Evidence map›Paper›PMID 39758579›Full record

ArticleJournal of obstetrics and gynaecology of India2024

Pharmacoeconomic Analysis of Treating Gynecological Cancer with Different Regimens Using the Cheapest and Costliest Brand of Drugs Marketed in India.

Abhishek Krishna, Mamatha Jayachandran, Dhanya Sacheendran, Paul Simon, Thomas George, Princy Louis Palatty, Manjeshwar Shrinath Baliga

Abstract read
In one paragraph

Article in Journal of obstetrics and gynaecology of India, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Abhishek KrishnaDepartment of Radiation Oncology, Mysore Medical College and Research Institute, Irwin Road, Mysuru, Karnataka India.
Mamatha JayachandranDepartment of Pharmacology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Ernakulam, Kerala India.
Dhanya SacheendranDepartment of Pharmacology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Ernakulam, Kerala India.
Paul SimonDepartment of Radiation Oncology, Mysore Medical College and Research Institute, Irwin Road, Mysuru, Karnataka India.
Thomas GeorgeInternal Medicine, Ocean Pkwy, Coney Island Hospital, Brooklyn, NY 2601 USA.
Princy Louis PalattyDepartment of Pharmacology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Ernakulam, Kerala India.
Manjeshwar Shrinath BaligaResearch Unit, Mangalore Institute of Oncology, Pumpwell, Mangalore, Karnataka 75002 India.ORCID 0000-0002-2931-4623

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/purpose of the study: Globally, gynaecological cancer is an important malignancy and chemotherapy is an essential component of the standard treatment modality. The purpose of the study was to determine the cost minimization analysis by comparing the price of the most expensive and least expensive branded drugs used in the treatment of gynaecological cancer in India, considering body surface area relevant to the Indian context. Methods: This was a conventional pharmacoeconomic study designed to determine the lowest possible cost. We compared the prices of the most and least expensive branded drugs from the Current Index of Medical Stores. Also cost of anticancer drugs available in Jan Aushadi stores was also considered for the study. The cost difference, cost ratio and percentage of change in costs were all calculated in accordance with the standard formula. All drugs and the therapeutic regimens (chemo-radiation regimens and chemotherapy) used in the treatment of gynaecological cancer were analysed to understand the cost difference for the treatment regimens. Results: The results indicate that while all anticancer drugs used in the treatment of gynecalogical cancers were available in both costliest and cheapest brand category, bevacizumab and liposomal doxorubicin were unavailable in the Jan Aushadhi stores. The paclitaxel carboplatin regimen had the biggest cost variation between the costliest brand and Jan Aushadhi (Rs. 81,273). The paclitaxel carboplatin bevacizumab regimen had the greatest cost difference (Rs 14,61,646), while weekly cisplatin (Rs 4017) showed less variance. When replacing the most expensive branded pharmaceuticals with cheaper brands or Jan Aushadhi drugs, the cisplatin paclitaxel regimen cost 4.8 to 9.5 times less (Rs 107,655 vs Rs 54,414.4 vs Rs 13,464). For single-agent chemotherapy, substituting the most expensive branded medications with cheaper or Jan Aushadhi products saved money as follows: paclitaxel 37,266 to 55,149; carboplatin Rs 5,556 to Rs 26,124; and liposomal doxorubicin 22,804. Conclusion: The results indicate a huge difference between the costly and the cheapest branded and Jan Aushadhi anticancer drugs and based regimens in treating gynaecological cancer.

Indexed as

Anticancer drugsCost differenceCost ratioGynaecological cancerJan AushadhiPercentage of change in costsPharmacoeconomics

Identifiers

PMID39758579
PMCPMC11693631

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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.