Breaking Through Barriers to Increase Minority Recruitment in Clinical Trials

2.50
Hdl Handle:
http://hdl.handle.net/10755/165560
Category:
Abstract
Type:
Presentation
Title:
Breaking Through Barriers to Increase Minority Recruitment in Clinical Trials
Author(s):
Wujcik, Debra
Author Details:
Debra Wujcik, Vanderbilt-Ingram Cancer Center, Nashville, Tennessee, USA
Abstract:
The national rate of accrual to cancer clinical trials is 3%. The rate of participation of minority and underserved populations in cancer research is even lower. The most common reasons cited are fear of research and poor access to care. The experience at a community cancer program that serves minority and underserved persons is quite different. All patients (N = 156) who were newly diagnosed with cancer or with newly recurrent cancer in a one-year period were screened for eligibility to clinical trials. A trial for the disease and stage was available for 45 patients and 15 were registered and treated on a clinical trial. This accrual rate of 33% far exceeds the national norm. The reasons most of the patients did not enter a clinical trial were due to eligibility requirements of the study. Only two patients indicated they did not wish to participate in research. Two research nurses (one African American (AA), one Caucasian (C), and two medical oncologists (one AA, one C) approached all patients regarding participation in a clinical trial. The race of the patients who participated in trials was proportionate to the race of the entire sample of 156 patients: AA = 60% (93), C = 34% (53), Hispanic (H) = 5% (8). Participants (N = 15): AA = 9 (60%), C = 5 (33%), H = 1 (6%). This presentation will discuss strategies for successful accrual of minority and underserved patients to cancer clinical trials. Case management activities for oncology patients include review of all pathology and radiology reports, surgery clinic schedule, mammography schedule, charts of all consults and new patients, and collaboration with the tumor registrar. Strategies for decreasing obstacles to care are providing funds for patient transportation, assistance with insurance precertifications, assistance with appointment scheduling, and immediate follow up for missed appointments or treatments. Accrual plans are developed for each study and regularly reviewed by the research team. The team also monitors the diagnosis and stage of all new patients to target new studies that match the demographics of the patient population.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2002
Conference Name:
27th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleBreaking Through Barriers to Increase Minority Recruitment in Clinical Trialsen_GB
dc.contributor.authorWujcik, Debraen_US
dc.author.detailsDebra Wujcik, Vanderbilt-Ingram Cancer Center, Nashville, Tennessee, USAen_US
dc.identifier.urihttp://hdl.handle.net/10755/165560-
dc.description.abstractThe national rate of accrual to cancer clinical trials is 3%. The rate of participation of minority and underserved populations in cancer research is even lower. The most common reasons cited are fear of research and poor access to care. The experience at a community cancer program that serves minority and underserved persons is quite different. All patients (N = 156) who were newly diagnosed with cancer or with newly recurrent cancer in a one-year period were screened for eligibility to clinical trials. A trial for the disease and stage was available for 45 patients and 15 were registered and treated on a clinical trial. This accrual rate of 33% far exceeds the national norm. The reasons most of the patients did not enter a clinical trial were due to eligibility requirements of the study. Only two patients indicated they did not wish to participate in research. Two research nurses (one African American (AA), one Caucasian (C), and two medical oncologists (one AA, one C) approached all patients regarding participation in a clinical trial. The race of the patients who participated in trials was proportionate to the race of the entire sample of 156 patients: AA = 60% (93), C = 34% (53), Hispanic (H) = 5% (8). Participants (N = 15): AA = 9 (60%), C = 5 (33%), H = 1 (6%). This presentation will discuss strategies for successful accrual of minority and underserved patients to cancer clinical trials. Case management activities for oncology patients include review of all pathology and radiology reports, surgery clinic schedule, mammography schedule, charts of all consults and new patients, and collaboration with the tumor registrar. Strategies for decreasing obstacles to care are providing funds for patient transportation, assistance with insurance precertifications, assistance with appointment scheduling, and immediate follow up for missed appointments or treatments. Accrual plans are developed for each study and regularly reviewed by the research team. The team also monitors the diagnosis and stage of all new patients to target new studies that match the demographics of the patient population.en_GB
dc.date.available2011-10-27T12:20:53Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:20:53Z-
dc.conference.date2002en_US
dc.conference.name27th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationWashington, D.C., USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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