Evidence map›Paper›PMID 36092973›Full record

ArticleContemporary clinical trials communications2022

An evaluation of race-based representation among men participating in clinical trials for prostate cancer and erectile dysfunction.

Russell G Saltzman, Isaac Zucker, Katherine Campbell, Deep A Gandhi, Kikachukwu Otiono, Alexander Weber, Thomas A Masterson, Ranjith Ramasamy

Open access · goldAbstract read
In one paragraph

Article in Contemporary clinical trials communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

10 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
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  4. Review
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  8. Article
  9. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Article
  10. Prostate cancer screening in Black men in Canada: a case for risk-stratified care.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022
    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

8 authors at 4 institutions in 2 countries.

Russell G SaltzmanMiller School of Medicine, University of Miami, Miami, FL, USA.
Isaac ZuckerHerbert Wertheim School of Medicine, Florida International University, Miami, FL, USA.
Katherine CampbellUniversity of Missouri-Columbia, School of Medicine, Columbia, MO, USA.
Deep A GandhiUniversity of Central Florida, College of Medicine, Orlando, FL, USA.
Kikachukwu OtionoMichael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada.
Alexander WeberMiller School of Medicine, University of Miami, Miami, FL, USA.
Thomas A MastersonMiller School of Medicine, University of Miami, Miami, FL, USA.
Ranjith RamasamyMiller School of Medicine, University of Miami, Miami, FL, USA.
University of Miami · USMcMaster University · CAUniversity of Central Florida · USUniversity of Missouri · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Inclusion of ethnic/racial minorities in clinical trials is essential to fully assess therapeutic efficacy. It is well-known that populations respond dissimilarly to interventions. Our objective is to analyze the inclusion of minority men in clinical trials for erectile dysfunction (ED). Methods: We searched ClinicalTrials.gov for the disease keyword: "Erectile Dysfunction" and used "Prostate Cancer" for comparison. Completed trials which reported demographic data were included for analysis. Literature was reviewed to determine the prevalence of ED and prostate cancer (PC) among Hispanic, Black, White, and Asian men. The proportion of individuals of each group that participated in trials is divided by the proportion of each group in the disease population to calculate the "Participation to Prevalence Ratio" (PPR). PPRs between 0.8 and 1.2 indicates adequate representation, <0.8 is under-representation and >1.2 is over-representation. Results: A total of 312 trials were assessed: 289 for prostate cancer and 23 for ED. Hispanic men comprised 11.8% of ED trial participants and 4.6% of prostate cancer trial participants, yet represented 18% of ED patients and 7.3% of PC patients. Black/African-American (AA) men accounted for 10.2% of ED trial participants and 9.4% of PC trial participants, but comprise 16% of ED patients, and 16.3% of PC patients. Hispanic and AA men are under-represented in trials for ED and Prostate Cancer (Hispanic ED PPR = 0.66; Hispanic PC PPR = 0.63; AA ED PPR = 0.64; AA PC PPR = 0.58). Conclusion: Our analysis shows that both Hispanic and AA men are underrepresented in both ED and PC clinical trials.

Indexed as

AA, Black/African AmericanAndrologyCBPR, Community Based Participatory ResearchClinical TrialsDiversityED, Erectile DysfunctionFDA, United States Food and Drug AdministrationGeneralizabilityHealth equityICD 10, International Classification of Disease, Tenth RevisionNCI, National Cancer InstituteNIH, United States National Institutes of HealthPC, Prostate CancerPPR, Participation to Prevalence RatioRQ, Representation QuotientsURM, Under-represented Minority

Identifiers

PMID36092973
PMCPMC9450121
OpenAlexW4293582855

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.