{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T21:17:27Z","timestamp":1760044647898,"version":"3.44.0"},"reference-count":21,"publisher":"BMJ","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Ethics"],"published-print":{"date-parts":[[2009,1]]},"abstract":"<jats:sec>\n                  <jats:title>Background:<\/jats:title>\n                  <jats:p>Thrombolytic drugs to treat an acute ischaemic stroke reduce the risk of death or major disability. The treatment is, however, also associated with an increased risk of potentially fatal intracranial bleeding. This confronts the patient with the dilemma of whether or not to take a risk of a serious side effect in order to increase the likelihood of a favourable outcome.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective:<\/jats:title>\n                  <jats:p>To explore acute stroke patients\u2019 perception of risk and willingness to accept risks associated with thrombolytic drug treatment.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design:<\/jats:title>\n                  <jats:p>Eleven patients who had been informed about thrombolytic drug treatment and had been through the process of deciding whether or not to participate in a thrombolytic drug trial went through repeated qualitative, semistructured interviews.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results:<\/jats:title>\n                  <jats:p>Many patients showed a limited perception of the risks connected with thrombolytic drug treatment. Some perceived the risk as not relevant to them and were reluctant to accept that treatment could cause harm. Others seemed to be aware that treatment would mean exposure to risk. The patients\u2019 willingness to take a risk also varied substantially. Several statements revealed ambiguity and confusion about being involved in a decision about treatment. The patients\u2019 reasoning about risk was put into the context of their health-related experiences and life histories. Several patients wanted the doctor to be responsible for the decisions.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion:<\/jats:title>\n                  <jats:p>Acute stroke patients\u2019 difficulties in perceiving and processing information about risk may reduce their ability to be involved in clinical decisions where risks are involved.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/jme.2007.023192","type":"journal-article","created":{"date-parts":[[2008,12,22]],"date-time":"2008-12-22T15:23:09Z","timestamp":1229959389000},"page":"42-46","source":"Crossref","is-referenced-by-count":19,"title":["\u201cTwo per cent isn\u2019t a lot, but when it comes to death it seems quite a lot anyway\u201d: patients\u2019 perception of risk and willingness to accept risks associated with thrombolytic drug treatment for acute stroke"],"prefix":"10.1136","volume":"35","author":[{"given":"M","family":"Mangset","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Berge","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"F\u00f8rde","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Nessa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T B","family":"Wyller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2008,12,22]]},"reference":[{"key":"2025092415111486000_35.1.42.1","doi-asserted-by":"crossref","unstructured":"Wardlaw JM Zoppo G Yamaguchi T . Thrombolysis for acute ischaemic stroke. Cochrane Database Syst Rev 2003:CD000213.","DOI":"10.1002\/14651858.CD000213"},{"key":"2025092415111486000_35.1.42.2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199406303302611"},{"key":"2025092415111486000_35.1.42.3","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2796.1999.00531.x"},{"key":"2025092415111486000_35.1.42.4","doi-asserted-by":"crossref","first-page":"1425","DOI":"10.1161\/01.STR.32.6.1425","article-title":"The utility of health states after stroke: a systematic review of the literature.","volume":"32","author":"Post","year":"2001","journal-title":"Stroke"},{"issue":"(Suppl 1)","key":"2025092415111486000_35.1.42.5","doi-asserted-by":"crossref","first-page":"i14","DOI":"10.1136\/qhc.0100014","article-title":"The extent of patients\u00e2\u0080\u0099 understanding of the risk of treatments.","volume":"10","author":"Lloyd","year":"2001","journal-title":"Qual Health Care"},{"key":"2025092415111486000_35.1.42.6","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/31.suppl_3.28"},{"key":"2025092415111486000_35.1.42.7","doi-asserted-by":"crossref","unstructured":"Anon. Patient information sheet [data supplement]. BMJ 2002;325:415. http:\/\/www.bmj.com\/cgi\/content\/full\/325\/7361\/415\/DC1 (accessed 4 September 2008).","DOI":"10.1136\/bmj.325.7361.415"},{"key":"2025092415111486000_35.1.42.8","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.325.7361.415"},{"key":"2025092415111486000_35.1.42.9","doi-asserted-by":"crossref","unstructured":"Mangset M F\u00c3\u00b8rde R Nessa J . \u00e2\u0080\u009cI don\u00e2\u0080\u0099t like that, it\u00e2\u0080\u0099s tricking people too much \u00e2\u0080\u00a6\u00e2\u0080\u009d: acute informed consent to participation in a trial of thrombolytic treatment. J Med Ethics 2008;34:751\u00e2\u0080\u00936.","DOI":"10.1136\/jme.2007.023168"},{"key":"2025092415111486000_35.1.42.10","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/10.2.201"},{"key":"2025092415111486000_35.1.42.11","unstructured":"Giorgi A . Sketch of a psychological phenomenological method. In: Giorgi A , ed. Phenomenology and psychological research. Pittsburgh: Duquesne University Press, 1985:8\u00e2\u0080\u009322."},{"key":"2025092415111486000_35.1.42.12","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1080\/03610739708254033","article-title":"Executive control and the comprehension of medical information by elderly retirees.","volume":"23","author":"Royall","year":"1997","journal-title":"Exp Aging Res"},{"key":"2025092415111486000_35.1.42.13","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1212\/WNL.49.3.695","article-title":"Novel decision making in patients with prefrontal or posterior brain damage.","volume":"49","author":"Godefroy","year":"1997","journal-title":"Neurology"},{"key":"2025092415111486000_35.1.42.14","doi-asserted-by":"crossref","first-page":"1721","DOI":"10.1161\/01.STR.25.9.1721","article-title":"Patient preferences for stroke outcomes.","volume":"25","author":"Solomon","year":"1994","journal-title":"Stroke"},{"key":"2025092415111486000_35.1.42.15","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1136\/bmj.316.7136.1005","article-title":"Thrombolytic treatment for acute ischaemic stroke: consent can be ethical.","volume":"316","author":"Lindley","year":"1998","journal-title":"BMJ"},{"key":"2025092415111486000_35.1.42.16","doi-asserted-by":"publisher","DOI":"10.1111\/1539-6924.00351"},{"key":"2025092415111486000_35.1.42.17","doi-asserted-by":"publisher","DOI":"10.1016\/j.toxlet.2003.12.049"},{"key":"2025092415111486000_35.1.42.18","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9450.00083"},{"key":"2025092415111486000_35.1.42.19","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199406303302605"},{"key":"2025092415111486000_35.1.42.20","doi-asserted-by":"publisher","DOI":"10.1136\/jme.2003.003954"},{"key":"2025092415111486000_35.1.42.21","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2003.08.023"}],"container-title":["Journal of Medical Ethics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jme.2007.023192","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T22:11:26Z","timestamp":1758751886000},"score":1,"resource":{"primary":{"URL":"https:\/\/jme.bmj.com\/lookup\/doi\/10.1136\/jme.2007.023192"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,12,22]]},"references-count":21,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2008,12,22]]},"published-print":{"date-parts":[[2009,1]]}},"alternative-id":["10.1136\/jme.2007.023192"],"URL":"https:\/\/doi.org\/10.1136\/jme.2007.023192","relation":{},"ISSN":["0306-6800","1473-4257"],"issn-type":[{"type":"print","value":"0306-6800"},{"type":"electronic","value":"1473-4257"}],"subject":[],"published":{"date-parts":[[2008,12,22]]}}}