Evidence map›Paper›PMID 39229659›Full record

ArticleHealthcare policy = Politiques de sante2024

Federal Funding for Expensive Drugs for Rare Diseases: How Do We Pick and Choose?

Joel Lexchin, Sandra Sirrs

Abstract read
In one paragraph

Article in Healthcare policy = Politiques de sante, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Orphan Drug Approval in Canada, 1999-2022: A Cross-sectional Study.International journal of health policy and management · 2025
    Article
  2. Spending on Healthcare: What Is the Right Number?Healthcare policy = Politiques de sante · 2024
    Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Joel LexchinProfessor Emeritus, School of Health Policy and Management, York University, Associate Professor, Faculty of Medicine, University of Toronto, Toronto, ON.
Sandra SirrsClinical Professor, Faculty of Medicine, University of British Columbia, Vancouver, BC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The number of expensive drugs for rare diseases (EDRDs) approved by Health Canada and their contribution to healthcare costs have been rapidly increasing. The federal government has announced a three-year funding commitment of $1.4 billion for EDRDs, but principles need to be developed for how that funding will be allocated, especially in cases where insufficient data are available to guide decision making. Here, we review the role of evidence quality in making choices and draw on the experience from other countries to put forward five principles about how the money should be spent.

Indexed as

Financing, GovernmentRare DiseasesCanadaDrug CostsHumansOrphan Drug Production

Identifiers

PMID39229659
PMCPMC11411645

What OpenQuestion holds

Textmetadata
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.