Evidence map›Paper›PMID 26763244›Full record

ArticleNorth Carolina medical journal

Enrollment and Racial Disparities in Cancer Treatment Clinical Trials in North Carolina.

Leah L Zullig, Alice G Fortune-Britt, Shangbang Rao, Seth D Tyree, Paul A Godley, William R Carpenter

Abstract read
In one paragraph

Article in North Carolina medical journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Observational
  2. Review
  3. Article
  4. Review
  5. Article
  6. Racial survival disparities in head and neck cancer clinical trials.Journal of the National Cancer Institute · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Making the Case for Investment in Rural Cancer Control: An Analysis of Rural Cancer Incidence, Mortality, and Funding Trends.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2017
    Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Leah L Zulligresearch health science specialist, Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, North Carolina; adjunct assistant professor, Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina; assistant professor, Department of Medicine and Duke Cancer Institute, Duke University, Durham, North Carolina.
Alice G Fortune-Brittpostdoctoral fellow, Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, North Carolina.
Shangbang Raoresearcher, Department of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Seth D Tyreeapplications specialist, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Paul A Godleyprofessor, Department of Medicine, University of North Carolina at Chapel Hill; member and principal investigator, UNC-Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina.
William R Carpenteradjunct associate professor, Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina; senior research mentor, UNC-Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina bill.carpenter@unc.edu.

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Deborah F. Tate · 1985 to 2026
$201.5M
LINEBERGER CANCER CONTROL EDUCATION PROGRAMR25CA057726 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI EARP, JO ANNE L, RIBISL, KURT M. · 1992 to 2016
$8.0M
Training ProgramU54CA153602 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GODLEY, PAUL A. · 2010 to 2015
$5.4M
Increasing Cancer Clinical Trial Enrollment in North Carolina CommunitiesU01CA114629 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GODLEY, PAUL A. · 2005 to 2009
$4.2M
Cancer Training GrantR25CA116339 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BASCH, ETHAN M., REEVE, BRYCE B · 2008 to 2017
$4.0M
HSRD VA CDA 13-025HSRD VA IK2 HX001345NCI NIH HHS 5R25 CA116339NCI NIH HHS P30 CA016086NCI NIH HHS R25 CA057726NCI NIH HHS R25 CA116339NCI NIH HHS R25T CA057726NCI NIH HHS U01 CA114629NCI NIH HHS U54 CA153602
6 · The paper itself

Abstract

backgroundClinical trials provide access to innovative, high-quality cancer treatment. Simultaneously, broad access helps to ensure that trials include heterogeneous patient populations, which improves the generalizability of findings and the development of interventions that are effective for diverse populations. We provide updated data describing enrollment into cancer treatment trials in North Carolina.

methodsFor the period 1996-2009, person-level data regarding cancer clinical trial enrollment and cancer incidence were obtained from the North Carolina Central Cancer Registry and the National Cancer Institute (NCI). Enrollment rates were estimated as the ratio of trial enrollment to cancer incidence for race, sex, and year for each county, Area Health Education Center region, and the state overall. Enrollment rates for common cancers are presented.

resultsFrom 1996 to 2009, North Carolina NCI treatment trial enrollment rates were 2.4% and 2.2% for white patients and minority patients, respectively. From 2007 to 2009, rates were 3.8% for white women, 3.5% for minority women, 1.3% for white men, and 1.0% for minority men; there was greater enrollment among more urban populations (2.4%) than among the most rural populations (1.5%). LIMITATIONS: This study is limited to NCI-sponsored treatment trials in North Carolina. Policies governing collection of original data necessitate a delay in data availability.

conclusionsEffort is needed to ensure trial access and enrollment among all North Carolina populations. Specifically, we identified racial and sex disparities, particularly for certain cancers (eg, breast cancer). Programs in North Carolina and across the nation can use the methods we employed to assess their success in broadening clinical trial enrollment to include diverse populations.

Indexed as

Clinical Trials as TopicPatient SelectionRacismAdultAgedEthnicityFemaleHealthcare DisparitiesHumansMaleMiddle AgedMinority GroupsNeoplasmsNorth CarolinaSocioeconomic Factors

Identifiers

PMID26763244
PMCPMC4714783

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.