Evidence map›Paper›PMID 31768180›Full record

ArticleRevista panamericana de salud publica = Pan American journal of public health2019

[Insulin: prices, availability, and affordability in public and private Peruvian pharmaciesPreço, disponibilidade e acessibilidade à insulina em farmácias públicas e privadas no Peru].

Janeth Tenorio-Mucha, María Lazo-Porras, Liliana Hidalgo-Padilla, David Beran, Margaret Ewen

Open access · diamondAbstract readEnglish Abstract
In one paragraph

Article in Revista panamericana de salud publica = Pan American journal of public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 12% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. 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

5 authors at 3 institutions in 3 countries.

Janeth Tenorio-MuchaCentro de Excelencia en Enfermedades Crónicas, CRONICAS Universidad Peruana Cayetano Heredia Lima Perú Centro de Excelencia en Enfermedades Crónicas, CRONICAS, Universidad Peruana Cayetano Heredia, Lima, Perú.
María Lazo-PorrasDepartamento de Medicina Tropical y Humanitaria Universidad de Ginebra y Hospitales Universitarios de Ginebra Ginebra Suiza Departamento de Medicina Tropical y Humanitaria, Universidad de Ginebra y Hospitales Universitarios de Ginebra, Ginebra, Suiza.
Liliana Hidalgo-PadillaCentro de Excelencia en Enfermedades Crónicas, CRONICAS Universidad Peruana Cayetano Heredia Lima Perú Centro de Excelencia en Enfermedades Crónicas, CRONICAS, Universidad Peruana Cayetano Heredia, Lima, Perú.
David BeranDepartamento de Medicina Tropical y Humanitaria Universidad de Ginebra y Hospitales Universitarios de Ginebra Ginebra Suiza Departamento de Medicina Tropical y Humanitaria, Universidad de Ginebra y Hospitales Universitarios de Ginebra, Ginebra, Suiza.
Margaret EwenAcción Internacional para la Salud Acción Internacional para la Salud Ámsterdam Países Bajos Acción Internacional para la Salud, Ámsterdam, Países Bajos.
Universidad de Cantabria · ESUniversidad Peruana Cayetano Heredia · PEUniversidad Internacional · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMeasure and compare the price, availability, and affordability of insulin and metformin in public and private pharmacies in six regions of Peru.

methodsCross-sectional study using the World Health Organization/Health Action International (WHO/HAI) revised methodology. Public and private pharmacies in six regions of Peru were surveyed. Data were collected on availability and prices for insulin (all types) and 850 mg metformin. Availability is expressed as percentages and prices are reported in medians. Affordability is defined as the number of days that a person must work at minimum wage to cover the cost of one month of treatment.

resultsAvailability in public pharmacies is 63.2% for regular insulin and 68.4% for NPH (isophane) insulin, but differences in availability were observed between levels of care and between regions. Private pharmacies have a greater variety of insulin, but availability is less than 11%. The median price of human insulin was three to four times higher in private pharmacies than in public pharmacies. In comparison, availability of metformin was 89.5% in public pharmacies and 77.7% in private ones. Affordability in public pharmacies for one month of treatment with human insulin or generic metformin is less than one day's wages.

conclusionsThe price for human insulin and generic metformin in public pharmacies is affordable. However, efforts are needed to improve their availability in the different regions and levels of care.

Indexed as

access to essential medicines and health technologiesdrug priceInsulinmetforminPeru

Identifiers

PMID31768180
PMCPMC6822689
OpenAlexW2982573528

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.