Evidence map›Paper›PMID 30198560›Full record

ArticleHealth services research2018

Drug Shortage Impacts Patient Receipt of Induction Treatment.

Nancy G Hedlund, Zeynep Isgor, Jack Zwanziger, Damiano Rondelli, Stephanie Y Crawford, Denise M Hynes, Lisa M Powell

Open access · bronzeAbstract read
In one paragraph

Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 22% 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

5 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Outcomes of a drug shortage requiring switching in patients with ulcerative colitis.World journal of gastrointestinal pathophysiology · 2020
    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

7 authors at 2 institutions in 1 country.

Nancy G HedlundSchool of Public Health, University of Illinois at Chicago, Chicago, IL.ORCID 0000-0003-0297-9091
Zeynep IsgorSchool of Public Health, University of Illinois at Chicago, Chicago, IL.
Jack ZwanzigerSchool of Public Health, University of Illinois at Chicago, Chicago, IL.
Damiano RondelliDepartment of Medicine, University of Illinois at Chicago -UI Health, UIC Center for Global Health, COM, Chicago, IL.
Stephanie Y CrawfordDepartment of Pharmacy Systems, Outcomes and Policy, University of Illinois at Chicago, Chicago, IL.
Denise M HynesCollege of Public Health and Human Sciences, Oregon State University, Corvallis, OR.ORCID 0000-0002-6436-7157
Lisa M PowellSchool of Public Health, University of Illinois at Chicago, Chicago, IL.
University of Illinois Chicago · USOregon State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveExamine the impact of the 2011 shortage of the drug cytarabine on patient receipt and timeliness of induction treatment for Acute Myeloid Leukemia (AML). STUDY

designA retrospective cohort was utilized to examine odds of receipt of inpatient induction chemotherapy and time to first dose across major (N = 105) and moderate (N = 316) shortage time periods as compared to a nonshortage baseline (N = 1,147). DATA COLLECTION/EXTRACTION

methodsDe-identified patient data from 2008 to 2011 Surveillance, Epidemiology, and End Results (SEER) were linked to 2007-2013 Medicare claims and 2007-2013 Hospital Characteristics. PRINCIPAL

findingsCompared to prior nonshortage time period, patients diagnosed during a major drug shortage were 47 percent less likely (p < .05) to receive inpatient chemotherapy within 14 days of diagnosis. Patients who were younger, had a lower Charlson Comorbidity score, and for whom AML was a first primary cancer were prioritized across all periods.

conclusionsPeriod of major shortage of a generic oncolytic, without an equivalent therapeutic substitute, reduced timely receipt of induction chemotherapy treatment. More favorable economic and regulatory policies for generic drug suppliers might result in greater availability of essential, older generic drug products that face prolonged or chronic shortage.

Indexed as

AgedAntimetabolites, AntineoplasticCytarabineFemaleHumansInduction ChemotherapyInsurance Claim ReviewLeukemia, Myeloid, AcuteMaleMedicareRetrospective StudiesSEER ProgramUnited StatesAntimetabolites, AntineoplasticCytarabineacute myeloid leukemiaCytarabinedrug shortageprioritizationreceipt of treatmenttimeliness of treatment

Identifiers

PMID30198560
PMCPMC6232415
OpenAlexW2891916160

What OpenQuestion holds

Textmetadata
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.