Evidence map›Paper›PMID 40688567›Full record

ArticleLancet regional health. Americas2025

Clinical and economic impact of the availability of innovative therapies for advanced lung cancer in men in Latin America: a population-based secondary data study.

Andrés F Cardona, Natalia Sánchez, Liliana Gutiérrez-Babativa, Leonardo Rojas, Jairo Zuluaga, Stella Martínez, Lucia Viola, Carlos Carvajal, Juliana Bogoya, Laura Prieto-Pinto and 9 more

Erratum issued Registry-linked trialAbstract read
In one paragraph

Article in Lancet regional health. Americas, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT07524803 (A Prospective Observational Study to Determine the Utility of Lung Cancer Screening for Early Detection of Suspicious Lung Nodules in Latin America), which is not on this map. Not yet cited in PubMed.

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

NCT07524803 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Prospective Observational Study to Determine the Utility of Lung Cancer Screening for Early Detection of Suspicious Lung Nodules in Latin America

TypeobservationalSponsorLatin American Consortium for the Lung Cancer ResearchRan2026 to 2032Enrolled2,000ConditionsLung Cancer ScreeningArmsChest X-Ray, Low Dose CT scan
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Andrés F CardonaInstitute of Research, Science and Education, Luis Carlos Sarmiento Angulo Cancer Treatment and Research Center (CTIC), Bogotá, Colombia.
Natalia SánchezInstitute of Research, Science and Education, Luis Carlos Sarmiento Angulo Cancer Treatment and Research Center (CTIC), Bogotá, Colombia.
Liliana Gutiérrez-BabativaInstitute of Research, Science and Education, Luis Carlos Sarmiento Angulo Cancer Treatment and Research Center (CTIC), Bogotá, Colombia.
Leonardo RojasGIGA/TERA Research Groups (CTIC/Universidad El Bosque), Bogotá, Colombia.
Jairo ZuluagaGIGA/TERA Research Groups (CTIC/Universidad El Bosque), Bogotá, Colombia.
Stella MartínezGIGA/TERA Research Groups (CTIC/Universidad El Bosque), Bogotá, Colombia.
Lucia ViolaGIGA/TERA Research Groups (CTIC/Universidad El Bosque), Bogotá, Colombia.
Carlos CarvajalGIGA/TERA Research Groups (CTIC/Universidad El Bosque), Bogotá, Colombia.
Juliana BogoyaClinical Oncology Unit, Instituto Nacional de Cancerología - INC, Bogotá, Colombia.
Laura Prieto-PintoEvidence Generation Team, Roche Colombia, Bogotá, Colombia.
Daniel Samacá-SamacáEvidence Generation Team, Roche Colombia, Bogotá, Colombia.
Antonio RoblesEvidence Generation Team, Roche Colombia, Bogotá, Colombia.
Joshua KockEvidence Generation Team, Roche Colombia, Bogotá, Colombia.
Claudio MartínThoracic Oncology Unit, Instituto Alexander Fleming, Buenos Aires, Argentina.
Luis CorralesMedical Oncology Unit, Centro de Investigación y Manejo del Cáncer (CIMCA), San José, Costa Rica.
Luis E RaezThoracic Oncology Department, Memorial Cancer Institute, Memorial Health Care System, Florida Atlantic University (FAU), Miami, FL, United States.
Vladmir Cordeiro de LimaThoracic Oncology Reference Center, A.C. Camargo Cancer Center, São Paulo, Brazil.
Suraj SamtaniClínica las Condes Cancer Center, Santiago de Chile, Chile.
Oscar ArrietaThoracic Oncology Unit, Instituto Nacional de Cancerologia (INCan), Mexico City, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Over the last decade, the development of innovative cancer treatments has accelerated and has been associated with improved mortality trends; however, local regulatory approval times are extensive. This study estimated the clinical and economic impact of delays in the approval of innovative therapies for the treatment of advanced lung cancer in men in five Latin American countries. Methods: Using public data, we estimated the relationship between available innovative therapies (AIT) and age-specific mortality rate (ASMR) for Argentina, Brazil, Chile, Colombia, and Mexico through a regression model. Based on the difference between the number of FDA-approved therapies and the number approved by each local agency, we calculated the avoidable deaths (ADs) if innovation had been available. We estimated the Years of Life Lost (YLLs) using the life expectancy, the median age of death, and the ADs. Productivity loss (PL) was calculated using each country's retirement age and yearly Gross Domestic Product per capita (GDPc) in 2022 constant USD. Findings: Total ADs, YLLs, and PL were 8694, 114,477, and USD 439,179,876, respectively. Argentina had the highest impact of AIT on ASMR. Brazil's results showed a high clinical and economic impact, primarily due to its large population. Chile's high GDPc led to high PL. Colombia and Mexico showed a high clinical impact, suggesting a benefit of early approval. Differences in availability and approval times have increased with the number of FDA-approved therapies, yet local time gaps have recently increased. Interpretation: Our study shows the substantial clinical and economic impact of delays in approving innovative therapies, underscoring the potential of improving regulatory processes to increase the availability of lung cancer treatments. Accelerating the introduction of innovative therapies for advanced lung cancer in Latin America represents a significant opportunity to enhance survival rates, instilling hope and optimism while also avoiding substantial PL. Funding: This study was conducted as a research partnership between Roche and CTIC. No funding was received. Authors participated in the study design, data collection, data analysis, interpretation, and writing of the report.

Indexed as

Drug approvalInnovate therapiesLatin AmericaLung neoplasms

Identifiers

PMID40688567
PMCPMC12270047

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Registered trials

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.