Improving clinical trial enrollment in minority racial and ethnic patients with gynecologic malignancy

Autor: Olivia D. Lara, Kathryn Allen, Amin Yakubov, Bhavana Pothuri
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Gynecologic Oncology Reports, Vol 55, Iss , Pp 101495- (2024)
Druh dokumentu: article
ISSN: 2352-5789
DOI: 10.1016/j.gore.2024.101495
Popis: Purpose: Racial and ethnic minorities remain underrepresented in clinical trials . Underrepresentation of racial groups leads to the selection of therapeutic interventions that may not be representative of the population expected to use the medicine. This study evaluates the effectiveness of a set of implementation strategies to increase underrepresented patients in gynecologic cancer clinical trials. Methods: An interrupted time series analysis evaluating implementation strategies (pre-screening and fast-track referral) was conducted from January 2021 to May 2022. Descriptive analysis of gynecologic oncology patient screening and accrual was compared before and after intervention implementation. Results: During the study period (pre- and post-intervention), 26 patients were screened, and 9 patients enrolled in therapeutic gynecologic cancer clinical trials. Prior to the intervention, 7 patients were screened and 2 patients enrolled onto a clinical trial. Following the intervention, 19 patients were screened and 7 patients enrolled in a cancer clinical trial. Black patients comprised 13 of 19 (68.4%) of patients post-intervention compared to 1 of 7 (14.3 %) of patients screened pre-intervention (p
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