Abstract
Purpose ASCOrecommends early involvement of palliative care for patients with advanced cancers onthe basis of evidence from18randomized trials.Weexamined racial and ethnic minority representation in these trials and the role of race and ethnicity in the statistical analyses. The goal was to identify specific gaps in the palliative care evidence base for these individuals and potential strategies to address them. Methods We reviewed the 18 trials cited in the 2012 and 2017 ASCO clinical statements on integrating palliative care into oncology. We extracted data on the reporting and categorization of race and ethnicity, on the enrollment of specific racial and ethnic minority groups, and on how race and ethnicity were addressed in the analyses. Results One third of patient trials reported representation of specific racial and ethnic minority groups, one third reported rates of "white" versus "other," and one third did not report race or ethnicity data. Among the patient trials with race and ethnicity data, 9.9% of participants were Asian, 8.8% Hispanic/Latino, and 5.7% African American. Analyses that used race and ethnicity were primarily baseline comparisons among randomized groups. Conclusion Race and ethnicity were inconsistently reported in the trials. Among those that provided race and ethnicity data, representation of specific racial and ethnic minority groups waslow. In addition tomoreresearch in centers with large minority populations, consistent reporting of race and ethnicity and supplementary data collection from minority patients who participate in trials may be strategies for improvement.
| Original language | English (US) |
|---|---|
| Pages (from-to) | e346-e356 |
| Journal | Journal of Oncology Practice |
| Volume | 14 |
| Issue number | 6 |
| DOIs | |
| State | Published - Jun 1 2018 |
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ASJC Scopus subject areas
- Oncology
- Oncology(nursing)
- Health Policy
Cite this
Race and ethnicity in the evidence for integrating palliative care into oncology. / Pirl, William F.; Saez-Flores, Estefany; Schlumbrecht, Matthew; Nipp, Ryan; Traeger, Lara N.; Kobetz, Erin.
In: Journal of Oncology Practice, Vol. 14, No. 6, 01.06.2018, p. e346-e356.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Race and ethnicity in the evidence for integrating palliative care into oncology
AU - Pirl, William F.
AU - Saez-Flores, Estefany
AU - Schlumbrecht, Matthew
AU - Nipp, Ryan
AU - Traeger, Lara N.
AU - Kobetz, Erin
PY - 2018/6/1
Y1 - 2018/6/1
N2 - Purpose ASCOrecommends early involvement of palliative care for patients with advanced cancers onthe basis of evidence from18randomized trials.Weexamined racial and ethnic minority representation in these trials and the role of race and ethnicity in the statistical analyses. The goal was to identify specific gaps in the palliative care evidence base for these individuals and potential strategies to address them. Methods We reviewed the 18 trials cited in the 2012 and 2017 ASCO clinical statements on integrating palliative care into oncology. We extracted data on the reporting and categorization of race and ethnicity, on the enrollment of specific racial and ethnic minority groups, and on how race and ethnicity were addressed in the analyses. Results One third of patient trials reported representation of specific racial and ethnic minority groups, one third reported rates of "white" versus "other," and one third did not report race or ethnicity data. Among the patient trials with race and ethnicity data, 9.9% of participants were Asian, 8.8% Hispanic/Latino, and 5.7% African American. Analyses that used race and ethnicity were primarily baseline comparisons among randomized groups. Conclusion Race and ethnicity were inconsistently reported in the trials. Among those that provided race and ethnicity data, representation of specific racial and ethnic minority groups waslow. In addition tomoreresearch in centers with large minority populations, consistent reporting of race and ethnicity and supplementary data collection from minority patients who participate in trials may be strategies for improvement.
AB - Purpose ASCOrecommends early involvement of palliative care for patients with advanced cancers onthe basis of evidence from18randomized trials.Weexamined racial and ethnic minority representation in these trials and the role of race and ethnicity in the statistical analyses. The goal was to identify specific gaps in the palliative care evidence base for these individuals and potential strategies to address them. Methods We reviewed the 18 trials cited in the 2012 and 2017 ASCO clinical statements on integrating palliative care into oncology. We extracted data on the reporting and categorization of race and ethnicity, on the enrollment of specific racial and ethnic minority groups, and on how race and ethnicity were addressed in the analyses. Results One third of patient trials reported representation of specific racial and ethnic minority groups, one third reported rates of "white" versus "other," and one third did not report race or ethnicity data. Among the patient trials with race and ethnicity data, 9.9% of participants were Asian, 8.8% Hispanic/Latino, and 5.7% African American. Analyses that used race and ethnicity were primarily baseline comparisons among randomized groups. Conclusion Race and ethnicity were inconsistently reported in the trials. Among those that provided race and ethnicity data, representation of specific racial and ethnic minority groups waslow. In addition tomoreresearch in centers with large minority populations, consistent reporting of race and ethnicity and supplementary data collection from minority patients who participate in trials may be strategies for improvement.
UR - http://www.scopus.com/inward/record.url?scp=85048393993&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85048393993&partnerID=8YFLogxK
U2 - 10.1200/JOP.17.00016
DO - 10.1200/JOP.17.00016
M3 - Article
C2 - 29813013
AN - SCOPUS:85048393993
VL - 14
SP - e346-e356
JO - Journal of Oncology Practice
JF - Journal of Oncology Practice
SN - 1554-7477
IS - 6
ER -