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Do I have enough time? The impact of recruiting patients to a randomised controlled trial at recruiting centres
Ist Teil von
British dental journal, 2012-11, Vol.213 (9), p.467-470
Ort / Verlag
London: Nature Publishing Group UK
Erscheinungsjahr
2012
Quelle
MEDLINE
Beschreibungen/Notizen
Key Points
Stresses that recruiting patients to a RCT has an impact on clinical time.
Quantifies the impact of recruiting patients to a large multicentre orthodontic trial.
Explores the amount of non-clinic time for research-related administrative tasks.
Provides useful information for researchers planning clinical trials and for their managers when considering becoming involved in a clinical trial.
Introduction
This paper explores the impact of recruiting patients to a randomised controlled trial (RCT) at recruiting centres. This large multicentre RCT examining the efficacy of chewing gum compared to ibuprofen in the relief of orthodontic pain was carried out across nine recruiting centres.
Method
The work diaries of clinicians and supporting staff at recruiting centres were analysed over a four-month period from September to December 2011. This quantified the amount of clinical and non-clinical time spent on research duties.
Results
Over this time period 98 patients were recruited across seven trial sites. On average, patient recruitment had a direct clinical impact of 19 minutes per patient recruited. The time commitment on trial administration outside the clinical sessions was much higher, averaging at 110 minutes per patient recruited, giving the overall time spent on the trial 129 minutes per patient.
Conclusions
This information will be valuable to lead researchers when calculating the full economic cost of a proposed clinical trial and therefore when applying for grant funding. It may also be valuable to clinicians and their managers when considering becoming a principle investigator (PI) in a RCT. Although the impact on clinical time was 19 minutes per patient recruited, there is a considerably higher (almost six times greater) time commitment in administration around the recruitment of patients.