Evidence map›Paper›PMID 41541410›Full record

ArticlePublic health in practice (Oxford, England)2026

Prescribing of high-cost targeted therapies in England is diverging by region.

Julian Matthewman, Sinéad Langan, Reecha Sofat, James Galloway, Mark Russell

Abstract read
In one paragraph

Article in Public health in practice (Oxford, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Julian MatthewmanLondon School of Hygiene & Tropical Medicine, Keppel St, London, WC1E 7HT, United Kingdom.
Sinéad LanganLondon School of Hygiene & Tropical Medicine, Keppel St, London, WC1E 7HT, United Kingdom.
Reecha SofatUniversity of Liverpool, Foundation Building, Brownlow Hill, Liverpool, L69 7ZX, United Kingdom.
James GallowayKing's College London, Strand, London, WC2R 2LS, United Kingdom.
Mark RussellKing's College London, Strand, London, WC2R 2LS, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To examine regional variation in the prescribing of targeted therapies for chronic inflammatory disorders in England between 2019 and 2025. Study design: Retrospective observational study. Methods: This study analysed Secondary Care Medicines Data from all NHS hospitals in England to evaluate time-trends in prescribing rates of targeted therapies by Integrated Care Board (ICB). Results: Substantial and increasing regional variation in prescribing rates for targeted therapies was observed between 2019 and 2025. The disparity between the highest and lowest prescribing ICBs increased over time, with rates ranging from 2.0 to 6.5 per 1000 people in 2019 and 3.4 to 14.2 per 1000 people in 2025. Conclusions: There is marked and growing regional variation in the prescribing of targeted therapies across England. Further research should explore the reasons for this divergence to ensure equitable access to these highly effective treatments for patients with chronic inflammatory disorders, irrespective of geography.

Indexed as

BiologicsInflammatory diseaseIntegrated care boardsRegional variationSecondary care medicines dataTargeted therapies

Identifiers

PMID41541410
PMCPMC12800471

What OpenQuestion holds

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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.