Evidence map›Paper›PMID 21690598›Full record

ArticleAnnals of internal medicine2011

Enhancing prescription drug innovation and adoption.

G Caleb Alexander, Alec B O'Connor, Randall S Stafford

Abstract read
In one paragraph

Article in Annals of internal medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. National trends in oral anticoagulant use in the United States, 2007 to 2011.Circulation. Cardiovascular quality and outcomes · 2012
    Article
  8. Article
  9. Article
  10. Article
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

3 authors.

G Caleb AlexanderUniversity of Chicago Hospitals, University of Chicago, University of Chicago Medical Center, Chicago, Illinois 60637, USA. galexand@uchicago.edu
Alec B O'Connor
Randall S Stafford

Funding

Translating Clinical Decision Making into Systems of Care: A Mid-Career MentorK24HL086703 · NHLBI · STANFORD UNIVERSITY · PI STAFFORD, RANDALL SCOTT · 2007 to 2016
$1.5M
An RCT To Decrease Out-Of-Pocket Prescription CostsK08HS015699 · AHRQ · UNIVERSITY OF CHICAGO · PI ALEXANDER, G. CALEB · 2006 to 2010
$617k
AHRQ HHS K08 HS015699AHRQ HHS K08 HS15699AHRQ HHS R01 HS0189960NHLBI NIH HHS K24 HL086703
6 · The paper itself

Abstract

The adoption and use of a new drug would ideally be guided by its innovation and cost-effectiveness. However, information about the relative efficacy and safety of a drug is typically incomplete even well after market entry, and various other forces create a marketplace in which most new drugs are little better than their older counterparts. Five proposed mechanisms are considered for promoting innovation and reducing the use of therapies ultimately found to offer poor value or have unacceptable risks. These changes range from increasing the evidence required for U.S. Food and Drug Administration approval to modifying the structure of drug reimbursement. Despite the challenges of policy implementation, the United States has a long history of successfully improving the societal value and safe use of prescription medicines.

Indexed as

Drug ApprovalPrescription DrugsComparative Effectiveness ResearchCost-Benefit AnalysisDrug DiscoveryDrug LabelingDrug PrescriptionsHumansOrganizational ObjectivesPatents as TopicPrescription FeesProduct Surveillance, PostmarketingReimbursement MechanismsUnited StatesUnited States Food and Drug AdministrationPrescription Drugs

Identifiers

PMID21690598
PMCPMC4049188

What OpenQuestion 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 OpenQuestion graph.