorship statement or acknowledgements?
6. For articles reporting randomised-controlled trials, did you assess the burden of the intervention on patients’ quality of life and health? If so, what evaluation method did you use, and what did you find?
31The BMJ author guide accessed on December 4, 2014, at http://www.bmj.com/about-bmj/resourcesauthors/ article-types/research
2Richards T, Godlee F. 2014. The BMJ’s own patient journey.BMJ:348:g3726
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Purpose
4
To investigate how often patients are thanked in patient-dependent publications in The BMJ
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Methods
5
Publications dependent on patient data
identified
Publications assessed
Further categorization of
acknowledgements
● We conducted a search in PubMed in August 2014, limited to the journal field for “BMJ”
● The search was ordered by most recent publications first
● Acknowledgements
– Thanking patients
– Thanking others
● Funding source
● Study design
● Patient population
● Therapeutic area
● Geographical location
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Results: patient acknowledgements
6
~50% of patient-dependant manuscripts thanked the patients
• Of 125 articles investigated,– 87 (69.6%) were randomised-controlled trials
– 94 (75.2%) involved adult-only populations and 17 (13.6%) paediatric-only populations
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Results: acknowledgement by group
7
0 20 40 60
Funders
Clin Trial Centre / Clinic / Doctors
Statistical / Data
Patients / Subjects
Collaborators
Clin Trial Worker / Centre workers / Study nurses
Acknowledged (%)
Patients were only the 3rd most commonly thanked group
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Results: patient population
8
0
20
40
60
80
Adults Children MixedA
ckn
ow
led
ged
(%)
• A total of 39/94 (41.5%) adult-only population studies thanked patients– Of 17 studies involving only
paediatric patients, 13 (76.5%) thanked patients
– In mixed population studies, 8/14 (57.1%) studies thanked the patient group for their data
Paediatric patients were the most commonly thanked population
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Results: therapeutic area
9
0 10 20 30 40 50 60 70 80 90
Oncology
Cardiology/Vascular disease
Infectious disease
Other
Psycology/Psychiatry
Obstetrics/Gynaecology
Respiratory medicine
Physical medicine/Rehabilitation
Paediatrics
Managed care/Pharmacoeconomics
Acknowledged (%)
Few papers in the Oncology therapeutic area thanked patients for their data
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Results: patient acknowledgement by geographical location
10
The RoW-based manuscripts most commonly thanked patients
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Conclusions
11
• In patient-focused publications in The BMJ, patients were thanked ~50% of the time
• Publications were more likely to include a thank you to patients if:– The study population included paediatric patients
– If the therapeutic area was Managed care/Pharmacoeconomics or Paediatrics
– If the corresponding authors was based in the RoW
• Publication professionals could use our results to highlight to authors and sponsors the importance of thanking patients in patient-dependent publications
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Acknowledgements
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We would like to acknowledge The BMJ for its leadership in recognizing the importance of patients in the research and publication process. In addition, we would like to thank Cara Coffey, BA, CMPP, Jeanette Cook, PhD, CMPP, and Karen Woolley, PhD, CMPP, of Envision Pharma Group for their feedback on our study, as well as our graphics colleagues for making the slides look pretty. We are also grateful to the ISMPP attendees at the European and Annual meetings for voting the poster “poster most reflective of the meeting theme” and “best original research”, respectively.