Faculty of Pharmaceutical Sciences, University of British Columbia , Vancouver, BC, Canada.
International Collaboration on Repair Discoveries (ICORD), University of British Columbia , Vancouver, BC, Canada.
Expert Opin Drug Saf. 2021 Jan;20(1):1-8. doi: 10.1080/14740338.2021.1849134. Epub 2020 Dec 21.
The use of observational data to assess drug effectiveness and safety can provide relevant information, much of which may not be feasible to obtain through randomized clinical trials. Because observational studies provide critical drug safety and effectiveness information that influences drug policy and prescribing practices, transparent, consistent, and accurate reporting of these studies is critical.
We provide recommendations to extend existing reporting guidelines, covering the main components of primary research studies (methods, results, discussion).
Our recommendations include extending drug safety and effectiveness guidelines to include explicit checklist items on: study registration, causal diagrams, rationale for measures of effect, comprehensive assessment of bias, comprehensive data cleaning steps, drug equivalents, subject-level drug data visualization, sex and gender-based analyses and results, patient-oriented outcomes, and patient involvement in research.
利用观察性数据评估药物的有效性和安全性可以提供相关信息,其中许多信息可能无法通过随机临床试验获得。由于观察性研究提供了影响药物政策和处方实践的关键药物安全性和有效性信息,因此透明、一致和准确地报告这些研究至关重要。
我们提供了扩展现有报告指南的建议,涵盖了主要研究(方法、结果、讨论)的主要组成部分。
我们的建议包括将药物安全性和有效性指南扩展到包含以下方面的明确检查表项目:研究注册、因果关系图、效果衡量的基本原理、全面的偏倚评估、全面的数据清理步骤、药物等效物、基于个体的药物数据可视化、性别和基于性别的分析和结果、以患者为中心的结局以及患者参与研究。