Evidence map›Paper›PMID 36540051›Full record

Trial reportCancer medicine2023

Addressing multilevel barriers to clinical trial participation among Black and White men with prostate cancer through the PACCT study.

Susan Eggly, Nicole Senft, Seongho Kim, Elisabeth I Heath, Hyejeong Jang, Tanina F Moore, Fatmeh Baidoun, Mark A Manning, Louis A Penner, Terrance L Albrecht and 3 more

Open access · goldAbstract readObservational StudyRandomized Controlled Trial
In one paragraph

Trial report in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.8field-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

7 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Are those all my options? Evaluating oncologists' communication strategies in treatment and clinical trial discussions by race and gender.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Observational
  5. Review
  6. Review
  7. 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

13 authors at 3 institutions in 1 country.

Susan EgglyDepartment of Oncology, Wayne State University/Karmanos Cancer Institute, Detroit, Michigan, USA.ORCID 0000-0002-8137-6098
Nicole SenftDepartment of Oncology, Wayne State University/Karmanos Cancer Institute, Detroit, Michigan, USA.ORCID 0000-0002-3617-7276
Seongho KimDepartment of Oncology, Wayne State University/Karmanos Cancer Institute, Detroit, Michigan, USA.ORCID 0000-0003-1120-073X
Elisabeth I HeathDepartment of Oncology, Wayne State University/Karmanos Cancer Institute, Detroit, Michigan, USA.ORCID 0000-0003-1381-2713
Hyejeong JangDepartment of Oncology, Wayne State University/Karmanos Cancer Institute, Detroit, Michigan, USA.ORCID 0000-0003-4502-6215
Tanina F MooreDepartment of Oncology, Wayne State University/Karmanos Cancer Institute, Detroit, Michigan, USA.ORCID 0000-0003-0232-348X
Fatmeh BaidounDepartment of Oncology, Wayne State University/Karmanos Cancer Institute, Detroit, Michigan, USA.
Mark A ManningDepartment of Psychology, Oakland University, Rochester, Michigan, USA.ORCID 0000-0001-5288-7238
Louis A PennerDepartment of Oncology, Wayne State University/Karmanos Cancer Institute, Detroit, Michigan, USA.ORCID 0000-0002-0455-7696
Terrance L AlbrechtDepartment of Oncology, Wayne State University/Karmanos Cancer Institute, Detroit, Michigan, USA.ORCID 0000-0002-8907-6751
Michael A CarducciJohns Hopkins Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland, USA.ORCID 0000-0002-7908-1215
Dina LanseyJohns Hopkins Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland, USA.
Lauren M HamelDepartment of Oncology, Wayne State University/Karmanos Cancer Institute, Detroit, Michigan, USA.ORCID 0000-0002-8910-7079
Wayne State University · USSidney Kimmel Comprehensive Cancer Center · USOakland University · US

Funding

A Multilevel Intervention to Increase the Participation of African Americans in Prostate Cancer Clinical TrialsR01CA200718 · NCI · WAYNE STATE UNIVERSITY · PI EGGLY, SUSAN S. · 2016 to 2020
$3.2M
NCI NIH HHS R01 CA200718
6 · The paper itself

Abstract

backgroundCancer clinical trial participation is low and inequitable. Partnering Around Cancer Clinical Trials (PACCT) addressed systemic and interpersonal barriers through an observational study of eligibility and an intervention to improve patient-physician communication and trial invitation rates.

methodsPhysicians at two comprehensive cancer centers and Black and White men with prostate cancer participated. Patients were followed for 2 years to determine whether they became potentially eligible for an available therapeutic trial. Potentially eligible patients were randomized to receive a trials-focused Question Prompt List or usual care. Patient-physician interactions were video-recorded. Outcomes included communication quality and trial invitation rates. Descriptive analyses assessed associations between sociodemographic characteristics and eligibility and effects of the intervention on outcomes.

resultsOnly 44 (22.1%) of participating patients (n = 199) became potentially eligible for an available clinical trial. Patients with higher incomes were more often eligible (>$80,000 vs. <$40,000, adjusted OR = 6.06 [SD, 1.97]; $40,000-$79,000 vs. <$40,000, adjusted OR = 4.40 [SD, 1.81]). Among eligible patients randomized to the intervention (n = 19) or usual care (n = 25), Black patients randomized to the intervention reported participating more actively than usual care patients, while White intervention patients reported participating less actively (difference, 0.41 vs. -0.34). Intervention patients received more trial invitations than usual care patients (73.7% vs. 60.0%); this effect was greater for Black (80.0% vs. 30.0%) than White patients (80.0% vs. 66.7%).

conclusionsFindings suggest the greatest enrollment barrier is eligibility for an available trial, but a communication intervention can improve communication quality and trial invitation rates, especially for eligible Black patients.

Indexed as

Prostatic NeoplasmsBlack or African AmericanClinical Trials as TopicHumansMalePhysician-Patient RelationsSurveys and QuestionnairesWhiteclinical trialshealth disparitiespatient-physician communicationprostate cancerquestion prompt list

Identifiers

PMID36540051
PMCPMC10134336
OpenAlexW4312067580

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.