Evidence map›Paper›PMID 40506073›Full record

ArticleBMJ open2025

Factors that influence clinical trial participation for oncology patients in Australia: a scoping review.

Kyung Ha You, Zarnie Lwin, Elizabeth Ahern, David Wyld, Natasha Roberts

Abstract readScoping Review
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Kyung Ha YouCancer Care Services, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia kyung.you@health.qld.gov.au.ORCID http://orcid.org/0000-0001-7583-5502
Zarnie LwinCancer Care Services, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.
Elizabeth AhernMonash Medical Centre Clayton, Clayton, Victoria, Australia.
David WyldCancer Care Services, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.
Natasha RobertsMetro North Hospital and Health Service, Herston, Queensland, Australia.ORCID http://orcid.org/0000-0003-0534-8084

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesEnsuring equity in clinical trials has been declared a global priority. Australia is competitive in the international clinical trial sphere. We aimed to explore factors that influence oncology clinical trial participation in Australia.

designScoping review. DATA SOURCES: On 27 May 2024, a systematic search using a predefined strategy was conducted across four electronic databases (Medline, CINAHL, EMBASE and Scopus), grey literature and hand searches. ELIGIBILITY CRITERIA: All cancer (haematological and non-haematological) clinical trials that discussed factors influencing participation in Australia were included. There were no language or age restrictions. DATA EXTRACTION AND SYNTHESIS: Data were extracted using a predesigned extraction tool. Quantitative results were analysed using descriptive statistics. Qualitative data were synthesised using a framework method into four domains (1) patients, (2) healthcare professionals, (3) clinical trials and (4) health services.

resultsOf 1084 citations identified, 393 duplicates were removed. Of the 691 titles and abstracts screened, 54 articles underwent full-text review, and 42 articles were included in the final analysis. Key factors that influence clinical trial participation were identified across all domains, many consistent with the international literature. For example, while self-reported willingness emerged as a key facilitator across diverse patient groups, cohort studies revealed lower participation rates for migrant populations, older patients and those residing in regional areas. Importantly, we were also able to identify the foundations of an evidence base of interventions that directly support increased clinical trial participation.

conclusionThis scoping review contributes new findings to a body of international literature, while contributing a unique Australian perspective. These findings establish the foundations of an evidence base that supports inclusive clinical trial participation.

Indexed as

Clinical Trials as TopicNeoplasmsPatient ParticipationPatient SelectionAustraliaHumansClinical TrialHAEMATOLOGYHealth EquityHealth policyONCOLOGYPatient Participation

Identifiers

PMID40506073
PMCPMC12164614

What OpenQuestion holds

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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.