Evidence map›Paper›PMID 34898572›Full record

ArticleCurrent oncology (Toronto, Ont.)2021

Building a National Reassessment Process for Oncology Drugs: Lessons Learned by the Canadian Real-World Evidence for Value of Cancer Drugs (CanREValue) Collaboration through a Simulated Reassessment Exercise.

Wei Fang Dai, Erica Craig, Brent Fraser, Alex Chambers, Helen Mai, M Bryson Brown, Craig C Earle, William K Evans, Marc Geirnaert, Marianne Taylor and 10 more

Open access · goldAbstract read
In one paragraph

Article in Current oncology (Toronto, Ont.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 6% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Real-world data: a comprehensive literature review on the barriers, challenges, and opportunities associated with their inclusion in the health technology assessment process.Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques · 2024
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Access to Cancer Drugs in Canada.Current oncology (Toronto, Ont.) · 2022
    Article
  6. Article
  7. Article
  8. 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

20 authors at 9 institutions in 1 country.

Wei Fang DaiTemerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, Canada.
Erica CraigNew Brunswick Cancer Network, Fredericton, NB E3B 5G8, Canada.
Brent FraserCanadian Agency for Drugs and Technologies in Health, Ottawa, ON K1S 5S8, Canada.
Alex ChambersCanadian Agency for Drugs and Technologies in Health, Ottawa, ON K1S 5S8, Canada.
Helen MaiCanadian Agency for Drugs and Technologies in Health, Ottawa, ON K1S 5S8, Canada.ORCID 0000-0003-3570-3729
M Bryson BrownPhilosophy Department, University of Lethbridge, Lethbridge, AB T1K 3M4, Canada.
Craig C EarleSunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada.
William K EvansDepartment of Oncology, McMaster University, Hamilton, ON L8S 4L8, Canada.
Marc GeirnaertCancerCare Manitoba, Winnipeg, MB R3E 0V9, Canada.
Marianne TaylorBC Cancer, Kelowna, BC V1Y 5L3, Canada.
Maureen TrudeauSunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada.
Daniel SperberPan-Canadian Pharmaceutical Alliance, Toronto, ON M5S 2B1, Canada.
Jaclyn M BecaCanadian Centre for Applied Research in Cancer Control, Toronto, ON M5G 2L3, Canada.
Avram DenburgThe Hospital for Sick Children, Toronto, ON M5G 1X8, Canada.ORCID 0000-0003-0039-0742
Rebecca E MercerCanadian Centre for Applied Research in Cancer Control, Toronto, ON M5G 2L3, Canada.
Ambica ParmarSunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada.
Mina TadrousWomen's College Hospital, Toronto, ON M53 1B2, Canada.ORCID 0000-0003-1911-6129
Pam TakharOntario Health (CCO), Toronto, ON M5G 2L3, Canada.
Kelvin K W ChanTemerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, Canada.
On Behalf Of The CanREValue Collaboration
Public Health Ontario · CACanadian Agency for Drugs and Technologies in Health · CASunnybrook Health Science Centre · CAUniversity of Toronto · CACanadian Pharmacists Association · CACancerCare Manitoba · CAHospital for Sick Children · CAKelowna General Hospital · CAUniversity of Lethbridge · CA

Funding

CIHR 154126
6 · The paper itself

Abstract

The CanREValue Collaboration established the Reassessment & Uptake Working Group to develop a preliminary process to reassess funded cancer drugs in Canada. A simulated exercise was conducted to evaluate the proposed reassessment process using a real-world case. We invited 32 attendees including representatives from Health Canada and Health Technology Assessment (HTA) agencies, along with payers, clinicians, academics, and patient representatives. A case was developed using a real-world study on a publicly funded cancer drug. In facilitated group sessions, participants were asked to deliberate upon the evidence presented in the case to issue reassessment recommendations. Several themes were identified through the deliberation discussions. While the generalizability of real-world evidence (RWE) is perceived as a strength, trust in the RWE depends largely on the source of the real-world data. The attendees suggested several improvements to the proposed reassessment process including evidence requirement for reassessment, recommendation categories, and a priori study protocols. This exercise generated important insights on the evidence required for conducting reassessment and considerations for improvements of the proposed reassessment process. Building upon lessons from this exercise, future work would continue to refine the reassessment process as part of the overall CanREValue framework.

Indexed as

Antineoplastic AgentsNeoplasmsCanadaExerciseHumansTechnology Assessment, BiomedicalAntineoplastic Agentshealth technology assessmentreal-world evidencereassessment

Identifiers

PMID34898572
PMCPMC8628679
OpenAlexW3212717201

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.