Evidence map›Paper›PMID 38774422›Full record

ArticleThe Lancet regional health. Western Pacific2024

List prices and clinical value of anticancer drugs in China, Japan, and South Korea: a retrospective comparative study.

Jay Pan, Xiaolin Wei, Hao Lu, Xueer Wu, Chunyuan Li, Xuelian Hai, Tianjiao Lan, Quanfang Dong, Yili Yang, Mihajlo Jakovljevic and 1 more

Abstract read
In one paragraph

Article in The Lancet regional health. Western Pacific, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
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  4. Review
  5. Article
  6. What is the role of common sense oncology in the Western Pacific?The Lancet regional health. Western Pacific · 2025
    Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. 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

11 authors.

Jay PanHEOA Group, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.
Xiaolin WeiDalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Hao LuSchool of Public Health, Imperial College London, London, UK.
Xueer WuNanjing Municipal Center for Disease Control and Prevention, Nanjing, China.
Chunyuan LiDepartment of Hematology, Peking University Third Hospital, Beijing, China.
Xuelian HaiHEOA Group, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.
Tianjiao LanHEOA Group, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.
Quanfang DongDalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Yili YangInstitute for Healthy Cities and West China Research Center for Rural Health Development, Sichuan University, Chengdu, China.
Mihajlo JakovljevicUNESCO - The World Academy of Sciences (TWAS), Trieste, Italy.
Jing ZhouHEOA Group, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: High prices of anticancer drugs have raised concerns due to their financial impact on patients and healthcare systems. This study aimed to assess the initial and latest list prices and clinical value of reimbursed anticancer drugs in China, Japan, and South Korea. Methods: We identified anticancer drugs newly approved by the National Medical Products Administration of China from January 2012 to June 2022, and by the Pharmaceuticals and Medical Devices Agency of Japan and the Ministry of Food and Drug Safety of South Korea up until June 2022. We compared initial and latest treatment prices between countries and assessed clinical value using patients' survival, quality of life (QoL), and European Society for Medical Oncology Magnitude of Clinical Benefit Scale (ESMO-MCBS). We calculated Spearman rank correlation coefficients of treatment prices with clinical value for individual countries and employed regression analyses to investigate whether the relationship between prices and clinical value was modified by the country setting. Findings: Our cohort included 91 anticancer drug indications, with 60 listed for reimbursement in China, 91 in Japan, and 87 in South Korea. Median treatment prices were highest in Japan, followed by South Korea, and lowest in China, both for initial prices (US$64082 vs. US$45529 vs. US$19144, p < 0.0001) and latest prices (US$50859 vs. US$31611 vs. US$18666, p < 0.0001). Over time, China ( Interpretation: In comparison, South Korea's list prices and their correlations with clinical value appear reasonable. Policymakers in Japan could enhance efficiency by controlling prices and aligning them with clinical value, while China would need to take substantial steps to expand anticancer drug coverage. Funding: National Natural Science Foundation of China (72374149 and 72074163), and China Center for South Asian Studies, Sichuan University.

Indexed as

Anticancer drugsChinaClinical valueJapanPricesSouth Korea

Identifiers

PMID38774422
PMCPMC11107456

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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.