Evidence map›Paper›PMID 28428185›Full record

ArticleBMJ open2017

Investments in cancer research awarded to UK institutions and the global burden of cancer 2000-2013: a systematic analysis.

Mahiben Maruthappu, Michael G Head, Charlie D Zhou, Barnabas J Gilbert, Majd A El-Harasis, Rosalind Raine, Joseph R Fitchett, Rifat Atun

Abstract read
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Improving the Early Diagnosis of Gastric Cancer.Gastrointestinal endoscopy clinics of North America · 2021
    Review
  5. Molecules (Basel, Switzerland) · 2021
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Databases for Research and Development.Emerging infectious diseases · 2019
    Article
  11. Article
  12. Article
  13. Article
  14. Review
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

8 authors.

Mahiben MaruthappuEpidemiology and Public Health, University College London, London, UK.
Michael G HeadFaculty of Medicine, Global Health Research Institute, Institute for Life Sciences, University of Southampton, Southampton, UK.
Charlie D ZhouMedical Sciences Division, University of Oxford, Oxford, UK.
Barnabas J GilbertHarvard University, Cambridge, Massachusetts, USA.
Majd A El-HarasisFaculty of Medicine, Imperial College London, London, UK.
Rosalind RaineDepartment of Applied Health Research, UCL, London, UK.
Joseph R FitchettHarvard T. H. Chan School of Public Health, Harvard University, Boston, Massachusetts, USA.
Rifat AtunHarvard T. H. Chan School of Public Health, Harvard University, Boston, Massachusetts, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo systematically categorise cancer research investment awarded to United Kingdom (UK) institutions in the period 2000-2013 and to estimate research investment relative to disease burden as measured by mortality, disability-adjusted life years (DALYs) and years lived with disability (YLDs).

designSystematic analysis of all open-access data. SETTING AND

participantsPublic and philanthropic funding to all UK cancer research institutions, 2000-2013.

main outcome measuresNumber and financial value of cancer research investments reported in 2013 UK pounds (UK£). Mortality, DALYs and YLDs data were acquired from the Global Burden of Disease Study. A compound metric was adapted to estimate research investment relative to disease burden as measured by mortality, DALYs and YLDs.

resultsWe identified 4299 funded studies with a total research investment of £2.4 billion. The highest fundings by anatomical sites were haematological, breast, prostate, colorectal and ovarian cancers. Relative to disease burden as determined by a compound metric combining mortality, DALYs and YLDs, gender-specific cancers were found to be highest funded-the five sites that received the most funding were prostate, ovarian, breast, mesothelioma and testicular cancer; the least well-funded sites were liver, thyroid, lung, upper gastrointestinal (GI) and bladder. Preclinical science accounted for 66.2% of award numbers and 62.2% of all funding. The top five areas of primary research focus by funding were pathogenesis, drug therapy, diagnostic, screening and monitoring, women's health and immunology. The largest individual funder was the Medical Research Council. In combination, the five lowest funded site-specific cancers relative to disease burden account for 47.9%, 44.3% and 20.4% of worldwide cancer mortality, DALYs and YLDs.

conclusionsResearch funding for cancer is not allocated according to relative disease burden. These findings are in line with earlier published studies. Funding agencies and industry should openly document their research investments to improve better targeting of research investment.

Indexed as

InvestmentsNeoplasmsBiomedical ResearchCost of IllnessHealth Services ResearchHumansPersons with DisabilitiesPolicy MakingQuality-Adjusted Life YearsResearch Support as TopicResource AllocationSystems AnalysisUnited Kingdomfundingglobal burden of diseaseglobal healthONCOLOGYresearch and developmentresearch investment

Identifiers

PMID28428185
PMCPMC5775472

What OpenQuestion holds

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LicenceCC BY-NC
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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.