Evidence map›Paper›PMID 37467065›Full record

ArticleJNCI cancer spectrum2023

Quantifying the impact of the COVID-19 pandemic on cancer center clinical trial operations.

Thomas J George, Tara L Lin, Tricia Adrales Bentz, Stefan Grant, Collette M Houston, Melissa A Nashawati, Bhanu Pappu, Helen Peck, Alex Zafirovski, Kimberly Kerstann and 6 more

Abstract read
In one paragraph

Article in JNCI cancer spectrum, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

16 authors.

Thomas J GeorgeUniversity of Florida Health Cancer Center, Gainesville, FL, USA.ORCID 0000-0002-6249-9180
Tara L LinUniversity of Kansas Cancer Center, Kansas City, KS, USA.
Tricia Adrales BentzHollings Cancer Center, Medical University of South Carolina, Charleston, SC, USA.
Stefan GrantAtrium Health Wake Forest Baptist Comprehensive Cancer Center, Winston-Salem, NC, USA.
Collette M HoustonMemorial Sloan Kettering Cancer Center, New York City, NY, USA.
Melissa A NashawatiMays Cancer Center at UT Health San Antonio MD Anderson Cancer Center, San Antonio, TX, USA.
Bhanu PappuSimmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, TX, USA.
Helen PeckWilmot Cancer Institute, University of Rochester Medicine, Rochester, NY, USA.
Alex ZafirovskiRobert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, IL, USA.
Kimberly KerstannWinship Cancer Institute of Emory University, Atlanta, GA, USA.
Patricia LoRussoYale Cancer Center, Yale School of Medicine, New Haven, CT, USA.
Anne SchnatterlyWest Virginia University Cancer Institute, Morgantown, WV, USA.
Janie HofackerAssociation of American Cancer Institutes, Pittsburgh, PA, USA.
Kendra CameronAssociation of American Cancer Institutes, Pittsburgh, PA, USA.ORCID 0000-0002-8204-5928
Hailey HoneycuttAssociation of American Cancer Institutes, Pittsburgh, PA, USA.
Theresa L WernerHuntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundOncology clinical trials are complex, and the COVID-19 pandemic caused major disruptions in 2020.

methodsUsing its networking and sharing of best practices, the Association of American Cancer Institutes, comprising 105 cancer centers, solicited a longitudinal series of voluntary surveys from members to assess how clinical trial office operations were affected. The surveys showed that centers were able to keep oncology trials available to patients while maintaining safety. Data were collected regarding interventional clinical trial accruals for the calendar years 2019, 2020, and 2021.

resultsData demonstrated a sizeable decrease in interventional treatment trial accruals in both 2020 and 2021 compared with prepandemic figures in 2019. No cancer center reported an increase in interventional treatment trial accruals in 2020 compared with 2019, with most centers reporting a moderate decrease. In mid-2022, 15% of respondents reported an increasing trend, 31% reported no significant change, and 54% continued to report a decrease.

conclusionsThe pandemic necessitated rapid adoption of trial operations, with the emergence of several best practices, including remote monitoring, remote consenting, electronic research charts, and work-from-home strategies for staff. The national infrastructure to conduct trials was significantly affected by the pandemic, with noteworthy resiliency, evidenced by improvements in efficiencies and patient-centered care delivery but with residual capacity challenges that will be evident for the foreseeable future.

Indexed as

COVID-19NeoplasmsHumansMedical OncologyPandemicsResearch DesignUnited States

Identifiers

PMID37467065
PMCPMC10463546

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.