Plessis Lorraine, Gómez Ainhoa, García Núria, Cereza Gloria, Figueras Albert
Catalan Pharmacovigilance Center, Barcelona, Spain.
Clinical Pharmacology Service, University Hospital Vall d'Hebron, Barcelona, Spain.
Eur J Clin Pharmacol. 2017 Jun;73(6):751-758. doi: 10.1007/s00228-017-2223-5. Epub 2017 Mar 1.
The aim of this study is to analyze the quality of the information contained in the adverse drug reactions (ADR) reports and to describe the magnitude and characteristics of the lacking information.
All reports of serious ADR received by the Catalan Center of Pharmacovigilance in 2014 were analyzed using the VigiGrade and a more clinical and qualitative approach.
Up to 824 reports describing serious ADR were included in the study; of them, 503 (61.0%) were sent by health care professionals (HPs) and the remaining 321 (39.0%) came from pharmaceutical companies (PhC). More than 80% of missing variables such as 'onset date' or 'time-to-onset' of the ADR were from PhCs reports. 'Onset of treatment date' was not filled in 28 (22.2%) of the reports including an 'additional monitoring' medicine, and 'end of treatment' date was not completed in 53 of those reports (42.1%). In summary, 39% of the reports involving a black triangle medicine sent by PhCs lacked some essential information such as the onset date of treatment.
More than one third of the reports coming from manufacturers did not include information that is considered a limiting factor to evaluate any causal relationship, and can be an issue for the detection of safety signals. To take advantage of this huge amount of potentially important information that is almost useless at present, data mining tools and new algorithms should be developed and tested with the aim of finding formulas to deal with a huge amount of low quality data without losing it, nor generating a number of false associations.
本研究旨在分析药品不良反应(ADR)报告中所含信息的质量,并描述缺失信息的数量及特征。
采用VigiGrade以及更具临床性和定性的方法,对加泰罗尼亚药物警戒中心在2014年收到的所有严重ADR报告进行分析。
该研究纳入了多达824份描述严重ADR的报告;其中,503份(61.0%)由医疗保健专业人员(HPs)提交,其余321份(39.0%)来自制药公司(PhC)。超过80%的缺失变量,如ADR的“发病日期”或“发病时间”,来自制药公司的报告。在包括“额外监测”药物的报告中,28份(22.2%)未填写“治疗开始日期”,其中53份报告(42.1%)未填写“治疗结束”日期。总之,制药公司提交的涉及黑三角药物的报告中有39%缺少一些重要信息,如治疗开始日期。
来自制造商的报告中有超过三分之一未包含被视为评估任何因果关系的限制因素的信息,这可能成为安全信号检测的一个问题。为了利用目前几乎无用的大量潜在重要信息,应开发并测试数据挖掘工具和新算法,以找到处理大量低质量数据的公式,既不丢失数据,也不产生大量错误关联。