A novel clinical trial recruitment strategy for women's cancer.

Autor: Rimel BJ; Cedars-Sinai Medical Center, 8700 Beverly Blvd, Los Angeles, CA 90048, United States. Electronic address: Bobbie.rimel@cshs.org., Lester J; Cedars-Sinai Medical Center, 8700 Beverly Blvd, Los Angeles, CA 90048, United States., Sabacan L; Cedars-Sinai Medical Center, 8700 Beverly Blvd, Los Angeles, CA 90048, United States., Park D; Cedars-Sinai Medical Center, 8700 Beverly Blvd, Los Angeles, CA 90048, United States., Bresee C; Cedars-Sinai Medical Center, 8700 Beverly Blvd, Los Angeles, CA 90048, United States., Dang C; Cedars-Sinai Medical Center, 8700 Beverly Blvd, Los Angeles, CA 90048, United States., Karlan B; Cedars-Sinai Medical Center, 8700 Beverly Blvd, Los Angeles, CA 90048, United States.
Jazyk: angličtina
Zdroj: Gynecologic oncology [Gynecol Oncol] 2015 Aug; Vol. 138 (2), pp. 445-8. Date of Electronic Publication: 2015 May 20.
DOI: 10.1016/j.ygyno.2015.05.008
Abstrakt: Objective: To address a deficiency in clinical trial and research enrollment in gynecologic cancer studies, we launched a paper based patient research registry. To improve registry enrollment, we transitioned to an online registry and trial matching mechanism to aid women in accessing open studies.
Methods: Utilizing a validated verification platform, we designed a web-based registry and trial matching mechanism for women over age 18. Participants completed a questionnaire to provide information for trial matching. A focus group of registry participants was held 9 months after the start of the study to evaluate barriers to participation.
Results: A total of 322 women were enrolled in the online registry over a 14 month period which was a 4.3 fold increase over the paper-based registry (p<0.0001). Two hundred and sixty three (82%) women were matched to at least one study. Fifteen percent (39/263) of those eligible for studies went on to enroll. The online enrollment rate to studies was not different from that observed in the paper-based registry (26/172, p=0.934), however, the web-based registry linked participants to subsequent studies 27% more rapidly (68 (+/-98) days vs. 93 (+/-81) days for the paper-based registry, p=0.017). Focus group participants identified areas for improvement.
Conclusion: Web-based patient driven registry provides dramatic improvement in the number of participants enrolled and the time to trial linkage compared to a paper based registry at a single institution. Further studies of barriers to research participation are necessary to improve on this model.
(Copyright © 2015 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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