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Inequalities in geographic barriers and patient representation in lymphoma clinical trials across England.


ABSTRACT: The distribution of trial site locations may lead to disparities in geographic access and affect patient representativeness in clinical trials. We utilised trial data covering 1993-2022 from the National Institute for Health and Care Research (NIHR) Open Data Platform, 2011 and 2021 English Census and geographic data and English individual-patient cancer registry data for patients diagnosed with lymphoma between 1997 and 2017. To assess representation, we compared patient age and sex between trial participants and the incident population. We mapped the distance and travel times of English lower layer super output areas (LSOAs) to their nearest research active NHS Trusts and assessed associations between distance and travel times and the geographic and sociodemographic characteristics of th

SUBMITTER: Jones DA 

PROVIDER: S-EPMC11829142 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature