Comparative Analysis of the Average Recommendation Time for the Incorporation of Biological Drugs for Cancer and Rheumatoid Arthritis.

IF 2.4 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Journal of Multidisciplinary Healthcare Pub Date : 2026-04-28 eCollection Date: 2026-01-01 DOI:10.2147/JMDH.S532154
Marcio Santos da Natividade, Erick Soares Lisboa, Erika Aragão, Caroline Tianeze de Castro, Rafael Damasceno de Barros, Marcos Pereira, Samilly Silva Miranda, Luís Eugênio Souza, Naomar de Almeida-Filho
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引用次数: 0

Abstract

Purpose: To compare the average time between the registration of a biological drug and its recommendation for incorporation for rheumatoid arthritis (RA) and cancer (CA) at national and international levels.

Methods: This retrospective, comparative study analyzed the time taken to incorporate biological drugs recommended by National Commission for the Incorporation of Technologies (CONITEC) in the Brazilian Unified Health System(SUS) for RA and CA from January 1, 2012, to March 28, 2024. The incorporation time in Brazil was compared to that of regulatory bodies in England and Australia for the same treatments. Kaplan-Meier curves and the Log rank test were used to estimate time differences between countries.

Results: In Brazil, biological drugs for RA took an average of 2,019 days from the National Health Surveillance Agency (ANVISA) approval to CONITEC's incorporation recommendation. In England, the averages were 1,242 days for RA and 1,683 for CA, while in Australia, it was 744 days for RA and 1,315 for CA. Australia incorporated drugs faster than both England and Brazil.

Conclusion: The lengthy process in Brazil for incorporating biological technologies for RA and CA may hinder access, delaying treatment for many patients. This barrier is particularly significant for low-income individuals who rely exclusively on the SUS.

肿瘤与类风湿关节炎生物药物联合应用平均推荐时间的比较分析。
目的:比较一种生物药物注册和推荐纳入治疗类风湿性关节炎(RA)和癌症(CA)在国家和国际层面的平均时间。方法:本回顾性比较研究分析了2012年1月1日至2024年3月28日,巴西统一卫生系统(SUS)中纳入国家技术整合委员会(CONITEC)推荐的治疗RA和CA的生物药物所需的时间。巴西的注册时间与英国和澳大利亚的监管机构进行了比较,以获得相同的待遇。Kaplan-Meier曲线和Log秩检验用于估计国家间的时间差异。结果:在巴西,从国家卫生监督局(ANVISA)批准到CONITEC的纳入建议,治疗RA的生物药物平均耗时2019天。在英国,RA平均为1242天,CA平均为1683天,而在澳大利亚,RA平均为744天,CA平均为1315天。澳大利亚合并药物的速度比英国和巴西都快。结论:在巴西,采用生物技术治疗RA和CA的漫长过程可能会阻碍获取,延迟许多患者的治疗。这一障碍对于完全依赖SUS的低收入个人来说尤为重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Multidisciplinary Healthcare
Journal of Multidisciplinary Healthcare Nursing-General Nursing
CiteScore
4.60
自引率
3.00%
发文量
287
审稿时长
16 weeks
期刊介绍: The Journal of Multidisciplinary Healthcare (JMDH) aims to represent and publish research in healthcare areas delivered by practitioners of different disciplines. This includes studies and reviews conducted by multidisciplinary teams as well as research which evaluates or reports the results or conduct of such teams or healthcare processes in general. The journal covers a very wide range of areas and we welcome submissions from practitioners at all levels and from all over the world. Good healthcare is not bounded by person, place or time and the journal aims to reflect this. The JMDH is published as an open-access journal to allow this wide range of practical, patient relevant research to be immediately available to practitioners who can access and use it immediately upon publication.
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