Evidence map›Paper›PMID 33765933›Full record

ArticleBMC cardiovascular disorders2021

Associations between essential medicines and health outcomes for cardiovascular disease.

Liane Steiner, Shawn Fraser, Darshanand Maraj, Nav Persaud

Open access · goldAbstract readComparative Study
In one paragraph

Article in BMC cardiovascular disorders, 2021. 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
0.9field-weighted citation impact, top 16% of its field
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, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

4 authors at 3 institutions in 2 countries.

Liane SteinerMAP Centre for Urban Health Solutions, St. Michael's Hospital, Toronto, ON, Canada.
Shawn FraserAthabasca University, Athabasca, AB, Canada.
Darshanand MarajMAP Centre for Urban Health Solutions, St. Michael's Hospital, Toronto, ON, Canada.
Nav PersaudMAP Centre for Urban Health Solutions, St. Michael's Hospital, Toronto, ON, Canada. nav.persaud@utoronto.ca.ORCID 0000-0003-3327-5580
St. Michael's Hospital · CAAthabasca University · CAUniversity of Toronto · CA

Funding

CIHR
6 · The paper itself

Abstract

backgroundNational essential medicines lists are used to guide medicine reimbursement and public sector medicine procurement for many countries therefore medicine listings may impact health outcomes.

methodsCountries' national essential medicines lists were scored on whether they listed proven medicines for ischemic heart disease, cerebrovascular disease and hypertensive heart disease. In this cross sectional study linear regression was used to measure the association between countries' medicine coverage scores and healthcare access and quality scores.

resultsThere was an association between healthcare access and quality scores and health expenditure for ischemic heart disease (p ≤ 0.001), cerebrovascular disease (p ≤ 0.001) and hypertensive heart disease (p ≤ 0.001). However, there was no association between medicine coverage scores and healthcare access and quality scores for ischemic heart disease (p = 0.252), cerebrovascular disease (p = 0.194) and hypertensive heart disease (p = 0.209) when country characteristics were accounted for.

conclusionsListing more medicines on national essential medicines lists may only be one factor in reducing mortality from cardiovascular disease and improving healthcare access and quality scores.

Indexed as

Developing CountriesHealth Services AccessibilityQuality Indicators, Health CareCardiovascular AgentsCardiovascular DiseasesCross-Sectional StudiesDrug CostsDrugs, EssentialHealth ExpendituresHumansQuality ImprovementCardiovascular AgentsDrugs, EssentialAmenable mortalityCardiovascular diseaseEssential medicines

Identifiers

PMID33765933
PMCPMC7992928
OpenAlexW3139447851

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.