New England Journal of Medicine · 2018 · 246 citations · 40 references
Health ProfessionsHealth InformaticsClinical Data ManagementClinical Trial RegulationData EthicsClinical TrialsData ConfidentialityData IntegrityData SharingParticipant ConfidentialityParticipant PrivacyClinical Data SharingClinical Trial Data IntegrityClinical Trial OversightClinical Trial PrivacyConfidentiality In Clinical TrialsData Privacy In TrialsData Sharing Risk ManagementParticipant Data Rights
Background Sharing of participant-level clinical trial data has potential benefits, but concerns about potential harms to research participants have led some pharmaceutical sponsors and investigators to urge caution. Little is known about clinical trial participants' perceptions of the risks of data sharing. Methods We conducted a structured survey of 771 current and recent participants from a diverse sample of clinical trials at three academic medical centers in the United States. Surveys were distributed by mail (350 completed surveys) and in clinic waiting rooms (421 completed surveys) (overall response rate, 79%). Results Less than 8% of respondents felt that the potential negative consequences of data sharing outweighed the benefits. A total of 93% were very or somewhat likely to allow their own data to be shared with university scientists, and 82% were very or somewhat likely to share with scientists in for-profit companies. Willingness to share data did not vary appreciably with the purpose for which the data would be used, with the exception that fewer participants were willing to share their data for use in litigation. The respondents' greatest concerns were that data sharing might make others less willing to enroll in clinical trials (37% very or somewhat concerned), that data would be used for marketing purposes (34%), or that data could be stolen (30%). Less concern was expressed about discrimination (22%) and exploitation of data for profit (20%). Conclusions In our study, few clinical trial participants had strong concerns about the risks of data sharing. Provided that adequate security safeguards were in place, most participants were willing to share their data for a wide range of uses. (Funded by the Greenwall Foundation.).
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Paul A. Harris, Robert Taylor, Robert J. Thielke et al. · Journal of Biomedical Informatics · 2008 · 51.7K citations · Full text
Saskia C. Sanderson, Kyle B. Brothers, Nathaniel D. Mercaldo et al. · The American Journal of Human Genetics · 2017 · 258 citations · Full text