Although the oncologists there try to offer trials to every patient, last year they enrolled just 43 of about 700 new patients.
Dr. Sandra B. Reed, an obstetrician at Archbold Memorial Hospital in Thomasville, Ga., which does not offer trials of labor after Caesarean, said, "I do not think this bulletin is strong enough to change the current policy in our facility".
Even if a hospital does not offer trials of labor after Caesarean, the group says, "such a policy cannot be used to force women to have cesarean delivery or to deny care to women in labor who decline to have a repeat cesarean delivery".
Alas, not all apps offer trials, and there's currently no indication as to which do and which don't until you click into the application's description page.
Research shows that clinicians often adopt stringent, idiosyncratic criteria when selecting the patients to whom they offer trials, over and above the criteria delineated in trial protocols.
However, there are two main problems needing attention if trial participation is to be increased: first that clinicians do not offer trials to all eligible patients (Kaas et al, 2005), and second that some patients offered seemingly appropriate trials refuse participation (Siminoff et al, 2000).
