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Race reporting and representation in onychomycosis clinical trials: A systematic review
Journal article   Peer reviewed

Race reporting and representation in onychomycosis clinical trials: A systematic review

Michelle J. Chang, Yuqing Qiu and Shari R. Lipner
Mycoses, v 64(8), pp 954-966
01 Aug 2021
PMID: 33655595

Abstract

Dermatology Life Sciences & Biomedicine Mycology Science & Technology
Background Onychomycosis is the most common nail disease seen in clinical practice. Inclusion of diverse groups in onychomycosis clinical trials subjects is necessary to generalise efficacy data. Objectives We aimed to systematically review race and ethnicity reporting and representation, as well as, treatment outcomes in onychomycosis clinical trials. Methods A PubMed search for onychomycosis clinical trials was performed in August 2020. Primary clinical trial data were included and post hoc analyses were excluded. Categorical variables were compared using chi-squared and Fisher's exact tests. Statistical significance was set at p < .05. Photos in articles were categorised by Fitzpatrick skin type. Results Only 32/182 (17.5%) trials reported on race and/or ethnicity and only one trial compared treatment efficacy in different subgroups. Darker skin colours were infrequently depicted in articles. Topical treatment, location with >= 1 US-based site, industry funding type and publication date after 2000 were significantly associated with reporting of racial/ethnic data (p < .05 for all comparisons). Limitations Demographics on excluded subjects and methods of recruitment were not available. Assigning Fitzpatrick skin type is inherently subjective. Conclusions This study highlights a need for consistent reporting of races and ethnicities of onychomycosis clinical trial participants with subgroup analyses of treatment efficacies.

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9 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Dermatology
Mycology
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