Kong Qiuhuan, Mei Hua, Lai Yuerong, Shi Simei, Li Yaner, He Lianzhu, Qin Hui-Ying
Department of Medical Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine Department of Pharmacy, Guangdong No 2. People's hospital Department of Gynecology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine Department of GCP, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine Department of Nursing, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, Guangdong, China.
Medicine (Baltimore). 2017 Sep;96(37):e8062. doi: 10.1097/MD.0000000000008062.
Recruitment rate of clinical trials in cancer patients is pretty low in China. Little is known about factors influencing trial recruitment in Chinese cancer patients. The aim of present study is to evaluate the barriers and facilitators to participation in clinical trials among lymphoma patients in China.From December 2014 to August 2015, the survey was carried out in the Department of Medical Oncology in Sun Yat-sen University Cancer Center. A self-made questionnaire was used among lymphoma patients (N = 331) to evaluate their attitude toward clinical trials. The questionnaire included 2 parts: patients' basic information and whether they were willing to participate in future clinical trials and their reasons.There were 53.5% patients willing to participate in clinical trials. The most common reasons were thirst for new treatments, trust on hospital and doctors, the idea that clinical trials may be more effective than conventional therapy, and to get more management and monitoring. The following patients are more likely to participate in clinical trials: patients who have children (P = .019) or spouse (P = .037), cannot afford treatment cost (P = .019), have tumor relapse (P = .045), and cared about the medical development (P = .032). Patients who have little knowledge of clinical trials are less likely to participate in clinical trials (P = .047).Popularization of knowledge about clinical trial is helpful to improve clinical trial participation in Chinese lymphoma patients.
在中国,癌症患者参加临床试验的招募率相当低。关于影响中国癌症患者参加试验招募的因素,人们了解甚少。本研究的目的是评估中国淋巴瘤患者参加临床试验的障碍和促进因素。
2014年12月至2015年8月,在中山大学肿瘤防治中心医学肿瘤科开展了此项调查。对淋巴瘤患者(N = 331)使用自制问卷来评估他们对临床试验的态度。问卷包括两部分:患者的基本信息以及他们是否愿意参加未来的临床试验及其原因。
有53.5%的患者愿意参加临床试验。最常见的原因是渴望新的治疗方法、对医院和医生的信任、认为临床试验可能比传统疗法更有效,以及获得更多的管理和监测。以下患者更有可能参加临床试验:有子女(P = 0.019)或配偶(P = 0.037)的患者、负担不起治疗费用的患者(P = 0.019)、肿瘤复发的患者(P = 0.045)以及关心医学发展的患者(P = 0.032)。对临床试验了解甚少的患者参加临床试验的可能性较小(P = 0.047)。
普及临床试验知识有助于提高中国淋巴瘤患者参加临床试验的比例。