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Tell our charities: QMUL must release PACE data

BurnA

Senior Member
Messages
2,087
I wonder if these patients contacting AfME were anonymous patients ? Hmmmmm
Next reply from AfME...

We cannot confirm if the patients informing us that their anonymous data should not be shared, were actually PACE trial participants or not, as they wish to remain anonymous.
 
Messages
55
I thank AfME for keeping patients updated as this situation moves forward.

My view, that I will be expressing to AfME who I have been in communications with, is that some individual patient participants may well feel they did not give consent for such de-identified data to be released, and I understand they are upset in principle that the consent form they signed did not mention this. But actually by taking part in a trial under data protection laws as they are, that consent was never required for de-identified data to be released. It is normal for de-identified data to be released and it was always subject to potential release under FOI law. Without that it is difficult for trials to have much value. Release is safe because patients cannot be identified.

Indeed, the PACE authors have already released some of the de-identified data. Both in their published papers and to an outside research team who are currently writing a paper for publication. So the PACE authors themselves have already broken their agreement if we look at their agreement the way the PACE authors say they want it looked at. Have AfME made the patient partiiciapants aware that some IPD have already been released without consent being requested?

I sympathise with patient participants who may not feel they can trust the PACE authors anymore, and that may be part of the reason why they just want to say no, please keep things as they are. And if they have read any of the statements from QMUL it is likely they are under the false impression that the data release would lead to them being identified, but this is not true; the information commissioner has already rejected QMUL's asserions on this matter - still I could understand if a patient participant felt uncertain given the scaremongering QMUL have put about. And who knows what QMUL have said to them in private!

But as it is not true that patients can be identified from the de-identified data we're talking about here, that is why the reality is that patient consent is not required for the release of de-identified data (we're talking about things like numbers of steps taken, not names or postcodes).

Despite a small number of patient participants rightly feeling this process has been mismanaged by QMUL -- and I think QMUL should appologise to them for that mismanagement -- there is no actual risk to these individual patient participants who have raised these concerns and as there are tens of thousands of patients who want the data to be released, and so release would clearly still be in the interest of the vast majority of patients, AfME should clearly support that.

If you are a patient yourself (or even a patient participant from the trial), a carer, or advocate, and you want the data released, then I encourage you to contact AfME if you have not already done so..
 
Last edited:

Bob

Senior Member
Messages
16,455
Location
England (south coast)
Nice find but that particular clause is about consenting to medical records (eg, G.P. or hospital records) to be accessed by those running the trial or regulating the trial.

I don't see any statements on the consent form that expressly give or forbid consent for trial data to be released or shared with other researchers.

Anyone here with a legal background?
Yep, I absolutely agree with your interpretation. The consent agreement applies to medical notes.
 

Scarecrow

Revolting Peasant
Messages
1,904
Location
Scotland
Yep, I absolutely agree with your interpretation. The consent agreement applies to medical notes.
Sorry, I see that was actually the point you made to LS: it was the reference to 'data sharing' that threw me. Jumped to conclusions. Not for the first time, won't be the last. ;)
 

Bob

Senior Member
Messages
16,455
Location
England (south coast)
Sorry, I see that was actually the point you made to LS: it was the reference to 'data sharing' that threw me. Jumped to conclusions. Not for the first time, won't be the last. ;)
Yes, it requires a bit of interpretation, doesn't it. It's difficult to articulate all the information in a single tweet! I took ages to write that tweet! Hope others will have interpreted it the way it was meant.
 
Messages
171
Location
London
This document addresses expectations for open sharing of anonymized data sets of MRC funded trials, thereby through the act of patients consenting to take part in such a trial surely they would be subject to these rules:

http://www.mrc.ac.uk/publications/b...rch-data-from-population-and-patient-studies/

Only specific consent from the patient would likely be required in the instance that the data being shared was not anonymized and personally identifiable.
 

Snowdrop

Rebel without a biscuit
Messages
2,933
haven't read pg's 3/4 here but I know that there are patients that support AfME despite knowing their stance on the issue.
Not at all surprised at AfME's response. Would very much like to know what interests these patients feel are being served by supporting AfME.
Of course they will remain anonymous.
 

Snowdrop

Rebel without a biscuit
Messages
2,933
It makes no sense. It's anonymised data. How could any reasonably sane person not want their anonymised data released ? These people signed up for a trial so they knew their data would be analysed, why would they object to it being analysed again anonymously.

Without that it is difficult for trials to have much value. Release is safe because patients cannot be identified.

AfME's statement/response to query is a not on point. It's meaningless.
The question is: who is still supporting them and why?
 

Snowdrop

Rebel without a biscuit
Messages
2,933
If QMUL are forced to release data I would start to worry that they have a contingency in place whereby once data is given out somehow private details released to make it look like the people making request are to blame. Sounds paranoid. Until it doesn't.

At least if private details were released the patients involved would have legal recourse no? then they would benefit from a legal settlement.
 

Sean

Senior Member
Messages
7,378
I would expect and hope that any (adequately anonymised) data about me collected in a trial would be available to other researchers.

That's one of the main reasons for collecting and storing data, so that all researchers have access to it (at least some time later).

If the data is not available for other researchers to reanalyse and try to replicate, then it is worth nothing.

This is what any PACE patients need to understand. If their (adequately anonymised) data is not available to other researchers, independent of the PACE team, then we will never be able to find out if the claims from PACE are correct.
 

Sasha

Fine, thank you
Messages
17,863
Location
UK
Maybe they were spying on him......

I doubt it! If they wanted to spy on him they could have saved themselves a plane ticket and waited for the YouTube footage. :cool:

I hope that what it really means is that some people in AfME understand the issues and might be in a position to try to persuade/educate the others.
 

Mark

Senior Member
Messages
5,238
Location
Sofa, UK
Next reply from AfME...

We cannot confirm if the patients informing us that their anonymous data should not be shared, were actually PACE trial participants or not, as they wish to remain anonymous.
In that case, likely they can't confirm that they are even patients - and if they are just people who have phoned them up to say this, they may well not be...
 

BurnA

Senior Member
Messages
2,087
In that case, likely they can't confirm that they are even patients - and if they are just people who have phoned them up to say this, they may well not be...

I just want to point out my comment was made tongue in cheek ..... It had no basis other than to suggest how ridiculous this situation is. Aplogies if anyone interpreted this as an actual comment, sometimes sarcasm doesn't work well in text.