Organ support & nutrition

Sex Disparity in Extracorporeal Membrane Oxygenation Clinical Trial Enrollment

Crit Care MedPublished Cross-sectional study

Authors' conclusion

Substantial sex-based disparity exists in published ECMO clinical trials.

Study context

Population
RCTs published 2003–2023 testing extracorporeal membrane oxygenation (ECMO) as treatment or another intervention among patients receiving ECMOtrials with sex data
Participants
28 participants
Outcome
Proportion of male and female participants in each published trial
Methodological detailsCochrane Highly Sensitive Search Strategy in PubMed; 774 articles identified, 31 eligible
  • Cochrane Highly Sensitive Search Strategy in PubMed; 774 articles identified, 31 eligible

Main finding

As reported in the abstract

Sex of trial participants

Trials enrolling more men than women (26/28)

93%

Women among all trial participants

28%

551/1956; 95% CI 26–30%

Observational data: associations, not effects.

Further findings

Men among participants by trial type

Extracorporeal cardiopulmonary resuscitation (ECPR) trials
83%
Venoarterial ECMO for cardiogenic shock trials
73%

Men among participants in journals with impact factor ≥10

Men
74% (95% CI 72-76%)

Trials reporting race or ethnicity

Two trials
7%

Original publication

Sex Disparity in Extracorporeal Membrane Oxygenation Clinical Trial Enrollment. Crit Care Med. Published 2 December 2024. doi:10.1097/ccm.0000000000006539

Composed by AI from the published abstract and checked against it. How Briefs are made →

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