Diversity in modern heart failure trials: Where are we, and where are we going.


Journal

International journal of cardiology
ISSN: 1874-1754
Titre abrégé: Int J Cardiol
Pays: Netherlands
ID NLM: 8200291

Informations de publication

Date de publication:
01 02 2022
Historique:
received: 04 10 2021
revised: 09 12 2021
accepted: 13 12 2021
pubmed: 18 12 2021
medline: 20 1 2022
entrez: 17 12 2021
Statut: ppublish

Résumé

Over the last three decades, increased attention has been given to the representation of historically underrepresented groups within the landscape of pivotal clinical trials. However, recent events (i.e., coronavirus pandemic) have laid bare the potential continuation of historic inequities in available clinical trials and studies aimed at the care of broad patient populations. Anecdotally, cardiovascular disease (CVD) has not been immune to these disparities. Within this review, we examine and discuss recent landmark CVD trials, with a specific focus on the representation of Blacks within several critically foundational heart failure clinical trials tied to contemporary treatment strategies and drug approvals. We also discuss solutions for inequities within the landscape of cardiovascular trials. Building a more diverse clinical trial workforce coupled with intentional efforts to increase clinical trial diversity will advance equity in cardiovascular care.

Identifiants

pubmed: 34920047
pii: S0167-5273(21)02010-6
doi: 10.1016/j.ijcard.2021.12.018
pmc: PMC9023064
mid: NIHMS1796812
pii:
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

95-101

Subventions

Organisme : NIDDK NIH HHS
ID : K23 DK117041
Pays : United States
Organisme : NHLBI NIH HHS
ID : T32 HL110837
Pays : United States

Informations de copyright

Copyright © 2021. Published by Elsevier B.V.

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Auteurs

Uzoma Anaba (U)

Division of Cardiology, Ohio State University Medical Center, Columbus, OH, USA.

Abiodun Ishola (A)

Division of Cardiology, Ohio State University Medical Center, Columbus, OH, USA; Division of Cardiology, St. Elizabeth Heart and Vascular Institute, Edgewood, KY, USA.

Alisha Alabre (A)

Division of Cardiology, Ohio State University Medical Center, Columbus, OH, USA.

Albert Bui (A)

Department of Internal Medicine, Mayo Clinic, Jacksonville, FL, USA.

Marloe Prince (M)

Division of Cardiology, Ochsner Medical Center, New Orleans, LA, USA.

Henry Okafor (H)

Division of Cardiology, Vanderbilt University Medical Center, Nashville, TN, USA.

Onaopepo Kola-Kehinde (O)

Division of Cardiology, Ohio State University Medical Center, Columbus, OH, USA.

Joshua J Joseph (JJ)

Division of Endocrinology, Diabetes and Metabolism, Ohio State University College of Medicine, USA.

Darrion Mitchell (D)

Deparment of Radiation Oncology, Ohio State University Medical Center, Columbus, OH, USA.

Bismarck C Odei (BC)

Deparment of Radiation Oncology, Ohio State University Medical Center, Columbus, OH, USA.

Anezi Uzendu (A)

Division of Cardiology, Massachusetts General Hospital, Boston, MA, USA.

Karen Patricia Williams (KP)

Martha S. Pitzer Center for Women, Children & Youth, College of Nursing, The Ohio State University, Columbus, OH, USA.

Quinn Capers (Q)

Division of Cardiology, Ohio State University Medical Center, Columbus, OH, USA.

Daniel Addison (D)

Division of Cardiology, Ohio State University Medical Center, Columbus, OH, USA. Electronic address: daniel.addison@osumc.edu.

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Classifications MeSH