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Sociodemographic diversity in cancer clinical trials: New findings on the effect of race and ethnicity
BACKGROUND: Cancer clinical trials (CCT) offer significant potential benefit, not only for future patients but also for enrolled participants, yet a very small minority of cancer patients participate, resulting in low levels of enrollment that have stalled clinical trials dramatically. Though many h...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7872971/ https://www.ncbi.nlm.nih.gov/pubmed/33604484 http://dx.doi.org/10.1016/j.conctc.2021.100718 |
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author | Meyer, Shelby Woldu, Henok G. Sheets, Lincoln R. |
author_facet | Meyer, Shelby Woldu, Henok G. Sheets, Lincoln R. |
author_sort | Meyer, Shelby |
collection | PubMed |
description | BACKGROUND: Cancer clinical trials (CCT) offer significant potential benefit, not only for future patients but also for enrolled participants, yet a very small minority of cancer patients participate, resulting in low levels of enrollment that have stalled clinical trials dramatically. Though many have endeavored to study this phenomenon, relatively little research has explored the demographic factors which may affect CCT enrollment. Understanding patient demographics is critical to optimizing enrollment, evaluating generalizability, and ensuring equity of CCT. METHODS: To better understand the effect of social determinants of health on CCT enrollment, the authors constructed a multivariable logistic regression model to analyze data collected in the last ten years in the CDC Behavioral Risk Factor Surveillance System (BRFSS) Survey, an annual national survey conducted among the non-institutionalized adult population of the U.S. RESULTS: In multivariable regression analysis, enrollment varied significantly with sociodemographic factors. Individuals of higher income, Hispanic ethnicity, and younger age were most likely to participate in CCTs. Enrollment did not vary significantly by educational attainment. CONCLUSION: Our multivariable analysis indicated people of color are more likely to participate in CCT, perhaps demonstrating that structural barriers shape participation more than race alone. Efforts to improve CCT enrollment may benefit from a shift in focus towards access to care by alleviating structural and financial barriers to enrollment. |
format | Online Article Text |
id | pubmed-7872971 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-78729712021-02-17 Sociodemographic diversity in cancer clinical trials: New findings on the effect of race and ethnicity Meyer, Shelby Woldu, Henok G. Sheets, Lincoln R. Contemp Clin Trials Commun Article BACKGROUND: Cancer clinical trials (CCT) offer significant potential benefit, not only for future patients but also for enrolled participants, yet a very small minority of cancer patients participate, resulting in low levels of enrollment that have stalled clinical trials dramatically. Though many have endeavored to study this phenomenon, relatively little research has explored the demographic factors which may affect CCT enrollment. Understanding patient demographics is critical to optimizing enrollment, evaluating generalizability, and ensuring equity of CCT. METHODS: To better understand the effect of social determinants of health on CCT enrollment, the authors constructed a multivariable logistic regression model to analyze data collected in the last ten years in the CDC Behavioral Risk Factor Surveillance System (BRFSS) Survey, an annual national survey conducted among the non-institutionalized adult population of the U.S. RESULTS: In multivariable regression analysis, enrollment varied significantly with sociodemographic factors. Individuals of higher income, Hispanic ethnicity, and younger age were most likely to participate in CCTs. Enrollment did not vary significantly by educational attainment. CONCLUSION: Our multivariable analysis indicated people of color are more likely to participate in CCT, perhaps demonstrating that structural barriers shape participation more than race alone. Efforts to improve CCT enrollment may benefit from a shift in focus towards access to care by alleviating structural and financial barriers to enrollment. Elsevier 2021-01-20 /pmc/articles/PMC7872971/ /pubmed/33604484 http://dx.doi.org/10.1016/j.conctc.2021.100718 Text en © 2021 Published by Elsevier Inc. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Article Meyer, Shelby Woldu, Henok G. Sheets, Lincoln R. Sociodemographic diversity in cancer clinical trials: New findings on the effect of race and ethnicity |
title | Sociodemographic diversity in cancer clinical trials: New findings on the effect of race and ethnicity |
title_full | Sociodemographic diversity in cancer clinical trials: New findings on the effect of race and ethnicity |
title_fullStr | Sociodemographic diversity in cancer clinical trials: New findings on the effect of race and ethnicity |
title_full_unstemmed | Sociodemographic diversity in cancer clinical trials: New findings on the effect of race and ethnicity |
title_short | Sociodemographic diversity in cancer clinical trials: New findings on the effect of race and ethnicity |
title_sort | sociodemographic diversity in cancer clinical trials: new findings on the effect of race and ethnicity |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7872971/ https://www.ncbi.nlm.nih.gov/pubmed/33604484 http://dx.doi.org/10.1016/j.conctc.2021.100718 |
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