Evidence map›Paper›PMID 31915169›Full record

ArticleBMJ open2020

Developing a framework to incorporate real-world evidence in cancer drug funding decisions: the Canadian Real-world Evidence for Value of Cancer Drugs (CanREValue) collaboration.

Kelvin Chan, Seungree Nam, Bill Evans, Claire de Oliveira, Alexandra Chambers, Scott Gavura, Jeffrey Hoch, Rebecca E Mercer, Wei Fang Dai, Jaclyn Beca and 2 more

Abstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
–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

36 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. The use of real-world evidence among healthcare payers: a scoping review.International journal of technology assessment in health care · 2025
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  13. Staphylococcus aureus surgical site infection rates in 5 European countries.Antimicrobial resistance and infection control · 2023
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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

12 authors.

Kelvin ChanOdette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada kelvin.chan@sunnybrook.ca.
Seungree NamInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0003-1705-3849
Bill EvansDepartment of Oncology, McMaster University, Hamilton, Ontario, Canada.
Claire de OliveiraInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Alexandra ChambersProvincial Drug Reimbursement Programs, pCODR/CADTH, Toronto, Ontario, Canada.
Scott GavuraDepartment of Oncology, Provincial Drug Reimbursement Programs, Cancer Care Ontario, Toronto, Ontario, Canada.
Jeffrey HochDepartment of Public Health Sciences, University of California Davis, Davis, California, USA.
Rebecca E MercerCanadian Centre for Applied Research in Cancer Control, Toronto, Ontario, Canada.
Wei Fang DaiCanadian Centre for Applied Research in Cancer Control, Toronto, Ontario, Canada.
Jaclyn BecaCanadian Centre for Applied Research in Cancer Control, Toronto, Ontario, Canada.
Mina TadrousWomen's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.
Wanrudee IsaranuwatchaiCentre for exceLlence in Economic Analysis Research (CLEAR), St. Michael's Hospital, Li Ka Shing Knowledge Institute, Toronto, Ontario, Canada.

Funding

CIHR HRC-154126
6 · The paper itself

Abstract

backgroundOncology therapy is becoming increasingly more expensive and challenging the affordability and sustainability of drug programmes around the world. When new drugs are evaluated, health technology assessment organisations rely on clinical trials to inform funding decisions. However, clinical trials are not able to assess overall survival and generalises evidence in a real-world setting. As a result, policy makers have little information on whether drug funding decisions based on clinical trials ultimately yield the outcomes and value for money that might be expected.

objectiveThe Canadian Real-world Evidence for Value of Cancer Drugs (CanREValue) collaboration, consisting of researchers, recommendation-makers, decision makers, payers, patients and caregivers, are developing and testing a framework for Canadian provinces to generate and use real-world evidence (RWE) for cancer drug funding in a consistent and integrated manner. STRATEGY: The CanREValue collaboration has established five formal working groups (WGs) to focus on specific processes in the generation and use of RWE for cancer drug funding decisions in Canada. The different RWE WGs are: (1) Planning and Drug Selection; (2) Methods; (3) Data; (4) Reassessment and Uptake; (5) Engagement. These WGs are acting collaboratively to develop a framework for RWE evaluation, validate the framework through the multiprovince RWE projects and help to integrate the final RWE framework into the Canadian healthcare system. OUTCOMES: The framework will enable the reassessment of cancer drugs, refinement of funding recommendations and use of novel funding mechanisms by decision-makers/payers across Canada to ensure the healthcare system is providing clinical benefits and value for money.

Indexed as

Financing, GovernmentStakeholder ParticipationAntineoplastic AgentsCanadaClinical Trials as TopicDecision MakingDrug CostsEvidence-Based MedicineHumansAntineoplastic Agentsdrug approvalhealth technology assessmentoncologyreal-world datareal-world evidenceregulatory approval

Identifiers

PMID31915169
PMCPMC6955501

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.