Evidence map›Paper›PMID 34485967›Full record

ArticleAmerican journal of preventive cardiology2021

Improving the enrollment of women and racially/ethnically diverse populations in cardiovascular clinical trials: An ASPC practice statement.

Erin D Michos, Tina K Reddy, Martha Gulati, LaPrincess C Brewer, Rachel M Bond, Gladys P Velarde, Alison L Bailey, Melvin R Echols, Samar A Nasser, Harold E Bays and 2 more

Open access · goldAbstract read
In one paragraph

Article in American journal of preventive cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 5 pooled it
16.3field-weighted citation impact, top 1% 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

70 citing papers in PubMed, 5 syntheses or guidelines pooled it, 124 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Guideline
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  5. Pooled it
  6. Trial
  7. Trial
  8. Subtypes of Hypertension 2 to 7 Years After First Pregnancy.Hypertension (Dallas, Tex. : 1979) · 2026
    Observational
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10 more citing papers are in PubMed but not listed here.

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

12 authors at 11 institutions in 1 country.

Erin D MichosDivision of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD USA.
Tina K ReddyTulane University Heart and Vascular Institute, Tulane University School of Medicine, New Orleans, LA USA.
Martha GulatiDivision of Cardiology, University of Arizona College of Medicine-Phoenix, Phoenix, AZ USA.
LaPrincess C BrewerDivision of Preventive Cardiology, Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN USA.
Rachel M BondInternal Medicine, Creighton University School of Medicine, Chandler, AZ USA.
Gladys P VelardeDivision of Cardiology, University of Florida Health, Jacksonville, FL USA.
Alison L BaileyCentennial Heart, Chattanooga, TN USA.
Melvin R EcholsDivision of Cardiology, Morehouse School of Medicine, Atlanta, GA USA.
Samar A NasserDivision of Clinical Research and Leadership, George Washington University School of Medicine, Washington, DC USA.
Harold E BaysLouisville Metabolic and Atherosclerosis Research Center, Louisville, KY USA.
Ann Marie NavarDivision of Cardiology, UT Southwestern Medical Center, Dallas, TX USA.
Keith C FerdinandTulane University Heart and Vascular Institute, Tulane University School of Medicine, New Orleans, LA USA.
Tulane University · USCentennial Heart Cardiovascular Consultants · USCreighton University · USGeorge Washington University · USJohns Hopkins University · USLouisville Metabolic and Atherosclerosis Research Center · USMayo Clinic in Arizona · USMorehouse School of Medicine · USThe University of Texas Southwestern Medical Center · USUniversity of Arizona · USUniversity of Florida Health · US

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
Institutional Career Development CoreKL2TR002381 · NCATS · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Anandi Nayan Sheth · 2017 to 2026
$14.1M
Neuro HPA Project 1U54AG062334 · NIA · EMORY UNIVERSITY · PI Ighovwerha Ofotokun · 2018 to 2026
$12.2M
NCATS NIH HHS KL2 TR002381NCATS NIH HHS UL1 TR002378NIA NIH HHS U54 AG062334
6 · The paper itself

Abstract

Cardiovascular disease (CVD) remains the leading cause of death for both women and men worldwide. In the United States (U.S.), there are significant disparities in cardiovascular risk factors and CVD outcomes among racial and ethnic minority populations, some of whom have the highest U.S. CVD incidence and mortality. Despite this, women and racial/ethnic minority populations remain underrepresented in cardiovascular clinical trials, relative to their disease burden and population percentage. The lack of diverse participants in trials is not only a moral and ethical issue, but a scientific concern, as it can limit application of future therapies. Providing comprehensive demographic data by sex and race/ethnicity and increasing representation of diverse participants into clinical trials are essential in assessing accurate drug response, safety and efficacy information. Additionally, diversifying investigators and clinical trial staff may assist with connecting to the language, customs, and beliefs of study populations and increase recruitment of participants from diverse backgrounds. In this review, a working group for the American Society for Preventive Cardiology (ASPC) reviewed the literature regarding the inclusion of women and individuals of diverse backgrounds into cardiovascular clinical trials, focusing on prevention, and provided recommendations of best practices for improving enrollment to be more representative of the U.S. society into trials.

Indexed as

Clinical trialsDiversityRace/ethnicity;PreventionRecruitmentSex differencesWomen

Identifiers

PMID34485967
PMCPMC8408620
OpenAlexW3195073529

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.