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February 9, 2026Cancer Medicine3 citationsOpen Access

Racial and Socioeconomic Healthcare Disparities in Access to Chimeric Antigen Receptor T ( CAR ‐T) Cell Therapy for Blood Cancers

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HWHasini WarnakulasuriyaRTRitika Tiwari

Key Points

  • This research aims to evaluate the disparities in access to CAR-T cell therapy for blood cancers based on racial and socioeconomic factors.
  • Followed PRISMA-ScR guidelines for study selection and reporting.
  • Conducted a comprehensive literature search across databases like PubMed and Google Scholar.
  • Included peer-reviewed studies published in English since 2000.
  • Performed basic quality appraisal of included studies to ensure relevance.
  • Identified significant racial and socioeconomic disparities in access to CAR-T therapy.
  • Highlighted financial constraints and lack of awareness as primary barriers.
  • Noted systemic biases that limit equitable distribution of treatments.
  • Pointed out the high costs and lack of insurance coverage affecting access.
  • Underrepresentation of minority groups in clinical trials was also observed.

Abstract

ABSTRACT Background Health disparities remain a critical global public health challenge, particularly in access to advanced treatments for blood cancers. Racial and socioeconomic factors influence healthcare accessibility, contributing to inequities in patient outcomes. Despite the potential of CAR‐T therapy in treating blood cancers, disparities in financial resources, education, gender, and race hinder equitable access. This study evaluates literature on CAR‐T therapy to identify access disparities and proposes policy recommendations. Methods The PRISMA‐ScR guidelines were followed for study selection and reporting. A comprehensive search strategy was used across databases like PubMed and Google Scholar, using keywords and MeSH terms. Inclusion criteria included peer‐reviewed studies in English since 2000. A basic quality appraisal was conducted to ensure the relevance and credibility of included studies, despite the diversity of study designs and the primary focus on mapping key themes across the literature. Results Twenty‐five relevant (25) studies, including analytical studies, observational studies, and literature reviews, were analyzed. Findings indicate significant racial and socioeconomic disparities in CAR‐T therapy accessibility, with financial constraints, lack of awareness, and systemic biases limiting equitable distribution. Challenges include high treatment costs, lack of insurance coverage, and underrepresentation of minority groups in trials. Conclusion Addressing these disparities requires targeted policy interventions, increased funding, and improved patient education. Continued research and collaboration are essential to ensure equitable access for all individuals.

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Cite This Study

Warnakulasuriya et al. (2026) studied this question.

synapsesocial.com/papers/698979d9f0ec2af6756e7e22https://doi.org/10.1002/cam4.71457
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