Evidence map›Paper›PMID 38044003›Full record

ReviewMayo Clinic proceedings2023

Health Disparities, Clinical Trials, and the Digital Divide.

Demilade Adedinsewo, Lauren Eberly, Olayemi Sokumbi, Jorge Alberto Rodriguez, Christi A Patten, LaPrincess C Brewer

Open access · greenAbstract readReview
In one paragraph

Review in Mayo Clinic proceedings, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
12.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 56 citations in OpenAlex.

  1. Trial
  2. Randomized Comparison of Online Motivational Themes in Clinical Trial Recruitment.Circulation. Cardiovascular quality and outcomes · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Demilade AdedinsewoDepartment of Cardiovascular Medicine, Mayo Clinic, Jacksonville, FL.
Lauren EberlyDivision of Cardiovascular Medicine, Perelman School of Medicine, Center for Cardiovascular Outcomes, Quality, and Evaluative Research, and Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia.
Olayemi SokumbiDepartment of Dermatology, Mayo Clinic, Jacksonville, FL; Department of Laboratory Medicine and Pathology, Mayo Clinic, Jacksonville, FL.
Jorge Alberto RodriguezDivision of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Christi A PattenDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN.
LaPrincess C BrewerDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN; Center for Health Equity and Community Engagement Research, Mayo Clinic, Rochester, MN. Electronic address: brewer.laprincess@mayo.edu.
Jacksonville College · USBrigham and Women's Hospital · USCardiovascular Institute of the South · USMayo Clinic · USMayo Clinic in Arizona · US

Funding

Mayo Clinic Interdisciplinary Women's Health Research ProgramK12HD065987 · NICHD · MAYO CLINIC ROCHESTER · PI KANTARCI, KEJAL · 2010 to 2023
$6.7M
Toward Technology Equity: Extending Telemedicine to Latino Patients with Type II DiabetesK23MD016439 · NIMHD · BRIGHAM AND WOMEN'S HOSPITAL · PI RODRIGUEZ, JORGE A · 2021 to 2025
$985k
Improving the Quality of Heart Failure Care for American Indian Patients Receiving Care through the Indian Health ServiceK23HL166974 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI Lauren A Eberly · 2023 to 2026
$738k
CDC HHS CDC-DP18-1817NHLBI NIH HHS K23 HL166974NICHD NIH HHS K12 HD065987NIMHD NIH HHS K23 MD016439
6 · The paper itself

Abstract

In the past few years, there have been rapid advances in technology and the use of digital tools in health care and clinical research. Although these innovations have immense potential to improve health care delivery and outcomes, there are genuine concerns related to inadvertent widening of the digital gap consequentially exacerbating health disparities. As such, it is important that we critically evaluate the impact of expansive digital transformation in medicine and clinical research on health equity. For digital solutions to truly improve the landscape of health care and clinical trial participation for all persons in an equitable way, targeted interventions to address historic injustices, structural racism, and social and digital determinants of health are essential. The urgent need to focus on interventions to promote health equity was made abundantly clear with the coronavirus disease 2019 pandemic, which magnified long-standing social and racial health disparities. Novel digital technologies present a unique opportunity to embed equity ideals into the ecosystem of health care and clinical research. In this review, we examine racial and ethnic diversity in clinical trials, historic instances of unethical research practices in biomedical research and its impact on clinical trial participation, and the digital divide in health care and clinical research, and we propose suggestions to achieve digital health equity in clinical trials. We also highlight key digital health opportunities in cardiovascular medicine and dermatology as exemplars, and we offer future directions for development and adoption of patient-centric interventions aimed at narrowing the digital divide and mitigating health inequities.

Indexed as

Clinical Trials as TopicDigital DivideHealthcare DisparitiesCOVID-19Health PromotionHumans

Identifiers

PMID38044003
PMCPMC10825871
OpenAlexW4376638580

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.