Evidence map›Paper›PMID 36473128›Full record

ArticleJCO oncology practice2023

Cross-Sectional Analysis of Clinical Trial Availability and North Carolina Neighborhood Social Vulnerability.

Shakira J Grant, Matthew Jansen, Tzy-Mey Kuo, Samuel M Rubinstein, Tanya M Wildes, Sascha A Tuchman, Hyman B Muss, Eben I Lichtman, Marjory Charlot

Abstract read
In one paragraph

Article in JCO oncology practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. A Comparison of Neighborhood Socioeconomic Deprivation Measures and the Association with Survival among Black and White Women with Endometrial Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Chimeric Antigen Receptor T-Cell and Bispecific Antibody Therapy in Multiple Myeloma: Moving Into the Future.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023
    Review
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

9 authors.

Shakira J GrantDivision of Hematology, Department of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, NC.ORCID 0000-0002-8481-3046
Matthew JansenUniversity Libraries, The University of North Carolina at Chapel Hill, Chapel Hill, NC.ORCID 0000-0002-1594-8377
Tzy-Mey KuoLineberger Comprehensive Cancer Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC.
Samuel M RubinsteinDivision of Hematology, Department of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, NC.ORCID 0000-0003-3065-9220
Tanya M WildesDivision of Hematology and Oncology, Department of Medicine, University of Nebraska Medical Center, Omaha, NE.ORCID 0000-0002-1479-7626
Sascha A TuchmanDivision of Hematology, Department of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, NC.ORCID 0000-0003-2109-1573
Hyman B MussLineberger Comprehensive Cancer Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC.ORCID 0000-0003-2862-9970
Eben I LichtmanDivision of Hematology, Department of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, NC.
Marjory CharlotLineberger Comprehensive Cancer Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC.ORCID 0000-0001-8773-0425

Funding

UNC Oncology K12K12CA120780 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WILLIAM Y. KIM · 2007 to 2026
$9.6M
Functional Trajectories and Illness Experiences of Older Adults with Multiple MyelomaR03AG074030 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GRANT, SHAKIRA JEANENE · 2021 to 2022
$311k
NCI NIH HHS K12 CA120780NIA NIH HHS R03 AG074030
6 · The paper itself

Abstract

purposeResidents of communities facing social vulnerability (eg, poverty) have limited access to clinical trials, leaving them susceptible to experiencing poor health outcomes. We examined the association between North Carolina county-level social vulnerability and available multiple myeloma (MM) trials.

methodsUsing a novel data linkage between ClinicalTrials.gov, the 2019 American Community Survey, and the Centers for Disease Control and Prevention's Social Vulnerability Index, we investigated at the county level (1) availability of MM trial sites and (2) the relationship between Social Vulnerability Index and MM trial site availability using logistic regression.

resultsBetween 2002 and 2021, 229 trials were registered across 462 nonunique trial sites in 34 counties. Nearly 50% of trial sites were in academic medical centers, 80% (n = 372) of all trials were industry-sponsored, 60% (n = 274) were early-phase, and 50% (n = 232) were for patients with relapsed or refractory MM. Counties with low as opposed to high poverty rates had six times greater odds of having ≥ 1 MM trial sites (odds ratio [OR], 5.60; 95% CI, 1.85 to 19.64;

conclusionCounties with the lowest poverty rates had more MM trial sites, whereas those with the lowest percentage of Black Indigenous Persons of Color populations had fewer MM trial sites. Multilevel efforts are needed to improve the availability and access to trials for socially vulnerable populations.

Indexed as

Rural PopulationSocial VulnerabilityCross-Sectional StudiesHumansNorth CarolinaResidence Characteristics

Identifiers

PMID36473128
PMCPMC9970296

What OpenQuestion holds

Textmetadata
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.