当前肺癌临床试验是否代表包括少数群体在内的所有患者群体?
Apurva Nemala1, Asad Ullah2, Melissa Yacur3
1Medical College of Georgia, Augusta, GA.
Clinical lung cancer
|August 13, 2023
概括
少数群体,包括种族和性少数群体,在美国肺癌临床试验中代表性不足. 提高试验的多样性对于更好的癌症治疗方法和结果至关重要.
科学领域:
- 在瘤学瘤学.
- 临床研究 临床研究
- 健康差异 在健康上的差异
背景情况:
- 在癌症临床试验中种族,性和性别少数群体的代表性不足是一个持续的问题.
- 这种缺陷影响了癌症研究结果的概括性和有效性.
研究的目的:
- 审查当前关于少数群体参与美国肺癌临床试验的文献.
- 确定教育策略,以提高少数群体在临床试验中的入学率.
主要方法:
- 使用PubMed和Google Scholar进行了2015年以来发表的文章的文献搜索.
- 从ClinicalTrials.gov收集了美国肺癌临床试验数据,以评估少数民族的入学率.
主要成果:
- 确定了关于少数群体代表性的有限文献,重点是种族少数群体.
- 突出了黑人,西班牙裔和美洲印第安人的显著代表性.
- 亚洲患者的入学差异较小,但中东/北非和南亚患者的数据存在差距.
结论:
- 美国目前的肺癌临床试验缺乏对不同少数群体的充分代表性.
- 增加试验的多样性对于开发向治疗和改善肺癌结果至关重要.
- 未来的努力应集中在教育工具,详细的人口统计数据和多样化的招聘策略上.
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