Inclusion of minorities and women in cancer clinical trials, a decade later: Have we improved?
BACKGROUND Inclusion of diverse groups of participants in cancer clinical trials is an important methodological and clinical issue. The quality of the science and generalizability of results depends on the inclusion of study participants who represent all populations among whom these treatment and p...
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Veröffentlicht in: | Cancer 2013-08, Vol.119 (16), p.2956-2963 |
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Sprache: | eng |
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Zusammenfassung: | BACKGROUND
Inclusion of diverse groups of participants in cancer clinical trials is an important methodological and clinical issue. The quality of the science and generalizability of results depends on the inclusion of study participants who represent all populations among whom these treatment and prevention approaches will be used.
METHODS
We conducted a systematic review using OVID as the primary source of reports included. Based on 304 peer‐reviewed publications, diversity in the inclusion and reporting of study participants during a decade of cancer treatment and prevention trials (2001‐2010) is summarized. Recommendations are made for improvements in the science and reporting of cancer clinical trials.
RESULTS
Of the 277 treatment trials and 27 prevention trials included in this report, more than 80% of participants were white and 59.8% were male. In the recent decade, race and sex are rarely used as selection criteria unless the trial is focused on a sex‐specific cancer.
CONCLUSIONS
Women and racial/ethnic minorities remain severely underrepresented in cancer clinical trials, thus limiting the generalizability of cancer clinical research. Cancer 2013;119:2956—2963. © 2013 American Cancer Society.
This update of a 2002 report provides evidence that diversity in the recruitment of cancer clinical trials participants has not improved in the decade since the report was published. Women and racial/ethnic minorities remain severely underrepresented in cancer clinical trials, thus limiting the utility of cancer clinical research. |
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ISSN: | 0008-543X 1097-0142 |
DOI: | 10.1002/cncr.28168 |