拒绝访问:甲状腺癌临床试验中的差异
Debbie W Chen1, Francis P Worden2, Megan R Haymart1,2
1Division of Metabolism, Endocrinology, and Diabetes, University of Michigan, Ann Arbor, MI 48106, USA.
Journal of the Endocrine Society
|May 31, 2023
概括
种族和民族少数群体在甲状腺癌临床试验中的代表性不足,尽管有新的全身疗法. 解决获取障碍和增加资金对于公平参与甲状腺癌研究至关重要.
科学领域:
- 在瘤学瘤学.
- 临床试验 临床试验
- 健康差异 在健康上的差异
背景情况:
- 自2011年以来,甲状腺癌的治疗得到了显著的进步,美国食品和药物管理局 (FDA) 批准了新的全身疗法.
- 尽管全球临床试验,种族和少数民族参与这些试验仍然很低.
- 在甲状腺癌治疗中存在的种族/民族差异突显了对多样化的试验人群的需求.
研究的目的:
- 审查进入癌症临床试验的障碍.
- 为了检查为什么甲状腺癌患者对这些障碍有独特的脆弱性.
- 倡导增加甲状腺癌临床试验的多样性.
主要方法:
- 关于临床试验准入和参与的现有文献的小型综述.
- 在甲状腺癌临床试验中分析患者人口统计数据.
- 识别导致代表人数不足的障碍.
主要成果:
- 甲状腺癌临床试验,尽管广泛的国际招募,显示持续低纳入种族/少数民族患者.
- 确定了导致这种代表性不足的具体障碍.
- 患有甲状腺癌的患者面临着独特的脆弱性,影响试验准入.
结论:
- 多层次干预是必要的,以改善受代表性不足的人群获得甲状腺癌临床试验的机会.
- 增加对甲状腺癌研究的资金对于支持招聘工作至关重要.
- 提高临床试验的多样性对于解决甲状腺癌护理中的健康差异至关重要.
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