Cost and public reimbursement of cancer medicines in the UK and the Republic of Ireland

Autor: David, O'Reilly, Ronan, McLaughlin, Cian, Ronayne, Anne Marie, De Frein, Bojan, Macanovic, Ryan W, Chu, Sinead A, Noonan, Roisin M, Connolly, Derek G, Power, Richard M, Bambury, Seamus, O'Reilly, Dearbhaile Catherine, Collins
Rok vydání: 2021
Zdroj: Irish journal of medical science.
ISSN: 1863-4362
Popis: There are disparities in the availability of systemic anticancer therapies (SACTs) globally. We set out to investigate the cost and reimbursement of SACTs in the United Kingdom (UK) and the Republic of Ireland (ROI) in conjunction with efficacy and licensing authority decisions in the United States (US) and the European Union (EU).We sought data pertaining to licensing in the EU, reimbursement in ROI/UK and cost/efficacy of SACTs licensed by the Food and Drug Administration (FDA) between January 2015 and May 2021. Independent samples t tests, chi-square test and Pearson's correlation were used for statistical analysis.We identified that the majority of FDA-approved regimens are licensed by the European Medicines Agency (EMA) (n = 91, 67.9%). However, only a minority of these are currently reimbursed in the UK (n = 60, 45%) or the ROI (n = 28, 21%) as of the 1Our study highlights that many licensed systemic anticancer treatments are not currently reimbursed in ROI/UK. The high cost of these medicines is independent of the presence of an OS benefit. Collaboration between regulatory agencies, governments and industry partners is needed to ensure health expenditure is directed towards the most effective treatments.
Databáze: OpenAIRE