Evidence map›Paper›PMID 30853815›Full record

ArticleCurrent oncology (Toronto, Ont.)2019

Conditional approval of cancer drugs in Canada: accountability and impact on public funding.

S K Andersen, N Penner, A Chambers, M E Trudeau, K K W Chan, M C Cheung

Abstract read
In one paragraph

Article in Current oncology (Toronto, Ont.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Review
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  7. 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

6 authors.

S K AndersenDepartment of Medicine, University of Toronto, Toronto, ON.
N Pennerpan-Canadian Oncology Drug Review, Canadian Agency for Drugs and Technologies in Health, Ottawa, ON.
A Chamberspan-Canadian Oncology Drug Review, Canadian Agency for Drugs and Technologies in Health, Ottawa, ON.
M E TrudeauCanadian Centre for Applied Research in Cancer Control, Toronto, ON.
K K W ChanDepartment of Medicine, University of Toronto, Toronto, ON.
M C CheungDepartment of Medicine, University of Toronto, Toronto, ON.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: We examined how conditional market approval of cancer pharmaceuticals by Health Canada (hc) affects public funding recommendations by the pan-Canadian Oncology Review (pcodr). We were also interested to see how often hc conditions are enforced. Methods: Health Canada and pcodr databases for 2010-2017 were analyzed for patterns in hc conditional authorization and post-authorization reviews of cancer drugs and for correlation with pcodr reimbursement recommendations. Results: Between 2010 and 2017, pcodr reviewed 105 unique drug-indication pairings; 21% ( Conclusions: One fifth of the cancer drugs reviewed for public reimbursement in Canada were conditionally authorized by hc based on preliminary data. Conditional authorization was associated with a recommendation against public funding by pcodr. No drugs had their conditional market authorization revoked for failure to meet conditions, suggesting that a more robust hc reappraisal framework is needed.

Indexed as

Antineoplastic AgentsCanadaCost-Benefit AnalysisHumansMedical OncologyNeoplasmsSocial ResponsibilityAntineoplastic AgentsHealth Canadahealth economicshealth policyMedical oncologypcodr

Identifiers

PMID30853815
PMCPMC6380633

What OpenQuestion holds

Textmetadata
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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.