Evidence map›Paper›PMID 38668039›Full record

ArticleCurrent oncology (Toronto, Ont.)2024

Access to Oncology Medicines in Canada: Consensus Forum for Recommendations for Improvement.

Sandeep R Sehdev, Nigel S B Rawson, Olexiy I Aseyev, Catriona J Buick, Marcus O Butler, Scott Edwards, Sharlene Gill, Joanna M Gotfrit, Cyrus C Hsia, Rosalyn A Juergens and 9 more

Open access · goldAbstract readConsensus Statement
In one paragraph

Article in Current oncology (Toronto, Ont.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
10.2field-weighted citation impact, top 3% 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, 9 citations in OpenAlex.

  1. Article
  2. Editorial: Volume 2: real world evidence (RWE): paths to enhancing patient access to new medications.Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques · 2026
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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

19 authors at 14 institutions in 1 country.

Sandeep R SehdevDepartment of Medicine, Division of Medical Oncology, The Ottawa Hospital Cancer Centre, Ottawa, ON K1H 8L6, Canada.ORCID 0000-0001-7434-2263
Nigel S B RawsonMacdonald-Laurier Institute, Ottawa, ON K1N 7Z2, Canada.ORCID 0000-0001-6843-4890
Olexiy I AseyevThunder Bay Regional Health Sciences Centre, Thunder Bay, ON P7B 6V4, Canada.
Catriona J BuickFaculty of Health, York University, Toronto, ON M3J 1P3, Canada.
Marcus O ButlerPrincess Margaret Cancer Centre, University Health Network, Toronto, ON M5G 2C4, Canada.ORCID 0000-0002-9840-7057
Scott EdwardsDr H Bliss Murphy Cancer Centre, Eastern Health, St. John's, NL A1B 3V6, Canada.
Sharlene GillDepartment of Medicine, Division of Medical Oncology, University of British Columbia and BC Cancer, Vancouver, BC V5Z 1M9, Canada.ORCID 0000-0003-3306-3617
Joanna M GotfritDepartment of Medicine, Division of Medical Oncology, The Ottawa Hospital Cancer Centre, Ottawa, ON K1H 8L6, Canada.
Cyrus C HsiaDepartment of Medicine, Division of Hematology, London Health Sciences Centre, London, ON N6A 5W9, Canada.ORCID 0000-0003-4287-6708
Rosalyn A JuergensJuravinski Cancer Centre, McMaster University, Hamilton, ON L8V 5C2, Canada.ORCID 0000-0001-8627-4704
Mita MannaSaskatoon Cancer Centre, Saskatoon, SK S7N 4H4, Canada.ORCID 0000-0003-4344-7913
Joy S McCarthyCancer Care Program, Newfoundland and Labrador Health Services, St. John's, NL A1B 3V6, Canada.
Som D MukherjeeJuravinski Cancer Centre, McMaster University, Hamilton, ON L8V 5C2, Canada.
Stephanie L SnowDalhousie University, Halifax, NS B3H 2Y9, Canada.ORCID 0000-0003-3847-0289
Silvana SpadaforaAlgoma District Cancer Program, Sault Area Hospital, Sault Ste Marie, ON P6B 0A8, Canada.
David J StewartDepartment of Medicine, Division of Medical Oncology, The Ottawa Hospital Cancer Centre, Ottawa, ON K1H 8L6, Canada.
Jason R WentzellDepartment of Pharmacy, the Ottawa Hospital Cancer Centre, Ottawa, ON K1H 8L6, Canada.
Ralph P W WongCancerCare Manitoba, University of Manitoba, Winnipeg, MB R3E 0V9, Canada.ORCID 0009-0003-1486-7430
Pawel G ZalewskiLakeridge Health, Durham Regional Cancer Centre, Oshawa, ON L1G 8A2, Canada.
Ottawa Hospital · CAJuravinski Cancer Centre · CAArthur B. McDonald-Canadian Astroparticle Physics Research Institute · CACancerCare Manitoba · CADalhousie University · CALakeridge Health · CALondon Health Sciences Centre · CAMemorial University of Newfoundland · CANewfoundland and Labrador Centre for Applied Health Research · CASault Area Hospital · CASunnybrook Health Science Centre · CAThunder Bay Regional Health Sciences Centre · CAUniversity Health Network · CAUniversity of British Columbia · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patient access to new oncology drugs in Canada is only possible after navigating multiple sequential systemic checkpoints for national regulatory approval, health technology assessment (HTA) and collective government price negotiation. These steps delay access and prevent health care providers from being able to prescribe optimal therapy. Eighteen Canadian oncology clinicians from the medicine, nursing and pharmacy professions met to develop consensus recommendations for defining reasonable government performance standards around process and timeliness to improve Canadian cancer patients' access to best care. A modified Delphi methodology was used to identify consensus on 30 questions involving five themes: accountability, disparities, endpoints, timeliness, and cost-effectiveness. It was agreed that greater transparency is required across regulatory and HTA processes. Health professionals in oncology are frustrated for their patients because they are unable to deliver the modern guideline-supported therapies they want to provide due to delays in approval or funding. Canadian health care providers request improvements in timely access to life-saving therapeutics in line with other comparator countries. Clinicians expect urgent improvements in Canadian health systems to give our patients their best chance of survival.

Indexed as

Health Services AccessibilityAntineoplastic AgentsCanadaHumansMedical OncologyNeoplasmsAntineoplastic AgentsCanadadrug accessdrug priceshealth technology assessmentoncology drugs

Identifiers

PMID38668039
PMCPMC11048816
OpenAlexW4393386936

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.