临床急性白血病临床研究的试验招生多样性仪表板:干预开发和队列分析
Andrew Hantel1,2, Thomas P Walsh1, Kelsey Y Li1
1Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
JCO oncology practice
|October 1, 2024
概括
一个新的电子健康记录仪表板可以帮助研究人员识别和解决急性白血病临床试验招生中的不平等问题. 该工具显示,年龄较大,黑人种族种族和非英语主要语言与较低的入学率有关.
科学领域:
- 在瘤学瘤学.
- 临床试验 临床试验
- 健康 公平 卫生 公平
背景情况:
- 参与急性白血病临床试验往往是不公平的跨人口群体.
- 现有有限的工具可以为研究人员提供关于患者招募代表性的反.
研究的目的:
- 开发一个基于电子健康记录 (EHR) 的仪表板,提供关于临床试验招生代表性的反.
- 在急性白血病临床试验中识别和描述招生不平等.
主要方法:
- 开发了一个视觉仪表板,将白血病临床试验注册和EHR数据联系起来.
- 验证了一个患者纳入/分配算法,AUROC为0.98.
- 用多变量逻辑回归分析了一组5年队列,以评估入学差异.
主要成果:
- 仪表板成功地可视化了入学指标.
- 年龄较大,非西班牙裔黑人种族种族,以及非英语主要语言与入学率较低有关.
- 相反,英语作为主要语言与更高的入学率有关.
结论:
- 开发了一个基于EHR的新仪表板,以监测和改善研究参与公平性.
- 确定了对入学不平等的可操作见解.
- 计划进一步测试和实施仪表板.
更多相关视频
14:45Enumeration of Major Peripheral Blood Leukocyte Populations for Multicenter Clinical Trials Using a Whole Blood Phenotyping Assay
Published on: September 16, 2012
15.0K
09:57Comprehensive Protocol to Sample and Process Bone Marrow for Measuring Measurable Residual Disease and Leukemic Stem Cells in Acute Myeloid Leukemia
Published on: March 5, 2018
29.2K
相关概念视频
Hazard Ratio
91
The hazard ratio (HR) is a widely used measure in clinical trials to compare the risk of events, such as death or disease recurrence, between two groups over time. It reflects the ratio of hazard rates—the instantaneous risk of the event occurring—between a treatment group and a control group. This measure provides valuable insights into the relative effectiveness of a treatment by assessing how the risk of an event differs between the two groups.
For example, in a clinical trial...
For example, in a clinical trial...
91
Clinical Trials
6.6K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
6.6K
Cancer Survival Analysis
329
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
329
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
123
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
123
Comparing the Survival Analysis of Two or More Groups
156
Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and...
156
