Evidence map›Paper›PMID 35978319›Full record

Observational studyInternational journal for equity in health2022

Judicialization of health: profile of demands for oncological medicines in a state in the central region of Brazil.

Leila Abou Salha, Flávia Costa Reis, Roberta Moreira Gonçalves, Jordão Horácio da Silva Lima, Nádia Abou Salha, Roney Pereira Pinto, José Elmo de Menezes, Eduardo Perez Oliveira, Pedro Lopes Ferreira, Maria Alves Barbosa

Abstract readObservational Study
In one paragraph

Observational study in International journal for equity in health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
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  5. 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

10 authors.

Leila Abou SalhaFaculty of Medicine, Federal University of Goiás, Goiania, Goiás, 74605-050, Brazil. leila_salha@ufg.br.ORCID 0000-0002-4983-4482
Flávia Costa ReisSchool of Law, Business and Communication, Pontifical Catholic University of Goiás, Goiania, Goiás, 74805-100, Brazil.
Roberta Moreira GonçalvesFaculty of Medicine, Federal University of Goiás, Goiania, Goiás, 74605-050, Brazil.
Jordão Horácio da Silva LimaUniversity of São Paulo, São Paulo, 01246-904, Brazil.
Nádia Abou SalhaPhysician, Petrópolis Medical School, Petrópolis, Rio de Janeiro, 25680-120, Brazil.
Roney Pereira PintoState Health Department, Center for High-Cost Medicines Juarez Barbosa, Goiânia, Goiás, 74015-020, Brazil.
José Elmo de MenezesFederal Institute of Education, Science, and Technology of Goiás, Pontifical Catholic University of Goiás, Goiania, Goiás, 74605-900, Brazil.
Eduardo Perez OliveiraJudge, Court of Justice of the State of Goiás, Goiânia, Goiás, 74130-011, Brazil.
Pedro Lopes FerreiraCenter for Health Studies and Research, Faculty of Economics, University of Coimbra, 3004-512, Coimbra, Portugal.
Maria Alves BarbosaFaculty of Medicine, Federal University of Goiás, Goiania, Goiás, 74605-050, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe significant increase in access to oncological medicines through court cases suggests that constitutional guarantees of integral and universal care in the Brazilian public health system are uncertain.

methodsA retrospective observational study was conducted to analyze data from lawsuits requesting oncological medicines from 2014 to 2020 in the State of Goiás, Brazil, in state and federal courts. Sociodemographic, medical, and legal variables were statistically examined using descriptive, association, and correlation methods.

resultsWomen brought more than half (54%) of the 301 processes analyzed. The most frequent age group was over 55 years, with income below 3 × the minimum wage (total about USD$600/month), and their cases were promoted through the public minister and public defender's offices. The most requested medications, not on official public health system lists, were indicated for multiple myeloma and brain cancer.

conclusionsImproved quality of life, frequently used as a justification, could be conceptually confused with increased survival. Finally, judicialization itself indicates that individual health needs arise even with properly defined and adequately implemented public policies. These needs should be considered for the adequate provisioning of services by the state to ensure the right to health.

Indexed as

Drugs, EssentialHealth PolicyBrazilFemaleHealth Services AccessibilityHumansMiddle AgedQuality of LifeDrugs, EssentialAntineoplastic AgentsJudicialization of healthQuality of life

Identifiers

PMID35978319
PMCPMC9387029

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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.