Evidence map›Paper›PMID 31660957›Full record

ArticleBMC health services research2019

Public engagement in health technology assessment in Brazil: the case of the Trastuzumab public consultation.

Viviane Karoline da Silva Carvalho, Maria Sharmila Alina de Sousa, Jorge Otávio Maia Barreto, Everton Nunes da Silva

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

9 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
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  4. A situational and stakeholder analysis of health technology assessment in Zimbabwe.International journal of technology assessment in health care · 2024
    Article
  5. Article
  6. Expectations for the Development of Health Technology Assessment in Brazil.International journal of environmental research and public health · 2021
    Article
  7. Article
  8. 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

4 authors at 2 institutions in 1 country.

Viviane Karoline da Silva CarvalhoUniversity of Brasília, Brasília, Brazil. vivi_unb@hotmail.com.ORCID http://orcid.org/0000-0002-6804-2333
Maria Sharmila Alina de SousaOswaldo Cruz Foundation, Brasília, Brazil.
Jorge Otávio Maia BarretoOswaldo Cruz Foundation, Brasília, Brazil.
Everton Nunes da SilvaUniversity of Brasília, Brasília, Brazil.
Fundação Oswaldo Cruz · BRUniversidade de Brasília · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPublic engagement in health technology assessment (HTA) is increasing worldwide. There are several forms of public engagement and it is not always possible to determine which stakeholders participate in the HTA process and how they contribute. Our objective was to investigate which types of social representatives contributed to the public consultation on the incorporation of Trastuzumab for early-stage breast cancer treatment within the public health system in Brazil, held in 2012 by the National Committee for Health Technology Incorporation (CONITEC).

methodsA mixed methods approach was used to analyze social representativeness and the composition of the corpus from the public consultation, which consisted of 127 contributions. Three types of analysis were performed using IRaMuTeQ software: classic lexical analysis, descending hierarchical classification and specificities analysis. The contributions were clustered according to the main categories of discourse observed, into four social representation categories: 1) patient representation/advocacy; 2) pharmaceutical industry/advocacy; 3) healthcare professionals; and 4) individual contributions.

resultsCategory 1 contained words related to increased survival due to use of the drug and a low score for words pertaining to studies on Trastuzumab. The word "safety" obtained a positive score only in category 2, which was also the only category that exhibited a negative score for the word "risk". Category 3 displayed the lowest scores for "diagnosis" and "safety". The word "efficacy" had a negative score only in category 4.

conclusionsEach category exhibited different results for words related to health systems and to key concepts linked to HTA. Our analysis enabled the identification of the most prominent contributions for each category. Despite the promising results obtained, further research is needed to validate this software for use in analyzing public contributions.

Indexed as

Community ParticipationBrazilBreast NeoplasmsFemaleHumansNeoplasm StagingTechnology Assessment, BiomedicalTrastuzumabTrastuzumabAnalytical methodsHealth technology assessment (HTA)Public consultationPublic engagementPublic opinionSocial participation

Identifiers

PMID31660957
PMCPMC6819332
OpenAlexW2982339181

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.