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在妇科瘤学中进行分散的临床试验的论点
Shilpa Mokshagundam1, Michaela E McGree1, Angela J Fought1
1Departments of Obstetrics and Gynecology, Quantitative Health Sciences, and Oncology, Mayo Clinic, Rochester, Minnesota.
O&G open
|September 26, 2025
概括
距离癌症中心的距离和在当地接受化疗是影响进入晚期卵巢癌预康复试验的关键因素. 解决这些障碍可以改善临床试验的准入.
科学领域:
- 在瘤学瘤学.
- 临床试验 临床试验
- 医疗保健服务研究 医疗服务研究
背景情况:
- 临床试验招生对于推进癌症治疗至关重要.
- 了解影响卵巢癌试验入学的因素至关重要.
- 预康复干预措施有望改善患者的治疗结果.
研究的目的:
- 确定影响晚期卵巢癌患者临床试验入学的健康的人口,临床和社会决定因素.
- 为了比较在预康复试验中被录取的患者与未被录取的患者的特征.
主要方法:
- 对于先进卵巢癌患者的回顾性分析,这些患者接受了预康复试验.
- 在注册和非注册群体之间对健康的人口,临床和社会决定因素进行比较.
- 统计分析以确定与入学决策相关的重要因素.
主要成果:
- 在大多数人口统计和临床特征中没有观察到显著差异.
- 离研究机构更远的距离与未注册相关 (42.2% vs 21.9%居住距离>=200英里,P<.05).
- 在研究机构内接受新辅助化疗的患者更有可能入学 (81.2%对53.1%,P=.02).
结论:
- 地理距离和化疗治疗地点是临床试验招生的主要障碍.
- 去中心化临床试验和提供本地治疗选择可能会改善卵巢癌患者的治疗机会.
- 解决健康的社会决定因素,如旅行负担,对于公平的临床试验参与至关重要.
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