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家庭医疗中的药物不良反应调查。

A survey of adverse drug reactions in family practice.

出版信息

Can Fam Physician. 1984 Jan;30:81-4.

PMID:21283495
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2153988/
Abstract

In this study, 232 Canadian family physicians recorded suspected adverse drug reactions (SADRs) in their practices for five months. Patients' age and sex, the drug(s) implicated, type of reaction and any disability were recorded on a card and sent to a central coordinating office each week. The number of SADRs in clinical practice seems to be small. An estimated 300,000 patients were involved in the study, and a total of 314 suspected adverse drug reactions in 314 patients were reported. A proposal is made for a surveillance system for new drugs. Family physicians would monitor all patients taking a drug or group of drugs and matched controls. The status of patients and controls would be recorded regularly and any SADRs reported to a central coordinating centre.

摘要

在这项研究中,232 名加拿大家庭医生在他们的诊所中记录了五个月的疑似药物不良反应(SADRs)。患者的年龄和性别、涉及的药物、反应类型以及任何残疾情况都记录在一张卡片上,并每周发送到一个中央协调办公室。临床实践中的 SADR 数量似乎很小。据估计,该研究涉及 30 万名患者,共报告了 314 名患者中的 314 例疑似药物不良反应。提出了一个新药监测系统的建议。家庭医生将监测所有服用药物或药物组的患者和匹配的对照组。定期记录患者和对照组的情况,并向中央协调中心报告任何 SADR。

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引用本文的文献

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Prescribing to the elderly: a review of the english language canadian literature.为老年人开处方:对英语加拿大文学的综述。
Can Fam Physician. 1989 Aug;35:1613-7.
2
Adverse Drug Reactions: Review of the Canadian literature.药物不良反应:加拿大文献综述。
Can Fam Physician. 1991 Jan;37:109-18.
3
Potentially undesirable prescribing and drug use among the elderly. Measurable and remediable.老年人中潜在的不当用药和药物使用情况。可测量且可补救。
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本文引用的文献

1
Post-marketing surveillance.上市后监测
Br Med J. 1980 May 10;280(6224):1175-6. doi: 10.1136/bmj.280.6224.1175.
2
How good are articles on adverse drug reactions?关于药物不良反应的文章质量如何?
Br Med J (Clin Res Ed). 1982 Jan 23;284(6311):252-4. doi: 10.1136/bmj.284.6311.252.
3
Prospective monitoring for adverse reactions to drugs in general practice.全科医疗中对药物不良反应的前瞻性监测。
Br Med J (Clin Res Ed). 1981 Nov 14;283(6302):1305-7. doi: 10.1136/bmj.283.6302.1305.
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Postmarketing surveillance of adverse drug reactions in general practice. II: Prescription-event monitoring at the University of Southampton.全科医疗中药物不良反应的上市后监测。II:南安普顿大学的处方事件监测。
Br Med J (Clin Res Ed). 1981 Apr 11;282(6271):1216-7. doi: 10.1136/bmj.282.6271.1216.
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Postmarketing surveillance of adverse drug reactions in general practice. I: search for new methods.全科医疗中药物不良反应的上市后监测。I:探寻新方法。
Br Med J (Clin Res Ed). 1981 Apr 4;282(6270):1131-2. doi: 10.1136/bmj.282.6270.1131.
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Postmarketing surveillance of the safety of cimetidine: 12 month mortality report.西咪替丁安全性的上市后监测:12个月死亡率报告。
Br Med J (Clin Res Ed). 1983 May 28;286(6379):1713-6. doi: 10.1136/bmj.286.6379.1713.
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Predisposing factors in adverse reactions to drugs.药物不良反应的诱发因素。
Br Med J. 1969 Mar 1;1(5643):536-9. doi: 10.1136/bmj.1.5643.536.
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Adverse drug reactions. A critical review.药物不良反应。一篇批判性综述。
JAMA. 1975 Dec 22;234(12):1236-41.
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Treated adverse effects of drugs in an ambulatory population.流动人群中药物治疗的不良反应
Med Care. 1977 Jul;15(7):599-608. doi: 10.1097/00005650-197707000-00007.
10
Postmarketing surveillance of new drugs: I. Review of objectives and methodology.新药上市后监测:I. 目标与方法综述。
J Clin Pharmacol. 1979 Feb-Mar;19(2-3):85-94. doi: 10.1002/j.1552-4604.1979.tb02464.x.