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Record W4410051880 · doi:10.1016/j.jcpo.2025.100594

Health Canada reporting on quality of life for oncology drugs

2025· article· en· W4410051880 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.
aboutThe title or abstract carries a Canadian signal from the geographic lexicon.

Bibliographic record

VenueJournal of Cancer Policy · 2025
Typearticle
Languageen
FieldMedicine
TopicCancer survivorship and care
Canadian institutionsYork UniversityUniversity of Toronto
Fundersnot available
KeywordsMedicineCancer drugsQuality (philosophy)BusinessQuality of life (healthcare)Family medicineIntensive care medicinePharmacologyNursingDrug

Abstract

fetched live from OpenAlex

Quality of Life (QoL) information regarding oncology drugs is important for patients, especially those who are receiving treatment for symptom control and not for curative purposes. Health Canada guidance documents do not describe how QoL information should be reported. This study examines how Health Canada reports QoL in documents regarding the decision to approve and indications for new oncology drugs. A list of all oncology drugs approved by Health Canada from 2019 to 2023 was created using a Health Canada website. Documents describing why a decision was made to approve a new drug and how QoL influences indications for the drug were searched for the term “Quality of Life” and relevant passages were recorded verbatim. Health Canada approved 60 oncology drugs. QoL only influenced approval in 1 case and was only mentioned in a drug’s indication in 3 cases. Health Canada only reports QoL information very infrequently for oncology drugs. • Quality of Life (QoL) measures for new oncology drugs are important for patients. • Health Canada reported how QoL influenced oncology approvals in 1 out of 60 drugs. • Health Canada reported on QoL indications in 3 out of 60 drugs. • Other regulatory authorities report on QoL more frequently than Health Canada.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.002
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.509
Threshold uncertainty score0.967

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.059
GPT teacher head0.481
Teacher spread0.422 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it