在临床试验中,患有癌症的印度老年人的代表性不足
Vanita Noronha1, Vijay Patil2, Nandini Menon1
1Medical Oncology, Tata Memorial Hospital, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, Maharashtra, India.
BMJ oncology
|January 31, 2025
概括
患有癌症的印度老年人在临床试验中代表性不足,但招生人数有所增加. 解决资格标准可以改善癌症研究中对这一弱势群体的纳入.
科学领域:
- 在瘤学瘤学.
- 临床试验 临床试验
- 老年医学 老年医学
背景情况:
- 从历史上看,全球临床试验中老年癌症患者的代表性较低.
- 印度关于老年人参与癌症临床试验的数据有限.
研究的目的:
- 在印度进行的干预性癌症临床试验中分析老年人 (≥60岁) 的代表性.
- 评估随着时间的推移,老年癌症患者的招生趋势.
- 确定医院注册表中的老年患者与临床试验中的老年患者比例之间的差异.
主要方法:
- 从2003年到2023年,对成年癌症患者进行的干预研究的回顾性分析.
- 包括来自手术,医学和放射瘤学,麻醉学和临床药理学部门的数据.
- 排除儿科和观察性研究.
主要成果:
- 总共分析了150项干预试验中的21,894名患者.
- 年龄较大的参与者 (≥60岁) 占注册患者的23.4%,而在医院注册中,30%的成人注册年龄≥60岁.
- 临床试验中老年患者比例显著增加,从2003年的8%增加到2019年的22%,缩小了与医院注册表比例的差距.
结论:
- 医院注册中患有癌症的印度老年人比例与他们参加干预性临床试验的比例之间存在差异,尽管这个差距正在减少.
- 可采取的措施,如修订特定年龄的资格标准,对于提高临床试验对这一弱势群体的包容性至关重要.
关键词:
医学瘤学 医学瘤学相关概念视频
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