Mitigating the Impact of Drug Shortages in Oncology: Lessons Learned From the 2023 Shortages of Carboplatin and Cisplatin

减轻肿瘤药物短缺的影响:从2023年卡铂和顺铂短缺事件中吸取的教训

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Abstract

PURPOSE/BACKGROUND: Cancer drug shortages adversely affect cancer patient care and ultimately cancer patient lives. Shortages of cancer drugs used for pediatric cancer patients are well described. METHODS: Review of published literature, news reports, and grey literature on cisplatin and carboplatin shortages. RESULTS: The shortages were multifactorial-reflecting supply chain disruption, limited redundancy in manufacturing, and dependence on out-of-country sources for injectable generic oncology drugs. DISCUSSION: This report of carboplatin and cisplatin shortages extends concerns noted earlier with pediatric oncology drug shortages. Improvements in supply chain and consideration of on-shoring manufacturing is needed.

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