Evidence map›Paper›PMID 32410676›Full record

ArticleBMC health services research2020

Availability, prices, and affordability of selected essential cancer medicines in a middle-income country - the case of Mexico.

Daniela Moye-Holz, Margaret Ewen, Anahi Dreser, Sergio Bautista-Arredondo, Rene Soria-Saucedo, Jitse P van Dijk, Sijmen A Reijneveld, Hans V Hogerzeil

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 4% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

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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

8 authors at 4 institutions in 3 countries.

Daniela Moye-HolzDepartment of Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands. danymoyeholz@gmail.com.ORCID https://orcid.org/0000-0002-5320-255X
Margaret EwenHealth Action International (HAI), Overtoom 60, 1054 HK, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0003-1177-4717
Anahi DreserNational Institute of Public Health (INSP), Avenida Universidad 655, Santa María Ahuacatitlán, 62100, Cuernavaca, Morelos, Mexico.ORCID https://orcid.org/0000-0001-9019-2330
Sergio Bautista-ArredondoNational Institute of Public Health (INSP), Avenida Universidad 655, Santa María Ahuacatitlán, 62100, Cuernavaca, Morelos, Mexico.ORCID https://orcid.org/0000-0001-8910-3011
Rene Soria-SaucedoBoston University School of Public Health, 715 Albany St, Boston, Massachusetts, 02118, EE. UU, USA.ORCID https://orcid.org/0000-0003-3634-0552
Jitse P van DijkDepartment of Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands.ORCID https://orcid.org/0000-0003-0225-6811
Sijmen A ReijneveldDepartment of Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands.ORCID https://orcid.org/0000-0002-1206-7523
Hans V HogerzeilDepartment of Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands.ORCID https://orcid.org/0000-0003-3414-7724
University Medical Center Groningen · NLInstituto Nacional de Salud Pública · MXBoston University · USHealth Action International · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMore alternatives have become available for the diagnosis and treatment of cancer in low- and middle-income countries. Because of increasing demands, governments are now facing a problem of limited affordability and availability of essential cancer medicines. Yet, precise information about the access to these medicines is limited, and the methodology is not very well developed. We assessed the availability and affordability of essential cancer medicines in Mexico, and compared their prices against those in other countries of the region.

methodsWe surveyed 21 public hospitals and 19 private pharmacies in 8 states of Mexico. Data were collected on the availability and prices of 49 essential cancer medicines. Prices were compared against those in Chile, Peru, Brazil, Colombia and PAHO's Strategic Fund.

resultsOf the various medicines, mean availability in public and private sector outlets was 61.2 and 67.5%, respectively. In the public sector, medicines covered by the public health insurance "People's Health Insurance" were more available. Only seven (public sector) and five (private sector) out of the 49 medicines were considered affordable. Public sector procurement prices were 41% lower than in other countries of the region.

conclusionsThe availability of essential cancer medicines, in the public and private sector, falls below World Health Organization's 80% target. The affordability remains suboptimal as well. A national health insurance scheme could serve as a mechanism to improve access to cancer medicines in the public sector. Comprehensive pricing policies are warranted to improve the affordability of cancer medicines in the private sector.

Indexed as

Antineoplastic AgentsCommerceCosts and Cost AnalysisDrugs, EssentialHospitals, PublicHumansMexicoNeoplasmsPharmaciesPrivate SectorPublic SectorSurveys and QuestionnairesAntineoplastic AgentsDrugs, EssentialAffordabilityAvailabilityEssential cancer medicinesMexicoPrices

Identifiers

PMID32410676
PMCPMC7222474
OpenAlexW3027661283

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.