Evidence map›Paper›PMID 38094996›Full record

ArticleJACC. Asia2023

Asia-Pacific Investigators and Asian Enrollment in Cardiometabolic Trials: Insights From Publications Between 2011 and 2020.

Robert Azzopardi, Stephen J Nicholls, Nitesh Nerlekar, Daniel J Scherer, Chanchal Chandramouli, Carolyn S P Lam, Rahul Muthalaly, Sean Tan, Christopher X Wong, Derek P Chew and 3 more

Abstract read
In one paragraph

Article in JACC. Asia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Heart Failure Quality of Care Among Asian Patients in the United States.Journal of the American College of Cardiology · 2026
    Article
  5. Article
  6. Article
  7. Predictive Modeling of Heart Failure Outcomes Using ECG Monitoring Indicators and Machine Learning.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2025
    Article
  8. Article
  9. Current and Future of Heart Failure Care in Asia.International journal of heart failure · 2024
    Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Promoting Healthy Longevity Should Start Young: A Life Course Journey.Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2024
    Article
  16. 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.

Robert AzzopardiMonash Heart, Monash Health, Clayton, Victoria, Australia.
Stephen J NichollsMonash Heart, Monash Health, Clayton, Victoria, Australia.
Nitesh NerlekarMonash Heart, Monash Health, Clayton, Victoria, Australia.
Daniel J SchererUniversity of Adelaide and Royal Adelaide Hospital, Adelaide, South Australia, Australia.
Chanchal ChandramouliNational Heart Centre and SingHealth Duke-NUS Cardiovascular Sciences, Singapore.
Carolyn S P LamNational Heart Centre and SingHealth Duke-NUS Cardiovascular Sciences, Singapore.
Rahul MuthalalyVictorian Heart Institute, Monash University, Melbourne, Victoria, Australia.
Sean TanMonash Heart, Monash Health, Clayton, Victoria, Australia.
Christopher X WongUniversity of Adelaide and Royal Adelaide Hospital, Adelaide, South Australia, Australia.
Derek P ChewMonash Heart, Monash Health, Clayton, Victoria, Australia.
Sophia ZoungasSchool of Public Health and Preventive Medicine and Division of Chronic Disease and Ageing, Monash University, Melbourne, Victoria, Australia.
Khung Keong YeoNational Heart Centre and SingHealth Duke-NUS Cardiovascular Sciences, Singapore.
Adam J NelsonMonash Heart, Monash Health, Clayton, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: A lack of geographic and racial diversity in clinical trial populations may arise from a disproportionate focus on the United States and Europe for trial leadership and conduct. Inadequate diversity may compromise the external validity to the Asia-Pacific (APAC) region, where 60% of global cardiometabolic disease exists. Objectives: This study aimed to assess the proportion and trends of Asian race participants and APAC authorship in cardiometabolic trials. Methods: We performed a systematic review of all cardiovascular, diabetes and obesity-related randomized controlled trials (phase ≥2, n = ≥100) published in these major medical journals: the Results: A total of 8.3% (218,613 of 2,619,710) participants identified as being of Asian race and 7.7% of total enrollment occurred in APAC. APAC lead authorship occurred in 52 of 656 (7.9%) trials and collaboration in 10.1% (1312 of 13,000 of authors), which correlated with Asian enrollment ( Conclusions: Despite a favorable trend over the past decade, Asian participants and authors from APAC remain significantly underrepresented in seminal cardiometabolic trials; barriers to trial conduct and leadership in this region must be addressed.

Indexed as

cardiometabolicclinical trialsdiversityrace

Identifiers

PMID38094996
PMCPMC10715879

What OpenQuestion holds

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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.