Evidence map›Paper›PMID 38546961›Full record

ArticleTherapeutic innovation & regulatory science2025

Adoption of Decentralization: Are Our Perceptions Holding Us Back?

Lindsay Kehoe, Sara Bristol Calvert, Zachary Hallinan, Morgan Hanger

Abstract read
In one paragraph

Article in Therapeutic innovation & regulatory science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Lindsay KehoeClinical Trials Transformation Initiative, Duke Clinical Research Institute, 300 West Morgan Street, Suite 800, Durham, NC, 27701, United States.
Sara Bristol CalvertClinical Trials Transformation Initiative, Duke Clinical Research Institute, 300 West Morgan Street, Suite 800, Durham, NC, 27701, United States.
Zachary HallinanClinical Trials Transformation Initiative, Duke Clinical Research Institute, 300 West Morgan Street, Suite 800, Durham, NC, 27701, United States.
Morgan HangerClinical Trials Transformation Initiative, Duke Clinical Research Institute, 300 West Morgan Street, Suite 800, Durham, NC, 27701, United States. Morgan.hanger@duke.edu.ORCID http://orcid.org/0000-0003-0577-2416

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Incorporating decentralized approaches into clinical trials is a critical innovation with potential implications for improved accessibility and diversity, as well as lower burden for participants and caregivers. As we move forward in a collective effort to modernize clinical trials, we consistently hear of hurdles that interfere with the adoption of decentralized approaches. But are these hurdles really the impediments we think they are? In this commentary, we offer three perceptions that are commonly heard as impediments to the adoption of digital and decentralized clinical trials. Leveraging the Clinical Trial Transformation Initiative's Digital Health Trial hub of work, interactions with members and regulators, and observations related to adoption, we address those perceptions and note some resources that exist to overcome them. In working through these barriers, we can instill confidence in sponsors and designers to leverage all the clinical trial design tools available to them to advance the use of decentralized approaches.

Indexed as

Clinical Trials as TopicPoliticsHumansResearch DesignDecentralized clinical trialsParticipant-centric trialsQuality by design

Identifiers

PMID38546961
PMCPMC12579662

What OpenQuestion holds

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LicenceCC BY
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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.