美国头癌临床试验的多样性:我们正在改善吗?
Melani Camryn Zuckerman1, Heather Ann Edwards1,2
1Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts, USA.
Head & neck
|October 14, 2024
概括
尽管有国家倡议,但头癌 (HNC) 临床试验的多样性有所减少. 目前的策略是无效的,需要新的方法来改善癌症研究中的患者代表性.
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:
- 评估国家多样性倡议在头癌 (HNC) 临床试验招生方面的成功.
- 强调在癌症研究中需要多元化的代表性.
研究的目的:
- 评估HNC临床试验参与者的人口变化随时间推移.
- 确定最近的多样性努力是否改善了少数群体的代表性.
主要方法:
- 从clinicaltrials.gov (2000-2023) 进行了HNC试验的回顾性分析.
- 对8998名HNC试验入学者的抽象人口统计数据.
- 将试验人口统计数据与监测,流行病学和最终结果 (SEER) 数据进行比较.
主要成果:
- 在过去的20年里,白人患者的入学率增加了6.1%,亚裔患者增加了-3.1%,黑人患者增加了0.8%.
- 与一般HNC患者群体相比,HNC试验显示白人占比较高,黑人/亚洲人/夏威夷原住民占比较低.
- 在过去十年中观察到的多样性的显著下降.
结论:
- 国家举措未能改善美国HNC临床试验的多样性.
- 目前的方法不足以提高少数民族的代表性.
- 需要新的策略来实现在临床试验中的公平参与.
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