(1) complains about the low patient and physician involvement in cancer clinical trials:
Of the 1.4 million patients with a new diagnosis of cancer in 2008 (ACS, 2008), it is estimated that no more than 5 percent of patients enrolled in clinical trials, with some estimates suggesting that less than 3 percent of patients enrolled in clinical trials (reviewed by ENACCT-CCPH, 2008). Likewise, reimbursement concerns, a lack of awareness of clinical trials, physician or patient preference for standard therapies, excessive regulatory burdens, and time constraints prevent many physicians from enrolling patients in clinical trials (C-Change and Coalition of Cancer Cooperative Groups, 2006; Mansour, 1994; Somkin et al., 2005).
What would be an adequate patient involvement in cancer clinical trials? I.e., in an ideal world, what percentage of patients should be enrolled in clinical trials?
- (1) Mendelsohn, John, Harold L. Moses, and Sharyl J. Nass, eds. A National Cancer Clinical Trials System for the 21st Century:: Reinvigorating the NCI Cooperative Group Program. National Academies Press, 2010. https://scholar.google.com/scholar?cluster=10638934128167382656&hl=en&as_sdt=0,5