Clinician-researcher's perspectives on clinical research during the COVID19 pandemic.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2020
Historique:
received: 09 07 2020
accepted: 23 11 2020
entrez: 9 12 2020
pubmed: 10 12 2020
medline: 22 12 2020
Statut: epublish

Résumé

The outcome of well-performed clinical research is essential for evidence-based patient management during pandemics. However, conducting clinical research amidst a pandemic requires researchers to balance clinical and research demands. We seek to understand the values, experiences, and beliefs of physicians working at the onset of the COVID-19 pandemic in order to inform clinical research planning. We aim to understand whether pandemic settings affect physician comfort with research practices, and how physician experiences shape their understanding of research in a pandemic setting. A survey tool was adapted to evaluate familiarity and comfort with research during a pandemic. A cross-sectional, online questionnaire was distributed across Canadian research networks early in the COVID-19 outbreak. The survey was administered between March 11th and 17th, 2020, during a time of local transmission but prior to the surge of cases. We aimed to recruit into the survey physicians in infectious disease and critical care research networks across Canada. Of the 133 physician respondents, 131 (98%) considered it important to conduct clinical research during the COVID-19 pandemic. Respondents were more accepting of adaptations to the research process in during a pandemic compared to in a non-pandemic setting, including conducting research with deferred consent (χ2 = 8.941, 95% CI: -0.264, -0.085, p = 0.003), using non-identifiable observational data with a waiver of consent with a median score of 97 out of 100 (IQR: 79.25-100) vs median 87 out of 100 (IQR: 63-79) (95% CI: -12.43, 0.054, p = 0.052). The majority felt that research quality is not compromised during pandemics. Physicians consider it important to conduct research during a pandemic, highlighting the need to expedite research activities in pandemic settings. Respondents were more accepting of adaptations to the research process for research conducted during a pandemic, compared to that conducted in its absence of a pandemic.

Identifiants

pubmed: 33296427
doi: 10.1371/journal.pone.0243525
pii: PONE-D-20-21338
pmc: PMC7725301
doi:

Types de publication

Evaluation Study Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0243525

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

Am J Bioeth. 2020 Jun;20(5):1-3
pubmed: 32364478
Crit Care Med. 2018 Mar;46(3):442-446
pubmed: 29474325
Crit Care Med. 2013 Apr;41(4):1009-16
pubmed: 23385105
CMAJ. 2008 Jul 29;179(3):245-52
pubmed: 18663204
Aust Crit Care. 2020 Jul;33(4):309-310
pubmed: 32684313
J Crit Care. 2017 Aug;40:7-10
pubmed: 28288355
N Engl J Med. 2013 Mar 28;368(13):1251-5
pubmed: 23534565
Clin Microbiol Infect. 2012 Mar;18(3):E55-62
pubmed: 22264321
J Biomed Inform. 2009 Apr;42(2):377-81
pubmed: 18929686
Crit Care Med. 2010 Apr;38(4 Suppl):e138-42
pubmed: 20029349
Respir Care. 2004 Oct;49(10):1181-5
pubmed: 15447800
BMC Public Health. 2011 Jan 06;11(1):15
pubmed: 21211000
J Cardiovasc Med (Hagerstown). 2020 Nov;21(11):841-844
pubmed: 32858645
Clin Infect Dis. 2018 Jul 18;67(3):341-349
pubmed: 29746631
J Infect. 2009 Aug;59(2):122-7
pubmed: 19592114
N S W Public Health Bull. 2012 May-Jun;23(5-6):108-10
pubmed: 22738620
Public Health. 2019 Dec;177:80-94
pubmed: 31557667
Asia Pac Fam Med. 2008 Nov 13;7(1):5
pubmed: 19014538
Ann Acad Med Singap. 2010 Apr;39(4):303-4
pubmed: 20473456
Intensive Care Med. 2012 Jan;38(1):29-39
pubmed: 22120766
Comput Math Methods Med. 2012;2012:978901
pubmed: 22649483
Ann Am Thorac Soc. 2020 Jul;17(7):879-891
pubmed: 32267771

Auteurs

Sarah L Silverberg (SL)

Department of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada.

Lisa M Puchalski Ritchie (LM)

Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
Department of Emergency Medicine, University Health Network, Toronto, Ontario, Canada.
Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.

Nina Gobat (N)

Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.

Alistair Nichol (A)

Clinical Research Centre, St. Vincent's University Hospital, University College Dublin, Dublin, Ireland.
Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Australia.
The Alfred Hospital Intensive Care Unit, Melbourne, Australia.

Srinivas Murthy (S)

Department of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH