美国肺癌临床试验招生中的差异
Seyda Kilic1, Jenny Zhao2, Hayrettin Okut3
1School of Arts and Sciences, Tufts University, Medford, MA, USA.
Journal of racial and ethnic health disparities
|August 31, 2023
概括
少数群体在肺癌临床试验中的代表性仍然不足,种族和民族少数群体的差异仍然存在. 自2004年以来,这些入学不平等没有显著改善,影响了试验的普遍性.
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:
- 尽管NIH复兴法案,临床试验招生差异仍然存在.
- 少数群体在研究研究中的代表性仍然不足.
- 试验结果的概括性受到入学不平等的限制.
研究的目的:
- 调查肺癌临床试验招生差异.
- 分析基于种族/种族,性别和年龄的差异.
- 评估代表性的变化随着时间的推移.
主要方法:
- 查询NIH临床试验数据库,用于美国肺癌试验 (2004-2021年).
- 收集患者种族,种族,性别和年龄的数据.
- 使用统计分析将试验数据与SEER数据库进行比较.
主要成果:
- 311项试验中有136项报告了9869名患者的种族/种族数据.
- 西班牙裔,美洲印第安人/阿拉斯加原住民和黑人患者的代表性不足.
- 非西班牙裔白人患者的比例过高;在2017-2021年间,西班牙裔患者的差异加剧.
结论:
- 自2004年以来,肺癌临床试验招生差异没有显著改善.
- 不平等的代表性,特别是对于种族和少数民族,仍然存在.
- 解决这些差异对于公平的癌症研究至关重要.
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