Evidence map›Paper›PMID 29546072›Full record

ArticleBioMed research international2018

Patient Access, Unmet Medical Need, Expected Benefits, and Concerns Related to the Utilisation of Biosimilars in Eastern European Countries: A Survey of Experts.

Andras Inotai, Marcell Csanadi, Guenka Petrova, Maria Dimitrova, Tomasz Bochenek, Tomas Tesar, Kristina York, Leos Fuksa, Alexander Kostyuk, Laszlo Lorenzovici and 3 more

Open access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
1.5field-weighted citation impact, top 18% of its field
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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Pharmacists' Perspectives of Biosimilars: A Systematic Review.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2022
    Pooled it
  3. Pooled it
  4. Introduction of Biopharmaceuticals in Europe: A Cross-Sectional Study of Early Diffusion Patterns and Data Availability.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    Article
  5. Article
  6. Maximizing the benefits of using biosimilars in Egypt.Journal of pharmaceutical policy and practice · 2023
    Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
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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

13 authors at 10 institutions in 8 countries.

Andras InotaiSyreon Research Institute, Budapest, Hungary.ORCID 0000-0002-0663-2733
Marcell CsanadiSyreon Research Institute, Budapest, Hungary.
Guenka PetrovaFaculty of Pharmacy, Medical University-Sofia, Sofia, Bulgaria.ORCID 0000-0001-8116-5138
Maria DimitrovaFaculty of Pharmacy, Medical University-Sofia, Sofia, Bulgaria.ORCID 0000-0002-4868-7775
Tomasz BochenekDepartment of Drug Management, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland.
Tomas TesarDepartment of Organisation and Management in Pharmacy, Faculty of Pharmacy, Comenius University, Bratislava, Slovakia.
Kristina YorkManagement Center Innsbruck, Innsbruck, Austria.
Leos FuksaDepartment of Social and Clinical Pharmacy, Faculty of Pharmacy, Charles University in Prague, Hradec Králové, Czech Republic.
Alexander KostyukKazakh Agency for Health Technology Assessment, Astana, Kazakhstan.
Laszlo LorenzoviciSyreon Research Romania, Tirgu Mures, Romania.
Vitaly OmelyanovskiyCenter of Healthcare Quality Assessment and Control, Ministry of Health of the Russian Federation, Moscow, Russia.
Katalin EgyedEgis Pharmaceuticals, Budapest, Hungary.
Zoltan KaloSyreon Research Institute, Budapest, Hungary.
Eötvös Loránd University · HUMedical University of Sofia · BGCharles University · CZComenius University Bratislava · SKEgis Pharmaceuticals (Hungary) · HUFederal State Budgetary Institution "Center for Expertise and Quality Control of Medical Care" · RUJagiellonian University · PLManagement Center Innsbruck · ATSapientia Hungarian University of Transylvania · ROSyreon Research Institute (Hungary) · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This policy research aims to map patient access barriers to biologic treatments, to explore how increased uptake of biosimilars may lower these hurdles and to identify factors limiting the increased utilisation of biosimilars. A policy survey was developed to review these questions in 10 Central and Eastern European (CEE) and Commonwealth of Independent States (CIS) countries. Two experts (one public and one private sector representative) from each country completed the survey. Questions were related to patient access, purchasing, clinical practice, and real-world data collection on both original biologics and biosimilars. Restrictions on the number of patients that can be treated and related waiting lists were reported as key patient access barriers. According to respondents, for both clinicians and payers the primary benefit of switching patients to biosimilars would be to treat more patients. However, concerns with therapeutic equivalence and fear of immunogenicity may reduce utilisation of biosimilars. Similar limitations in patient access to both original biologics and biosimilars raise concerns about the appropriateness and success of current biosimilar policies in CEE and CIS countries. The conceptual framework for additional real-world data collection exists in all countries which may provide a basis for future risk-management activities including vigorous pharmacovigilance data collection.

Indexed as

Therapeutic EquivalencyBiosimilar PharmaceuticalsCommonwealth of Independent StatesEurope, EasternHumansPharmacovigilanceSurveys and QuestionnairesBiosimilar Pharmaceuticals

Identifiers

PMID29546072
PMCPMC5818964
OpenAlexW2782787725

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.