试验报告背部疼痛指南 报告不足 关键社会人口统计数据
Journal of health care for the poor and underserved
|July 19, 2023
概括
对腰部疼痛 (LBP) 的临床试验缺乏全面的社会人口统计数据. 关于种族,种族,教育和收入的报道是不一致的,这阻碍了LBP研究中的多元化代表.
科学领域:
- 临床研究 临床研究
- 医疗保健服务研究 医疗服务研究
- 疼痛管理 疼痛管理
背景情况:
- 社会人口统计学因素显著影响腰部疼痛 (LBP) 的结果.
- 多样化的参与者代表性对于评估临床试验结果的概括性至关重要.
- 现有的LBP治疗指南依赖于临床试验,其社会人口统计报告可能有限.
研究的目的:
- 评估临床试验中参与者社会人口统计变量的报告,以告知美国医生协会 (ACP) 关于LBP治疗的指导方针.
- 在关键的LBP临床试验中识别社会人口统计数据收集和报告中的差距.
主要方法:
- 进行了临床试验的系统审查.
- 为了报告参与者的社会人口统计数据,分析了支持ACP指南中建议的干预措施的试验.
- 提取了关于种族,种族,教育,收入,就业,保险,婚姻状况,宗教和居住地的数据.
主要成果:
- 在116项审查的试验中,只有34项报告了参与者的种族和/或种族.
- 报告对其他社会人口统计变量有显著的差异:教育 (24 个试验),收入 (10 个试验),就业 (31 个试验),保险 (3 个试验),婚姻状况 (16 个试验) 和宗教 (2 个试验).
- 语言理解是最常见的排除标准,突出了多元参与的潜在障碍.
结论:
- 临床试验为ACP对LBP治疗的指导方针提供了不足的社会人口统计数据.
- 对于LBP干预调查人员来说,迫切需要招募多样化的参与者.
- 对社会人口统计数据的全面报告对于了解不同人群的治疗疗效至关重要.
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