A comprehensive analysis of health care Inequities in randomized clinical trials following bariatric surgeries.
Am J Surg
; : 115796, 2024 Jun 08.
Article
in En
| MEDLINE
| ID: mdl-38871550
ABSTRACT
BACKGROUND:
Obesity is a global epidemic, leading to an increasing focus on interventions like bariatric surgeries. Despite this, there's a noticeable gap in understanding the demographic distribution of patients in clinical trials for bariatric surgery.METHODS:
We conducted a comprehensive analysis of 117 registered randomized clinical trials related to bariatric surgery on ClinicalTrials.gov. We extracted demographic information, including age, sex, race, and ethnicity, and performed descriptive statistical analyses.RESULTS:
The analysis covered 8,418 participants. The mean age was 43.8 years, with a substantial majority (93.8 â%) falling within the 18-65 age group. Females comprised 74.9 â% of participants, surpassing real-world estimates. Racially, 65.3 â% of participants were White, while African Americans represented 18.5 â%, Asians 1.2 â%, Native Hawaiians 0.2 â%, and American Indians 0.1 â%, indicating an underrepresentation of diverse racial groups, notably lower compared to real-world demographic data. In terms of ethnicity, only 17.6 â% were Hispanic.CONCLUSIONS:
This study reveals significant demographic disparities in patients undergoing bariatric surgeries in clinical trials. This suggests a lack of generalizability, emphasizing the need for inclusive recruitment strategies to enhance health equity.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
Am J Surg
Year:
2024
Type:
Article
Affiliation country:
United States