在结石病指南中的种族和民族代表性:它们是否可概括?
B W Green1, B Edelblute1, E Hunt1
1Departments of Urology, Montefiore Medical Center, Bronx, NY; Albert Einstein College of Medicine, Bronx, NY.
Urology
|December 4, 2024
概括
很少有结石临床试验报告患者的种族或种族,少数群体代表不足. 这限制了结石护理建议的概括性,突出了对更多样化的研究群体的需求.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 临床研究方法论 临床研究方法论
- 健康 公平 卫生 公平
背景情况:
- 石管理的临床实践指南依赖于临床试验的证据.
- 评估研究群体的人口代表性对于可概括的医疗保健建议至关重要.
研究的目的:
- 评估在临床试验中关于种族,种族和其他关键人口统计变量的报告,以告知结石护理.
- 确定这些研究中的患者群体是否足够多样化,以广泛适用.
主要方法:
- 对美国泌尿器官学会/泌尿器官学会关于结石的指南中引用的临床试验进行了系统审查.
- 研究人口被分析为报告的性别/性别,种族,种族和原产国.
主要成果:
- 在包括的287项研究中,只有6.3%报告了种族或种族数据.
- 在报告这些人口统计数据的研究中,白人患者占48.5%,而少数群体的代表性明显不足.
- 国际和横截面研究不太可能报告种族或种族.
结论:
- 在石研究中,报告患者的种族和种族存在重大差距.
- 引用的研究中少数群体的代表性不足损害了当前结石护理指南的普遍性.
- 未来的研究必须优先考虑全面的人口统计报告和包容性患者入学.
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