{"id":"https://openalex.org/W4379280933","doi":"https://doi.org/10.1200/jco.2023.41.16_suppl.e18620","title":"Addressing the clinical trial selection process to improve representation by African American patients with breast cancer in cancer clinical trials.","display_name":"Addressing the clinical trial selection process to improve representation by African American patients with breast cancer in cancer clinical trials.","publication_year":2023,"publication_date":"2023-06-01","ids":{"openalex":"https://openalex.org/W4379280933","doi":"https://doi.org/10.1200/jco.2023.41.16_suppl.e18620"},"language":"en","primary_location":{"id":"doi:10.1200/jco.2023.41.16_suppl.e18620","doi":"https://doi.org/10.1200/jco.2023.41.16_suppl.e18620","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1200/jco.2023.41.16_suppl.e18620","pdf_url":null,"source":{"id":"https://openalex.org/S15137598","display_name":"Journal of Clinical Oncology","issn_l":"0732-183X","issn":["0732-183X","1527-7755"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Oncology","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5100654651","display_name":"Sarah Kim","orcid":"https://orcid.org/0000-0002-9179-0735","observed_orcids":["https://orcid.org/0000-0002-9179-0735","https://orcid.org/0009-0000-4001-2899"]},"institutions":[{"id":"https://openalex.org/I1304196042","display_name":"Loyola University Medical Center","ror":"https://ror.org/05xcyt367","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1304196042","https://openalex.org/I1304269903"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sarah Kim","raw_affiliation_strings":["Loyola University Medical Center, Maywood, IL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Loyola University Medical Center, Maywood, IL","institution_ids":["https://openalex.org/I1304196042"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5092083192","display_name":"Madeleine Uelk","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1304196042","display_name":"Loyola University Medical Center","ror":"https://ror.org/05xcyt367","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1304196042","https://openalex.org/I1304269903"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Madeleine Uelk","raw_affiliation_strings":["loyola university medical center, Maywood, IL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"loyola university medical center, Maywood, IL","institution_ids":["https://openalex.org/I1304196042"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5068545615","display_name":"Kathleen Fujiu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1304196042","display_name":"Loyola University Medical Center","ror":"https://ror.org/05xcyt367","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1304196042","https://openalex.org/I1304269903"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kathleen Fujiu","raw_affiliation_strings":["Loyola University Medical Center, Maywood, IL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Loyola University Medical Center, Maywood, IL","institution_ids":["https://openalex.org/I1304196042"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026031275","display_name":"Cathy Grace-Louthen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1304196042","display_name":"Loyola University Medical Center","ror":"https://ror.org/05xcyt367","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1304196042","https://openalex.org/I1304269903"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Cathy Grace Louthen","raw_affiliation_strings":["loyola university medical center, Maywood, IL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"loyola university medical center, Maywood, IL","institution_ids":["https://openalex.org/I1304196042"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001628274","display_name":"Nazzara Chervinko","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1304196042","display_name":"Loyola University Medical Center","ror":"https://ror.org/05xcyt367","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1304196042","https://openalex.org/I1304269903"]},{"id":"https://openalex.org/I4210159390","display_name":"Loyola Medicine","ror":"https://ror.org/04azs9g49","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210159390"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nazzara Chervinko","raw_affiliation_strings":["Loyola university medical center, Maywood, IL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Loyola university medical center, Maywood, IL","institution_ids":["https://openalex.org/I1304196042","https://openalex.org/I4210159390"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5086815204","display_name":"Arpan A. Patel","orcid":"https://orcid.org/0000-0003-2758-1274","observed_orcids":["https://orcid.org/0000-0003-2758-1274"]},"institutions":[{"id":"https://openalex.org/I5388228","display_name":"University of Rochester","ror":"https://ror.org/022kthw22","country_code":"US","type":"education","lineage":["https://openalex.org/I5388228"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Arpan Patel","raw_affiliation_strings":["University of Rochester, Rochester, NY"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Rochester, Rochester, NY","institution_ids":["https://openalex.org/I5388228"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5012364726","display_name":"Patricia A. Robinson","orcid":"https://orcid.org/0000-0003-2077-9894","observed_orcids":["https://orcid.org/0000-0003-2077-9894"]},"institutions":[{"id":"https://openalex.org/I1925986","display_name":"Loyola University Chicago","ror":"https://ror.org/04b6x2g63","country_code":"US","type":"education","lineage":["https://openalex.org/I1925986"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Patricia A. Robinson","raw_affiliation_strings":["Loyola University Chicago, Stritch School of Medicine, Maywood, IL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Loyola University Chicago, Stritch School of Medicine, Maywood, IL","institution_ids":["https://openalex.org/I1925986"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"41","issue":"16_suppl","first_page":"e18620","last_page":"e18620"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10582","display_name":"Ethics in Clinical Research","score":0.9932000041007996,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10582","display_name":"Ethics in Clinical Research","score":0.9932000041007996,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.002099999925121665,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10843","display_name":"Diversity and Career in Medicine","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/3318","display_name":"Gender Studies"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/breast-cancer","display_name":"breast cancer","score":0.8980000019073486},{"id":"https://openalex.org/keywords/african-american-patients","display_name":"African American patients","score":0.8690000176429749},{"id":"https://openalex.org/keywords/clinical-trial-enrollment","display_name":"clinical trial recruitment","score":0.7509999871253967},{"id":"https://openalex.org/keywords/underrepresentation-in-clinical-trials","display_name":"underrepresentation in clinical trials","score":0.7770000100135803},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.5820000171661377},{"id":"https://openalex.org/keywords/health-literacy","display_name":"health literacy","score":0.6150000095367432},{"id":"https://openalex.org/keywords/language-barriers","display_name":"language barriers","score":0.7099999785423279},{"id":"https://openalex.org/keywords/patient-eligibility","display_name":"patient eligibility","score":0.4020000100135803},{"id":"https://openalex.org/keywords/institutional-support","display_name":"institutional support","score":0.3529999852180481},{"id":"https://openalex.org/keywords/triple-negative-breast-cancer","display_name":"triple-negative breast cancer","score":0.5289999842643738},{"id":"https://openalex.org/keywords/her2-targeted-therapy","display_name":"HER2-targeted therapy","score":0.8949999809265137},{"id":"https://openalex.org/keywords/endocrine-therapy","display_name":"endocrine therapy","score":0.8730000257492065},{"id":"https://openalex.org/keywords/metastatic-breast-cancer","display_name":"metastatic breast cancer","score":0.6869999766349792},{"id":"https://openalex.org/keywords/racial-disparities-in-cancer-care","display_name":"racial disparities in cancer care","score":0.37599998712539673}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8657697439193726},{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.684432327747345},{"id":"https://openalex.org/C2250968","wikidata":"https://www.wikidata.org/wiki/Q1512929","display_name":"Health equity","level":3,"score":0.5631975531578064},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.5192639827728271},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.515763521194458},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.5052950978279114},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.499222993850708},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.49546921253204346},{"id":"https://openalex.org/C2781400479","wikidata":"https://www.wikidata.org/wiki/Q11640","display_name":"Outreach","level":2,"score":0.4261151850223541},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.2692207098007202},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.16343200206756592},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.14051800966262817},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1200/jco.2023.41.16_suppl.e18620","doi":"https://doi.org/10.1200/jco.2023.41.16_suppl.e18620","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1200/jco.2023.41.16_suppl.e18620","pdf_url":null,"source":{"id":"https://openalex.org/S15137598","display_name":"Journal of Clinical Oncology","issn_l":"0732-183X","issn":["0732-183X","1527-7755"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Oncology","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.9629999995231628,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3174660989","https://openalex.org/W4379281418","https://openalex.org/W2311261060","https://openalex.org/W4298139078","https://openalex.org/W4399280956","https://openalex.org/W4410811904","https://openalex.org/W4220653491","https://openalex.org/W3216511845","https://openalex.org/W2160572344","https://openalex.org/W3209454066"],"abstract_inverted_index":{"e18620":[0],"Background:":[1],"Breast":[2],"cancer":[3,10,357,386],"(BC)":[4],"is":[5,36,389],"the":[6,33,60,68,71,94,98,103,119,126,168,177,200,203,277,292,296,385,405,425,428,444,455],"most":[7],"commonly":[8],"diagnosed":[9],"in":[11,16,59,70,115,131,142,196,226,273,295,325,356,384,394,458],"women.":[12],"Despite":[13],"overall":[14],"improvements":[15],"BC":[17,57,72,138,169,209,224,266,270],"outcomes,":[18],"African":[19,110],"American":[20,111],"(AA)":[21],"women":[22],"are":[23],"41%":[24],"more":[25,352],"likely":[26,353],"to":[27,41,76,108,133,140,176,354,374,391,396,404,435,439,453],"die":[28],"from":[29,83],"BC.":[30,257],"Causation":[31],"of":[32,55,67,86,97,102,149,159,202,245,259,336,344,416,427],"disparity":[34],"gap":[35],"multifactorial":[37],"including":[38,327,418],"less":[39],"access":[40],"quality":[42],"treatment,":[43],"such":[44],"as":[45],"clinical":[46],"trials":[47],"(CTs).":[48],"AA":[49,137,228],"patients":[50,229],"(pts)":[51],"account":[52],"for":[53,128,136,164,180,192,279,321],"12%":[54],"new":[56,223],"cases":[58,225],"United":[61],"States,":[62],"but":[63],"constituted":[64],"only":[65],"3%":[66],"participants":[69],"CTs":[73,90,197,272,326,358,372],"that":[74,262,430,441,447],"led":[75],"U.S.":[77],"Food":[78],"and":[79,157,172,182,198,216,240,249,287,307,311,314,346,367,408,421],"Drug":[80],"Administration":[81],"approvals":[82],"2008-2018.":[84],"Lack":[85],"diverse":[87],"participation":[88],"on":[89,190,424],"does":[91],"not":[92,193,322],"allow":[93],"broad":[95],"applicability":[96],"results.":[99],"As":[100],"part":[101,426],"\"Bringing":[104],"Quality":[105],"Care":[106],"Training":[107],"Komen\u2019s":[109],"Health":[112],"Equity":[113],"Initiative\"":[114],"collaboration":[116],"with":[117,380],"ASCO,":[118],"Cardinal":[120],"Bernardin":[121],"Cancer":[122],"Center":[123],"(CBCC)":[124],"examined":[125],"process":[127,162],"CT":[129,165,170,204,280,299,395,406,437,459],"selection":[130,281],"order":[132],"increase":[134,392],"opportunities":[135],"pts":[139,195,210,267,324,350],"participate":[141,355],"CTs.":[143,185,316],"Methods:":[144],"The":[145,186,219],"CBCC":[146,220,263],"team,":[147],"comprised":[148],"social":[150],"worker,":[151],"breast":[152,297],"program":[153],"coordinator,":[154],"medical":[155],"oncology,":[156],"director":[158],"outreach":[160],"developed":[161],"maps":[163],"selection,":[166],"analyzed":[167],"content,":[171],"identified":[173,208,291,413],"gaps":[174,294],"relative":[175],"pt":[178,333,339,347,445,456],"population":[179,446],"industry":[181],"cooperative":[183],"group":[184],"team":[187],"surveyed":[188],"faculty":[189],"reasons":[191],"enrolling":[194,323],"assessed":[199],"demographics":[201],"participants.":[205],"Tumor":[206],"registry":[207],"by":[211],"sex,":[212],"race,":[213],"ethnicity,":[214],"phenotype":[215],"stage.":[217],"Results:":[218],"treated":[221],"283":[222],"2021.":[227,274],"made":[230],"up":[231],"15%":[232],"(n":[233,237,242],"=":[234,238,243],"22),":[235],"18%":[236],"9),":[239],"23%":[241],"5)":[244],"stages":[246],"I,":[247],"II/III,":[248],"IV":[250],"respectively.":[251],"Fifteen":[252],"percent":[253],"were":[254,351,361],"triple":[255,308],"negative":[256,309],"Review":[258],"Velos":[260],"demonstrated":[261,319],"enrolled":[264],"13":[265],"onto":[268],"2":[269],"drug":[271],"We":[275,290],"projected":[276],"need":[278,434,452],"based":[282],"upon":[283],"stage":[284],"at":[285,377],"diagnoses":[286],"tumor":[288],"biology.":[289],"following":[293],"oncology":[298],"portfolio:":[300],"non-competing":[301],"neo-adjuvant":[302],"CTs;":[303,310],"adjuvant":[304],"endocrine,":[305],"HER2-targeted":[306,315],"metastatic":[312],"endocrine":[313],"Faculty":[317],"surveys":[318],"perceptions":[320],"low":[328],"health":[329,398],"literacy":[330],"amongst":[331],"pts,":[332],"ineligibility,":[334],"lack":[335,343],"institutional":[337],"support,":[338],"mistrust,":[340],"language":[341],"barriers,":[342],"time,":[345],"co-morbidities.":[348],"Overall,":[349],"if":[359],"they":[360],"non-Hispanic":[362],"white,":[363],"privately":[364],"insured,":[365],"married":[366],"60-69":[368],"years":[369],"old.":[370],"Conclusions:":[371],"lead":[373],"treatment":[375],"advancements":[376],"faster":[378],"rates":[379],"concurrent":[381],"mortality":[382],"reductions":[383],"population.":[387],"It":[388],"necessary":[390],"representation":[393],"address":[397],"equity.":[399],"This":[400],"requires":[401],"intentional":[402],"detail":[403],"development":[407],"implementation":[409],"process.":[410],"Our":[411],"study":[412],"a":[414],"number":[415],"factors,":[417],"structural,":[419],"clinical,":[420],"attitudinal":[422],"barriers":[423],"physician":[429],"impair":[431],"enrollment.":[432],"Institutions":[433],"construct":[436],"portfolios":[438],"ensure":[440],"it":[442,448],"reflects":[443],"serves.":[449],"Further":[450],"studies":[451],"include":[454],"experience":[457],"participation.":[460]},"counts_by_year":[],"updated_date":"2026-10-13T10:08:12.033832","created_date":"2023-06-05T00:00:00"}
