Evidence map›Paper›PMID 32176613›Full record

ArticleHealthcare policy = Politiques de sante2020

An Exploratory Analysis of Predictors of Concordance between Canadian Common Drug Review Reimbursement Recommendations and the Subsequent Decisions by Ontario, British Columbia and Alberta.

Michael J Zoratti, Feng Xie, Kristian Thorlund, Nicola Allen, Mitchell Levine

Abstract read
In one paragraph

Article in Healthcare policy = Politiques de sante, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Kicking Off the 2020s with Healthcare Policy.Healthcare policy = Politiques de sante · 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

5 authors.

Michael J ZorattiDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON.
Feng XieProfessor, Department of Health Research Methods, Evidence, and Impact, McMaster University, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Program for Health Economics and Outcome Measures (PHENOM), Hamilton, ON.
Kristian ThorlundVice-President of Real-World Analytics, Cytel Canada, Associate Professor (Part-Time), Department of , Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON.
Nicola AllenAssociate Director, Partners4Access, London, UK.
Mitchell LevineProfessor, Department of Health Research Methods, Evidence, and Impact, McMaster University, Professor, Department of Medicine, Division of Clinical Pharmacology and Toxicology, McMaster University, Hamilton, ON.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConcordance between Common Drug Review (CDR) recommendations and provincial plans has been studied previously. However, no study has, to the best of the authors' knowledge, examined the characteristics of CDR recommendations that may be associated with concordance.

methodsRecommendation-decision pairs were collected from the CDR and the provincial plans of Ontario, British Columbia and Alberta. Concordance was evaluated by province. Characteristics of each CDR recommendation were collected, and associations with concordance were evaluated by logistic regression.

resultsRecommendation-listing concordance was high. Positive references to cost and clinical outcomes compared to placebo were statistically associated with concordance. Negative references to cost and to the consistency and certainty of economic evidence were statistically associated with discordance. However, these findings were inconsistent across the jurisdictions studied.

conclusionAlthough concordance was high, the ability of recommendation characteristics to explain the relationship between province and CDR listing decisions was limited. This exploratory study highlights the complexity of the reimbursement process and possible reasons for drug listing differences across jurisdictions.

Indexed as

Insurance, Pharmaceutical ServicesReimbursement MechanismsAlbertaBritish ColumbiaCost-Benefit AnalysisDatabases, FactualDecision MakingOntario

Identifiers

PMID32176613
PMCPMC7075445

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.