Evidence map›Paper›PMID 32078741›Full record

ArticleJournal of racial and ethnic health disparities2020

The Problem of Underrepresentation: Black Participants in Lifestyle Trials Among Patients with Prostate Cancer.

Kyle B Zuniga, Hala Borno, June M Chan, Erin L Van Blarigan, Terence W Friedlander, Sunny Wang, Li Zhang, Stacey A Kenfield

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of racial and ethnic health disparities, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Couple-based lifestyle intervention for minority prostate cancer survivors: a randomized feasibility trial.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
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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

8 authors.

Kyle B ZunigaUCSF Osher Center for Integrative Medicine, University of California, San Francisco, UCSF Box 1726, 1545 Divisadero Street, Suite 301, San Francisco, CA, 94143, USA. kbz2102@columbia.edu.ORCID 0000-0003-3759-3658
Hala BornoDivision of Hematology and Medical Oncology, University of California, San Francisco, San Francisco, CA, USA.
June M ChanDepartment of Urology, University of California, San Francisco, San Francisco, CA, USA.
Erin L Van BlariganDepartment of Urology, University of California, San Francisco, San Francisco, CA, USA.
Terence W FriedlanderDivision of Hematology and Medical Oncology, University of California, San Francisco, San Francisco, CA, USA.
Sunny WangDivision of Hematology-Oncology, San Francisco VA Health Care System, San Francisco, CA, USA.
Li ZhangDivision of Hematology and Medical Oncology, University of California, San Francisco, San Francisco, CA, USA.
Stacey A KenfieldDepartment of Urology, University of California, San Francisco, San Francisco, CA, USA.

Funding

Training Researchers in Clinical Integrative Medicine (TRIM) - NOSI supplementT32AT003997 · NCCIH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SHELLEY R ADLER, MARIA T CHAO · 2007 to 2026
$6.6M
Impact of Web-Based Lifestyle Interventions on Prostate Cancer PrognosisR01CA207749 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KENFIELD, STACEY · 2016 to 2021
$3.3M
Effect of Aerobic Exercise on Genomic Signatures of Prostate Cancer PrognosisR01CA181802 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHAN, JUNE ML · 2014 to 2019
$3.1M
Diet After Colorectal Cancer : Observational Studies to Behavioral InterventionsK07CA197077 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI VAN BLARIGAN, ERIN LYNN · 2016 to 2020
$885k
A Randomized Clinical Trial of Exercise for Men with Metastatic Prostate CancerR21CA184605 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KENFIELD, STACEY · 2015 to 2016
$379k
NCCIH NIH HHS T32 AT003997NCCIH NIH HHS T32AT003997NCI NIH HHS K07 CA197077NCI NIH HHS K07CA197077NCI NIH HHS R01 CA181802NCI NIH HHS R01CA181802NCI NIH HHS R01 CA207749NCI NIH HHS R01CA207749NCI NIH HHS R21 CA184605NCI NIH HHS R21CA184605
6 · The paper itself

Abstract

introductionHealthy lifestyle behaviors are an essential component of prostate cancer survivorship; however, it is unknown whether Black participants are adequately represented in randomized controlled trials (RCTs) on lifestyle interventions. The goal of this study was to identify types of lifestyle RCTs that may require improved recruitment resources to enhance generalizability of lifestyle recommendations to Black patients. MATERIALS AND

methodsClinicalTrials.gov was used to identify lifestyle RCTs among patients with prostate cancer. Using racial distribution data from the Surveillance, Epidemiology, and End Results (SEER) program as a reference, one-sample proportion tests were performed to assess adequate recruitment of Black participants.

resultsOf 31 lifestyle trials, one trial reported race-specific results. Proportion of Black participants was acquired from 26 trials. Compared to the US population, Black participants were overrepresented in the overall study population (17% versus 15%, p = 0.019). Black participants were underrepresented in trials exploring exercise interventions (9% versus 15%, p = 0.041), trials among patients with advanced disease (9% versus 16%, p < 0.001), and in university-funded trials (12% versus 15%, p = 0.026).

conclusionsThe reporting of race data, and race-specific results when feasible, is essential for clinicians to accurately generalize findings from lifestyle trials. Additional resources may be necessary to aid in strategic recruitment of Black participants for trials on exercise interventions, trials among patients with advanced disease, and in university-funded trials.

Indexed as

Black or African AmericanHumansLife StyleMaleMiddle AgedProstatic NeoplasmsRandomized Controlled Trials as TopicSEER ProgramUnited StatesAfrican AmericansDietExerciseProstatic neoplasmsRandomized controlled trial

Identifiers

PMID32078741
PMCPMC8567804

What OpenQuestion holds

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Registered trials

None linked

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.