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基于药物警戒中常规收集的健康数据的观察性研究报告质量评估。

Evaluation of reporting quality for observational studies using routinely collected health data in pharmacovigilance.

机构信息

a Center for Clinical Epidemiology and Evidence-based Medicine, Beijing Children's Hospital , Capital Medical University, National Center for Children's Health , Beijing , China.

b Department of Epidemiology and Biostatistics , School of Public Health, Capital Medical University , Beijing , China.

出版信息

Expert Opin Drug Saf. 2018 Jul;17(7):661-668. doi: 10.1080/14740338.2018.1484106. Epub 2018 Jun 12.

Abstract

OBJECTIVES

To appraise the reporting quality of studies which concerned linezolid-related thrombocytopenia referring to REporting of studies Conducted using Observational Routinely collected health Data (RECORD) statement.

METHODS

Medline, Embase, Cochrane library and clinicaltrial.gov were searched for observational studies concerning linezolid-related thrombocytopenia using routinely collected health data from 2000 to 2017. Two reviewers screened potential eligible articles and extracted data independently. Finally, reporting quality assessment was performed by two senior researchers using RECORD statement.

RESULTS

Of 25 included studies, 11 (44.0%) mentioned the type of data in the title and/or abstract. In 38 items derived from RECORD statement, the median number of items reported in the included studies was 22 (inter-quartile range 18-27). Inadequate reporting issues were discovered in the following aspects: validation studies of the codes or algorithms, study size estimation, quantitative variables, subgroup statistical methods, missing data, follow-up/matching or sampling strategy, sensitivity analysis and cleaning methods, funding and role of funders and accessibility of protocol, raw data.

CONCLUSION

This study provides the evidence that the reporting quality of post-marketing safety evaluation studies conducted using routinely collected health data was often insufficient. Future stakeholders are encouraged to endorse the RECORD guidelines in pharmacovigilance.

摘要

目的

根据观察性研究使用观察性常规收集健康数据(RECORD)报告规范评估与利奈唑胺相关血小板减少症相关研究的报告质量。

方法

检索 2000 年至 2017 年期间,使用常规收集的健康数据,从 Medline、Embase、Cochrane 图书馆和 clinicaltrial.gov 中搜索与利奈唑胺相关血小板减少症相关的观察性研究。两名审查员独立筛选潜在合格的文章并提取数据。最后,使用 RECORD 规范由两名资深研究人员进行报告质量评估。

结果

在纳入的 25 项研究中,11 项(44.0%)在标题和/或摘要中提到了数据类型。在 RECORD 规范中得出的 38 项中,纳入研究报告的项目中位数为 22 项(四分位距 18-27)。在以下方面发现了报告不充分的问题:代码或算法的验证研究、研究规模估计、定量变量、亚组统计方法、缺失数据、随访/匹配或抽样策略、敏感性分析和清理方法、资金和资助者的作用以及协议、原始数据的可及性。

结论

本研究提供了证据表明,使用常规收集的健康数据进行的上市后安全性评估研究的报告质量往往不足。鼓励未来的利益相关者在药物警戒中支持 RECORD 指南。

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