Evidence map›Paper›PMID 33846237›Full record

ArticlePediatrics2021

Racial and Ethnic Diversity in Studies Funded Under the Best Pharmaceuticals for Children Act.

Susan M Abdel-Rahman, Ian M Paul, Chi Hornik, Janice E Sullivan, Kelly Wade, Paula Delmore, Gaurav Sharma, Daniel K Benjamin, Kanecia O Zimmerman

Open access · bronzeAbstract read
In one paragraph

Article in Pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.0field-weighted citation impact, top 9% of its field
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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
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  4. Review
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 1 country.

Susan M Abdel-RahmanChildren's Mercy Hospital and University of Missouri-Kansas City School of Medicine, Kansas City, Missouri; srahman@cmh.edu.
Ian M PaulPenn State College of Medicine, Hershey, Pennsylvania.
Chi HornikDuke University Medical Center, Durham, North Carolina.
Janice E SullivanUniversity of Louisville and Norton Children's Hospital, Louisville, Kentucky.
Kelly WadePerelman School of Medicine, University of Pennsylvania and Children's Hospital of Philadelphia, Philadelphia, Philadelphia.
Paula DelmoreWesley Medical Center, Wichita, Kansas; and.
Gaurav SharmaEmmes Corporation, Rockville, Maryland.
Daniel K BenjaminDuke University Medical Center, Durham, North Carolina.
Kanecia O ZimmermanDuke University Medical Center, Durham, North Carolina.
Duke Medical Center · USChildren's Mercy Hospital · USEmmes (United States) · USNorton Hospital · USPenn State Milton S. Hershey Medical Center · USUniversity of Pennsylvania · USWesley Medical Center · US

Funding

Pediatric Pharmacology Research Unit NetworkU10HD031324 · NICHD · ARKANSAS CHILDREN'S HOSPITAL RES INST · PI JAMES, LAURA P · 2004 to 2009
$2.0M
NICHD NIH HHS HHSN267200700051CNICHD NIH HHS U10 HD031324
6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe Best Pharmaceuticals for Children Act (BPCA) incentivizes the study of on-patent medicines in children and mandates that the National Institutes of Health sponsor research on off-patent drugs important to pediatric therapeutics. Failing to enroll cohorts that reflect the pediatric population at large restricts the generalizability of such studies. In this investigation, we evaluate racial and ethnic minority representation among participants enrolled in BPCA-sponsored studies.

methodsData were obtained for all participants enrolled in 33 federally funded studies of drugs and devices conducted from 2008 through June 2020. Observed racial and ethnic distributions were compared with expected distributions by sampling Census data at the same geographic frequency as in the studies. Racial and ethnic enrollment was examined by demography, geography, study type, study burden, and expected bias. Standard descriptive statistics, χ

resultsA total of 10 918 participants (51% male, 6.6 ± 8.2 years) were enrolled across 46 US states and 4 countries. Studies ranged from treatment outcome reviews to randomized, placebo-controlled trials. Minority enrollment was comparable to, or higher than, expected (+0.1% to +2.6%) for all groups except Asian Americans (-3.7%, CONCLUSIONS AND RELEVANCE: This study revealed no evidence of racial and ethnic bias in enrollment for pediatric studies conducted with funding from BPCA, fulfilling the legislation's expectation to ensure adequate representation of all children.

Indexed as

AdolescentCanadaChildChild, PreschoolClinical Trials as TopicEnglandEthnicityFemaleHumansInfantIsraelLegislation, DrugMalePharmaceutical PreparationsRacial GroupsSingaporePharmaceutical Preparations

Identifiers

PMID33846237
PMCPMC9713833
OpenAlexW3153237077

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.