Evidence map›Paper›PMID 39755584›Full record

ArticleLupus science & medicine2025

Racial differences in clinical trial perceptions among a large, predominantly Black cohort of people with systemic lupus erythematosus in the Southeastern USA.

Jessica Nicole Williams, Hilton Mozee, Gaobin Bao, Charmayne Dunlop-Thomas, Kim Schofield, Cristina Drenkard, Sung Sam Lim

Abstract read
In one paragraph

Article in Lupus science & medicine, 2025. 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. Review
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

7 authors.

Jessica Nicole WilliamsWashington University School of Medicine in Saint Louis, St Louis, Missouri, USA jessica.nicole.williams87@gmail.com.ORCID 0000-0002-1134-9625
Hilton MozeeDivision of Rheumatology, Emory University, Atlanta, Georgia, USA.
Gaobin BaoDivision of Rheumatology, Emory University, Atlanta, Georgia, USA.
Charmayne Dunlop-ThomasDivision of Rheumatology, Emory University, Atlanta, Georgia, USA.
Kim SchofieldDivision of Rheumatology, Emory University, Atlanta, Georgia, USA.
Cristina DrenkardDivision of Rheumatology, Emory University, Atlanta, Georgia, USA.ORCID 0000-0002-6832-7291
Sung Sam LimDivision of Rheumatology, Emory University, Atlanta, Georgia, USA.ORCID 0000-0003-2361-0787

Funding

ACL HHS U01DP006698
6 · The paper itself

Abstract

objectiveBlack people in the USA have a higher incidence and severity of SLE and worse outcomes, yet they are significantly under-represented in SLE clinical trials. We assessed racial differences in clinical trial perceptions among a large cohort of predominantly Black people with SLE.

methodsGeorgians Organised Against Lupus (GOAL) is a population-based, prospective cohort of people with a validated diagnosis of SLE living in Atlanta. The 2021-2022 GOAL survey included questions assessing knowledge, perceptions and experiences of lupus clinical trials involving drug therapy. Self-reported race was categorised as Black or non-Black. Survey responses by race were compared using χ

resultsA total of 767 individuals responded to the 2021-2022 GOAL survey, of whom 80% were Black. There were 720 female respondents and 47 male respondents. There was no significant difference in willingness to participate in clinical trials between Black and non-Black respondents (28% vs 31%, p=0.071). Black respondents were less likely to correctly identify the definition of a clinical trial (34% vs 70%, p<0.001). Male gender, unemployed or disabled status, governmental health insurance and higher disease activity were associated with willingness to participate in clinical trials among Black respondents.

conclusionsWe found that only 28% of respondents were willing to participate in lupus clinical trials, with no difference by race. Efforts must continue to engage those resistant to trial participation, regardless of race. Our findings also indicate that further research is warranted to assess whether strategies such as clinical trial education and diversification of study staff may be helpful to increase Black patient recruitment. Sociodemographic factors (gender, work status, insurance status) and disease-related factors (lupus activity) may also play important roles in clinical trial participation among Black people.

Indexed as

Black or African AmericanClinical Trials as TopicLupus Erythematosus, SystemicAdultFemaleGeorgiaHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedPerceptionProspective StudiesSurveys and Questionnairesclinical triallupus erythematosus, systemicpatient reported outcome measures

Identifiers

PMID39755584
PMCPMC11751829

What OpenQuestion holds

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LicenceCC BY-NC
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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.