Krieger Nancy, Jahn Jaquelyn L
Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA.
JNCI Cancer Spectr. 2018 May 9;2(1):pky011. doi: 10.1093/jncics/pky011. eCollection 2018 Jan.
Biobanks are increasingly recognized to be vital for analyzing tumor properties, treatment options, and clinical prognosis, yet few data exist on whether they are equipped to enable research on cancer inequities, that is, unfair and unnecessary social group differences in health. We conducted a systematic search of global biobanks, identified 46 that have breast tumor tissue and share data externally with academic researchers, and e-mailed and called to obtain data on the sociodemographic, socioeconomic, and geospatial data included, plus time span encompassed. Among the 32 biobank respondents, 91% housed specimens solely from the Global North, only 31% obtained socioeconomic data, 63% included racial/ethnic data (of which 55% lacked socioeconomic data), 44% included limited geographic data, and 55% had specimens dating back at most to 2000. To enable research to address cancer inequities, including trends over time, biobanks will need to address the data gaps documented by our study.
生物样本库对于分析肿瘤特性、治疗方案和临床预后的重要性日益得到认可,但关于它们是否具备开展癌症不平等研究(即健康方面不公平且不必要的社会群体差异)的能力,现有数据很少。我们对全球生物样本库进行了系统搜索,确定了46个拥有乳腺肿瘤组织并与学术研究人员外部共享数据的样本库,并通过电子邮件和电话获取了有关所包含的社会人口学、社会经济和地理空间数据以及涵盖的时间跨度的数据。在32个回复的生物样本库中,91%仅保存来自全球北方的样本,只有31%获取了社会经济数据,63%包含种族/民族数据(其中55%缺乏社会经济数据),44%包含有限的地理数据,55%的样本最早可追溯到2000年。为了使研究能够解决癌症不平等问题,包括随时间的趋势,生物样本库需要填补我们研究记录的数据空白。