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In phase I trials, some biospecimens are used both for research and patient care and some for research only. Some research participants have therapeutic misconception, assuming all biospecimens are for patient care. This study's aim was to test if a simple information chart would improve understanding of nontherapeutic research procedures. A two-arm study was conducted. Participants in the control group (C) were asked whether biospecimens were for their care, for research only, or for both. The experimental group (E) was asked the same questions but provided with a study-specific information chart labeling the purpose of each biospecimen. One hundred one patients were interviewed. In both arms, understanding that pretreatment blood draws were for patient care and research was moderate (49% for C and 62% for E). Understanding that posttreatment blood draws were for research only was significantly higher in the experimental arm (16% for C and 44% for E; p = 0.002). Providing a simple information chart may help alleviate this aspect of therapeutic misconception.
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http://dx.doi.org/10.1002/eahr.500120 | DOI Listing |
HSS J
August 2025
Uniformed Services University, Bethesda, MD, USA.
The possibility of modifying disease through regenerative medicine applications, particularly stem cell therapies, raises ethical and regulatory challenges in orthopedics. This review article provides historical context of stem cell research, ethical issues such as informed consent, therapeutic misconception, and equitable access, emphasizing the responsibilities of providers offering investigational treatments. It also examines the evolving role of the U.
View Article and Find Full Text PDFNeuroethics
July 2025
University of Minnesota, Minneapolis, MN USA.
Introduction: New, highly portable MRI (pMRI) technology promises to revolutionize brain research by facilitating field-based studies that can expand research to new settings beyond the traditional MRI suite in a medical center. At this early stage of development, understanding public knowledge and attitudes about pMRI research is crucial.
Objective: In this article we present the first empirical study of the general public's willingness to participate in pMRI research, and their perceptions of expected benefits and concerns.
Indian J Thorac Cardiovasc Surg
August 2025
Department of Cardiothoracic Surgery, Baylor Scott and White Medical Center Temple, 2401 S 31St Street, Temple, TX 76508 USA.
Managing adult patients with congenital heart disease (CHD) presents unique diagnostic as well as therapeutic challenges due to their altered anatomy, complex physiology, and lack of surgical records. We present a case of pseudo-paravalvular leakage after mitral valve (MV) replacement. The patient was a 46-year-old female who presented with severe mitral regurgitation, pulmonary hypertension, and single-vessel coronary artery disease.
View Article and Find Full Text PDFNat Rev Cardiol
July 2025
Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
A misconception persisting among the scientific and clinical communities relates to the correlation between arterial stenosis and acute ischaemic events, including myocardial infarction and cerebral stroke. This Perspective article challenges the approach that most of the current guidelines codify, which is based on the concept that occlusive arterial stenosis generally provokes ischaemic events. We highlight the mechanistic differences between chronic or inducible ischaemia caused by flow-limiting stenoses and acute thrombotic events and question the traditional reliance on stenosis grading as a biomarker for therapeutic decision-making that many guidelines enshrine.
View Article and Find Full Text PDFBMC Med Ethics
July 2025
University Hospital Centre of Bordeaux, Bordeaux, France.
Background: Therapeutic misconception (TM) among research participants refers to the conflation of research goals (generating generalisable knowledge) with clinical care goals (making the best decisions for the participants). Considering the high volume of oncology research, oncologists frequently encounter TM.
Aim: To evaluate the knowledge, practices, and ethical concerns of French oncologists regarding TM.