Here’s how we can make clinical trials more inclusive

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Since COVID-19 made its way to the United States, we have seen a stream of worrying news of the pandemic’s impact on cancer care in the U.S., including 9.4 million missed screenings1 for just about all forms of cancer. While screening rates rebounded in the fall of 20202, there’s a growing concern from oncologists that screenings haven’t returned to pre-pandemic levels for everyone. 

And the data are compelling. From September to December 2020, for example, fewer Black and Hispanic women2 had mammograms than in the three months prior to the pandemic. In addition, Black men were 25% less likely3 than their white counterparts to get a prostatectomy during the pandemic. 

There is significant concern among health equity advocates that the pandemic’s ripple effects on cancer care could be sustaining or even deepening widely recognized and reported health disparities for vulnerable communities, including Black, Latinx, and rural Americans.4 Warnings from experts of the pandemic’s impact on cancer disparities necessitate an even greater urgency to further reduce gaps in care.

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Jenny Sherak
Senior vice president & President, Specialty Physician Services AmerisourceBergen
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For decades, we have faced a central challenge in colorectal cancer screening. One in three eligible Americans—over 50 million people—remain unscreened despite established methods like colonoscopy or stool-based tests existing for decades. This gap persists even though early detection saves lives, and even as colorectal cancer is now the number one cancer killer for Americans under 50.
How’s this for a paradox: The better cancer centers become at keeping patients alive, the more expensive cancer care becomes. This brutal tradeoff hits harder in rural areas, where the cancer burden is higher and the investigator and clinical trial representation is lower.
Jenny Sherak
Senior vice president & President, Specialty Physician Services AmerisourceBergen

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