Evidence map›Paper›PMID 34677247›Full record

ReviewCurrent oncology (Toronto, Ont.)2021

CRAFT-A Proposed Framework for Decentralized Clinical Trials Participation in Canada.

Stephen Sundquist, Gerald Batist, Kathy Brodeur-Robb, Kathryn Dyck, Bernhard J Eigl, David K Lee, Jaqueline Limoges, Holly Longstaff, Jim Pankovich, Anna Sadura and 2 more

Abstract readReview
In one paragraph

Review in Current oncology (Toronto, Ont.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

28 citing papers in PubMed.

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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

12 authors.

Stephen SundquistCanadian Cancer Clinical Trials Network, Toronto, ON M5G 0A3, Canada.
Gerald BatistSegal Cancer Centre, Jewish General Hospital, McGill University, Montreal, QC H3T 1E2, Canada.
Kathy Brodeur-RobbC17 Council for Children's Cancer and Blood Disorders, Edmonton, AB T6G 1C9, Canada.
Kathryn DyckCancerCare Manitoba, Winnipeg, MB R3E 0V9, Canada.
Bernhard J EiglDivision of Medical Oncology, BC Cancer, Vancouver, BC V5Z 4E6, Canada.ORCID 0000-0003-1653-6929
David K LeeHealth Products and Food Branch, Health Canada, Ottawa, ON K1A 0K9, Canada.
Jaqueline LimogesOntario Cancer Research Ethics Board, Toronto, ON M5G 0A3, Canada.
Holly LongstaffProvincial Health Services Authority, Vancouver, BC V6H 4C1, Canada.
Jim PankovichBold Therapeutics Inc., Vancouver, BC V6C 1E1, Canada.
Anna SaduraCanadian Cancer Trials Group, Queen's University, Kingston, ON K7L 3N6, Canada.
Patrick SullivanTeam Finn Foundation, Vancouver, BC V7K 1V4, Canada.
Janet E DanceyCanadian Cancer Clinical Trials Network, Toronto, ON M5G 0A3, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Canada's vast geography, and centralized delivery of cancer care and clinical trials create barriers for trial participation for patients in remote and rural settings. The development and implementation of a framework that enables safe and regulatory compliant trial participation through local healthcare providers would benefit Canadian patients, clinicians, trial sponsors and the health care system. To address this issue, representatives of Canada's cancer clinical trial community met to identify key challenges and develop recommendations for remote patient participation in trials. A structured literature review identified remote/rural trial delivery models. A panel of expert stakeholders reviewed the models and participated in a workshop to assess health system readiness, identify needed processes, tools and mechanisms, and develop recommendations for a Canadian framework for decentralized clinical trial conduct. The Canadian Remote Access Framework for clinical Trials (CRAFT) represents a risk-based approach used by site investigators to delegate responsibilities for a given trial to satellite health centres within a hub-and-spoke "trial cluster". The Framework includes specific recommendations to ensure research experience, capacity, regulatory compliance and patient safety. Canada's cancer care and telemedicine systems can be leveraged to enable broader access to clinical trials for patients who are geographically remote from cancer centres. CRAFT's risk-based framework is based on other successful models of remote trial patient management and is in the pilot implementation phase in Canada.

Indexed as

TelemedicineCanadaDelivery of Health CareHumansRural PopulationCanadaCRAFTdecentralized clinical trialsremote trial accessremote trial frameworkremote trial managementtrial cluster

Identifiers

PMID34677247
PMCPMC8534531

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.