患有血液癌症的退伍军人:临床试验导航和农村的挑战
Daphne R Friedman1,2, Thomas D Rodgers1,2, Courtney Kovalick1
1Durham VA Health Care System, Durham, North Carolina, USA.
概括
农村居民创造了"临床试验沙漠",限制了癌症患者获得临床试验 (CT) 的机会. 将退伍军人推到白血病和淋巴瘤学会.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 农村卫生 农村卫生
背景情况:
- 临床试验 (CT) 的参与率仍然很低,地理障碍不成比例地影响农村人口.
- 退伍军人更有可能居住在农村地区,突出了解决他们获得癌症临床试验的关键需求.
研究的目的:
- 调查农村地区如何影响癌症临床试验的可用性.
- 探索改善居住在农村地区的退伍军人的临床试验准入和招生策略.
主要方法:
- 模拟数据库搜索进行,以比较农村与城市环境中的临床试验可用性.
- 在特定的退伍军人事务 (VA) 医疗中心,患有血液癌症的退伍军人被建议转介到白血病和淋巴瘤学会的临床试验支持中心 (LLS CTSC).
主要成果:
- 模拟搜索显示,与城市地区相比,农村地区的开放性临床试验显著减少.
- 在33名转介的退伍军人中,15名 (45%) 居住在农村地区,3名随后参加了临床试验.
- 降低转诊或未注册的原因包括对VA护理的偏好和快速启动治疗.
结论:
- 该研究确定了"临床试验沙漠",阻碍了农村退伍军人的访问和减少参与.
- 转介到LLS CTSC显示了提高VA系统内农村退伍军人的临床试验教育和招生潜力.
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