影响澳大利亚瘤患者参与临床试验的因素:范围审查
Kyung Ha You1,2, Zarnie Lwin3,2, Elizabeth Ahern4,5
1Cancer Care Services, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia kyung.you@health.qld.gov.au.
BMJ open
|June 12, 2025
概括
在澳大利亚确保公平的瘤临床试验参与需要解决患者,医疗保健专业人员和医疗服务因素. 结果支持开发干预措施,以实现包容性试验准入.
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:
- 在临床试验中公平的全球优先事项.
- 澳大利亚在国际临床试验中的重要作用.
- 需要了解影响澳大利亚参与的因素.
研究的目的:
- 探索影响澳大利亚瘤学临床试验参与的因素.
- 识别参与的促进者和障碍者.
- 为基于证据的干预奠定基础.
主要方法:
- 在澳大利亚进行瘤学临床试验的广泛文献综述.
- 在四个数据库,灰色文献和手动搜索中进行系统搜索.
- 使用描述性统计数据对定量数据和框架方法对定性数据进行数据综合.
主要成果:
- 对42篇文章的分析确定了患者,医疗保健专业人员和医疗服务领域的关键影响因素.
- 自我报告的意愿是促进者,但移民人口,老年患者和地区居民的参与率较低.
- 确定了增加参与率的干预措施的证据基础.
结论:
- 本综述提供了澳大利亚对临床试验参与的独特观点.
- 调查结果有助于在审判公平性方面的国际文献.
- 建立一个证据基础,以支持包容性临床试验参与.
相关概念视频
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
334
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...
334
Cancer Therapies
7.6K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.6K
Longitudinal Research
11.9K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
11.9K
Nursing Ethical Principles II
936
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
936
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
124
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,...
124


