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- W4365152747 abstract "The coinvestigator is right to voice their opinion.1Yom SS Thomas H To trial or not to trial — Is that the question?.Int J Radiat Oncol Biol Phys. 2023; 116: 12-13Abstract Full Text Full Text PDF Scopus (2) Google Scholar Good multidisciplinary teams should acknowledge dissenting views and discuss both anticipated and unforeseen pitfalls in patient care. However, the coinvestigator's concerns should not preclude the gentleman from trial inclusion. We would first address the trepidation about informed consent. The patient should use a qualified medical interpreter, preferably of the same nationality as the patient, from the center to ensure no treatment discussions are unclear. Additionally, we must understand that patients’ culture and experiences can influence their individual reactions to life-threatening illness. Therefore, we must universally seek understanding of other cultures to better comprehend patient responses. Regarding trial participation, the American Society for Radiation Oncology has emphasized the need to improve diversity in trials.2ASTRO. ASTRO continues push to diversify clinical trials and bridge disparities. Available at: https://www.astro.org/News-and-Publications/What-is-Happening-in-Washington/2022/PDUFA-Clinical-Trial-Diversity-Ltr. Accessed December 1, 2022.Google Scholar With an ever-diversifying population in the United States, our clinical trials do not adequately reflect the national population. To apply clinical trial results broadly, we must continue to diversify trial enrollment, not only racially but socioeconomically and geographically. Doing so would improve the 0.1% of oncology patients who are represented in trials.3Zaorsky NG Zhang Y Walter V Tchelebi LT Chinchilli VM Gusani NJ. Clinical trial accrual at initial course of therapy for cancer and its impact on survival.J Natl Compr Canc Netw. 2019; 17: 1309-1316Crossref PubMed Scopus (25) Google Scholar Moreover, data from Zaorsky et al suggest that clinical trial patients have improved overall survival.3Zaorsky NG Zhang Y Walter V Tchelebi LT Chinchilli VM Gusani NJ. Clinical trial accrual at initial course of therapy for cancer and its impact on survival.J Natl Compr Canc Netw. 2019; 17: 1309-1316Crossref PubMed Scopus (25) Google Scholar It is our moral responsibility to deliver equitable care. For this patient, we would connect them with social workers who can help with housing, health care, insurance application, transportation, and mental health and/or addiction services. In Pittsburgh, we have the Birmingham Free Clinic, which enables homeless and uninsured patients to receive health care free of charge. Stable housing and regular health care appointments would quell the compliance concerns." @default.
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- W4365152747 date "2023-05-01" @default.
- W4365152747 modified "2023-10-17" @default.
- W4365152747 title "Ask, Escucha, Acknowledge, and Decide" @default.
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- W4365152747 doi "https://doi.org/10.1016/j.ijrobp.2023.01.018" @default.
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