Diversity in Cancer Care

Author:

Akimoto Kai1,Taparra Kekoa2,Brown Thelma3,Patel Manali I.

Affiliation:

1. Duluth Campus, University of Minnesota School of Medicine, Duluth, MN

2. Department of Radiation Oncology, Stanford Medicine, Palo Alto, CA

3. Division of Hematology and Oncology, The University of Alabama at Birmingham, AL

Abstract

Abstract Access to and participation in cancer clinical trials determine whether such data are applicable, feasible, and generalizable among populations. The lack of inclusion of low-income and marginalized populations limits generalizability of the critical data guiding novel therapeutics and interventions used globally. Such lack of cancer clinical trial equity is troubling, considering that the populations frequently excluded from these trials are those with disproportionately higher cancer morbidity and mortality rates. There is an urgency to increase representation of marginalized populations to ensure that effective treatments are developed and equitably applied. Efforts to ameliorate these clinical trial inclusion disparities are met with a slew of multifactorial and multilevel challenges. We aim to review these challenges at the patient, clinician, system, and policy levels. We also highlight and propose solutions to inform future efforts to achieve cancer health equity.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Cancer Research,Oncology

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