Evidence map›Paper›PMID 42250039›Full record

ArticleIrish journal of medical science2026

The cost of cancer care: how much would you pay for your drugs? Patient and oncology professional stakeholder opinions in Ireland.

Ruth Kieran, Kate Coakley, Bojan Macanovic, Catherine Weadick, Rachel Keogh, Katie Cooke, Margaret Allen, Michaela Higgins, Seamus O'Reilly

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Article in Irish journal of medical science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Ruth KieranDepartment of Medical Oncology, Cork University Hospital, Cork, Ireland. kieranr@tcd.ie.ORCID http://orcid.org/0000-0002-9749-3651
Kate CoakleyDepartment of Medical Oncology, Cork University Hospital, Cork, Ireland.
Bojan MacanovicDepartment of Medical Oncology, Cork University Hospital, Cork, Ireland.
Catherine WeadickDepartment of Medical Oncology, Cork University Hospital, Cork, Ireland.
Rachel KeoghDepartment of Medical Oncology, Cork University Hospital, Cork, Ireland.
Katie CookeDepartment of Pharmacy, Cork University Hospital, Cork, Ireland.
Margaret AllenDepartment of Medical Oncology, Cork University Hospital, Cork, Ireland.
Michaela HigginsDepartment of Medical Oncology, St Vincents University Hospital, Dublin, Ireland.
Seamus O'ReillyDepartment of Medical Oncology, Cork University Hospital, Cork, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAn incremental cost-effectiveness ratio (ICER) threshold of €45,000/Quality-Adjusted-Life-Year (QALY) is used in the assessment of new drugs in Ireland. We assessed stakeholder perceptions of this, and willingness-to-pay for new drugs.

methodsWe surveyed oncology patients (n = 125), oncologists, pharmacists, and nurses (n = 61, April-July 2023). Participants reviewed 9 hypothetical scenarios, including costs and survival outcomes with 'current treatments', alongside information about a 'better' drug, and estimated how much the state should pay (5 scenarios).

resultsIn most cases, willingness-to-pay exceeded current thresholds. Staff thresholds (overall median €52,264/QALY, IQR €13,671 - 108,000) were more conservative than patients (€90,857/QALY, €13,671 - 216,000) for almost all scenarios. Both staff and patients would pay more for overall survival benefit than quality of life benefit. Providing more biographical information increased patient thresholds (€224,571, IQR €90,857-€558,857) but not staff. Patient median threshold was €816,000 per recurrence prevented (IQR €240,000-1,776,000).

conclusionsWe demonstrate stakeholder desire for an increase in spending thresholds.

Indexed as

Cancer medicinesCost effectivenessPharmacoeconomics

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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 Socratic graph.