Evidence map›Paper›PMID 39349217›Full record

ArticleContemporary clinical trials2024

Racial and ethnic representation of youth in type 1 diabetes interventional trials.

Emilie S Zoltick, Ann Chen Wu, Mei-Sing Ong

Abstract read
In one paragraph

Article in Contemporary clinical trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Emilie S ZoltickDepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, United States of America. Electronic address: Emilie_Zoltick@hphci.harvard.edu.
Ann Chen WuDepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, United States of America.
Mei-Sing OngDepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, United States of America.

Funding

Improving representation of racial and ethnic minorities in pediatric clinical trialsR21MD016984 · NIMHD · HARVARD PILGRIM HEALTH CARE, INC. · PI ONG, MEI-SING · 2022 to 2023
$478k
NIMHD NIH HHS R21 MD016984
6 · The paper itself

Abstract

backgroundUnderrepresentation of racial and ethnic groups in clinical trials can limit generalizability of research findings and equitable access to treatment. This study evaluates racial and ethnic representation of youth in US-based interventional trials on childhood type 1 diabetes (T1D).

methodsThis cross-sectional study examined interventional trials of T1D conducted in the US and registered on ClinicalTrials.gov. Trials were included if completed as of June 6, 2023, began between years 2010 and 2022, and exclusively enrolled youth ≤19 years old. We assessed representation of racial and ethnic groups in T1D trials, estimated using the enrollment-prevalence difference (EPD).

resultsA total of 106 trials were eligible for inclusion. Of those eligible, 62 (58 %) trials reported participant race or ethnicity and were included in the analyses. Significant disparities in enrollment were observed for American Indian/Alaska Native, Asian/Pacific Islander, Black, and Hispanic youth compared to their respective contribution to disease burden among youth in the US. Disparities in trial enrollment were greatest for Black (EPD, -10.2; 95 % confidence interval [CI], -14.4 to -7.9) and Hispanic (EPD, -7.7; 95 % CI, -12.6 to -4.8) youth. EPDs of trials conducted prior to year 2017 did not differ significantly from those conducted as of year 2017.

conclusionsHistorically marginalized racial and ethnic youth were underrepresented in T1D trials. Strategies to improve recruitment of these populations are needed to reduce inequities in diabetes treatment and outcomes.

Indexed as

Diabetes Mellitus, Type 1Patient SelectionAdolescentChildClinical Trials as TopicCross-Sectional StudiesEthnicityFemaleHumansMaleRacial GroupsUnited StatesYoung AdultClinical trialsDisparitiesType 1 diabetesYouth

Identifiers

PMID39349217
PMCPMC11531383

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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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.