Santos, Jhulia Dos;
Dawson, Shoba;
Conefrey, Carmel;
Isaacs, Talia;
Khanum, Mahwar;
Faisal, Saba;
Paramasivan, Sangeetha;
(2024)
Most UK cardiovascular disease trial protocols feature criteria that exclude ethnic minority participants: systematic review.
Journal of Clinical Epidemiology
, Article 111259. 10.1016/j.jclinepi.2024.111259.
(In press).
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Abstract
Objectives: We systematically reviewed UK cardiovascular disease (CVD) randomised controlled trial (RCT) protocols to identify the proportion featuring eligibility criteria that may disproportionately exclude ethnic minority (EM) participants. Methods: We searched MEDLINE, Embase and Cochrane Library databases, January 2014-June 2022, to identify UK CVD RCT protocols. We extracted non-clinical eligibility criteria from trial protocols and inductively categorised the trials by their language, consent and broad (ambiguous) criteria. Findings are narratively reported. Results: Of the seventy included RCT protocols, most (87.1%; 61/70) mentioned consent within the eligibility criteria, with more than two thirds (68.9%; 42/61) indicating a requirement for ‘written’ consent. Alternative consent pathways that can aid EM participation were absent. English language requirement was present in 22.9% (16/70) of the studies and 37.1% (26/70) featured broad criteria that are open to interpretation and subject to recruiter bias. Only 4.3% (3/70) protocols mentioned the provision of translation services. Conclusion: Most UK CVD trial protocols feature eligibility criteria that potentially exclude EM groups. Trial eligibility criteria must be situated within a larger inclusive recruitment framework, where ethnicity is considered alongside other intersecting and disadvantaging identities.
Type: | Article |
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Title: | Most UK cardiovascular disease trial protocols feature criteria that exclude ethnic minority participants: systematic review |
Location: | United States |
Open access status: | An open access version is available from UCL Discovery |
DOI: | 10.1016/j.jclinepi.2024.111259 |
Publisher version: | https://doi.org/10.1016/j.jclinepi.2024.111259 |
Language: | English |
Additional information: | © 2024 Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/) |
Keywords: | Cardiovascular diseases, Equitable research, Ethnic minority groups, Randomized controlled trials, Recruitment, Systematic review |
UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Education UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Culture, Communication and Media |
URI: | https://discovery.ucl.ac.uk/id/eprint/10186172 |
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