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中国自发药物不良反应报告质量:一项描述性研究。

The Quality of Spontaneous Adverse Drug Reaction Reports in China: A Descriptive Study.

机构信息

The Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmacy, Xi'an Jiaotong University.

Shaanxi Institution for Food and Drug Control.

出版信息

Biol Pharm Bull. 2019;42(12):2083-2088. doi: 10.1248/bpb.b19-00637.

Abstract

Pharmacovigilance is important to monitor the safety of drugs. There are, however, problems with the quality of adverse drug reaction reports in China. This study aimed to analyze the quality of adverse drug reaction reports in China, identify the factors affecting it, and propose measures to improve it. In our study, the western province of Shaanxi, the central province of Hubei and the eastern province of Jiangsu were chosen as typical, and adverse drug reaction reports from these three provinces from 2015 to 2017 were systematically sampled. The sampling reports were scored and graded to assess their quality. The results showed that only 10.18% were considered high quality in a total of 3429 reports. There were statistically significant differences in quality by year, province, report type, report source, and occupation of the reporter (p < 0.001). Reports from Shaanxi were slightly poorer quality, and "new" and "serious" reports and those from pharmacists were higher quality. Five indicators were particularly poor quality: patient information, adverse drug reaction, reporter information, drug information and vigilance. In conclusion, the quality of adverse drug reaction reports in China still needs improvement. Factors affecting quality included timing, location, report type, report source, and reporter's occupation. It may be helpful to publicize the importance of monitoring adverse drug reactions and improve the knowledge of reporters.

摘要

药物警戒对于监测药物安全性非常重要。然而,中国的药物不良反应报告质量存在问题。本研究旨在分析中国药物不良反应报告的质量,确定影响质量的因素,并提出改进措施。在本研究中,选择了中国的西部省份陕西、中部省份湖北和东部省份江苏作为典型省份,系统地抽取了这三个省份 2015 年至 2017 年的药物不良反应报告。对抽样报告进行评分和分级,以评估其质量。结果表明,在总共 3429 份报告中,只有 10.18%被认为是高质量的。报告质量在年份、省份、报告类型、报告来源和报告人职业方面存在统计学差异(p<0.001)。陕西的报告质量稍差,“新”和“严重”报告以及来自药剂师的报告质量较高。五个指标的报告质量特别差:患者信息、药物不良反应、报告人信息、药物信息和警戒。总之,中国药物不良反应报告的质量仍有待提高。影响质量的因素包括时间、地点、报告类型、报告来源和报告人的职业。宣传监测药物不良反应的重要性并提高报告人的知识可能会有所帮助。

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