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BMJ 2006;332:1155-1156 (13 May), doi:10.1136/bmj.332.7550.1155-c
| The first 150 words of the full text of this article appear below. |
EDITORThe stumbling block for clinical trials in both the developing and developed world is the same, enrolment.1 It is difficult to enrol patients into trials, and we rely on consent forms and the investigating doctor to protect patients.
Unknown to most patients, however, is the conflict of interest that exists at the time of enrolment. When I first started in general practice over 10 years ago I was asked to conduct pharmaceutical company research. The motivation to conduct this research was financial with the potential to earn £10 000 (
14 500; $18 500) on top of NHS income. This is still common, especially in the most deprived areas of the United Kingdom. I conducted the research and enrolled 10 patientsI told patients that I was being paid but did not disclose the amount.
Later I was again asked to act as an investigator in another trial. On
Des Spence, general practitioner
Glasgow G20 9DR destwo@yahoo.co.uk
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