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在顶级皮肤病学期刊中与状细胞癌相关的随机对照试验中的皮肤颜色报告:系统性审查
Natasha L Salmen1, Klarens Menage2, Anthony N Baumann2
1Northeast Ohio Medical University, Rootstown, OH, United States. nsalmen@neomed.edu.
Archives of dermatological research
|March 30, 2024
概括
皮肤颜色数据在状细胞癌 (SCC) 临床试验中报告不足. 在顶级期刊上的研究中,只有不到60%的研究包括了这一关键的人口信息,阻碍了公平的癌症护理.
科学领域:
- 皮肤病学 皮肤病学
- 在瘤学瘤学.
- 临床研究方法论 临床研究方法论
背景情况:
- 皮肤癌,特别是状细胞癌 (SCC),不成比例地影响个人基于皮肤颜色.
- 准确的人口统计数据,包括皮肤颜色,对于了解疾病表现,治疗疗效和不同人群的结果至关重要.
- 以前的研究表明,皮肤病学研究报告中的患者人口统计数据可能存在差异.
研究的目的:
- 量化皮肤颜色在随机对照试验 (RCT) 中报告的频率,用于状细胞癌 (SCC) 检测和治疗.
- 在领先的皮肤病学期刊中识别皮肤颜色报告的趋势.
- 评估研究特征 (地点,出版年份,资金) 对皮肤颜色数据纳入的影响.
主要方法:
- 从开始到2023年7月10日,在十大皮肤病学期刊上发表的涉及SCC的RCT的系统审查.
- 纳入标准:以SCC治疗,预防或检测为重点的RCT,涉及患者直接参与.
- 皮肤颜色报告被定义为在研究方法或结果中存在诸如菲茨帕特里克尺度,种族,种族,晒伤倾向或皮肤颜色等术语.
主要成果:
- 在39个已识别的SCCRCT中,23个 (59.0%) 报告了与皮肤颜色相关的数据.
- 白人是报告频率最高的人口群体 (56.5%).
- 小组分析显示,根据研究地点,出版年或资金来源,报告率在统计学上没有显著差异;报告在过去二十年中没有得到改善.
结论:
- 在领先的皮肤病学期刊中,很大一部分高质量的SCCRCT未能报告皮肤颜色的人口统计数据.
- 皮肤颜色数据的持续报告不足可能会掩盖SCC呈现,治疗反应和人群中复发的关键差异.
- 需要进一步调查,以解决低报告率及其对公平皮肤癌症护理的社会影响.
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