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药物流行病学研究中药物相互作用的评估

Evaluation of Drug-Drug Interactions in Pharmacoepidemiologic Research.

作者信息

Chen Cheng, Pham Nguyen Thanh Phuong, Hughes John E, Hennessy Sean, Leonard Charles E, Miano Todd A, Douros Antonios, Gagne Joshua J, Bykov Katsiaryna

机构信息

Division of Epidemiology II, Office of Surveillance and Epidemiology, United States Food and Drug Administration, Silver Spring, Maryland, USA.

Department of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

出版信息

Pharmacoepidemiol Drug Saf. 2025 Jan;34(1):e70088. doi: 10.1002/pds.70088.

DOI:10.1002/pds.70088
PMID:39805810
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12074612/
Abstract

Drug-drug interactions (DDIs) represent a significant concern for clinical care and public health, but the health consequences of many DDIs remain largely underexplored. This knowledge gap underscores the critical need for pharmacoepidemiologic research to evaluate real-world health outcomes of DDIs. In this review, we summarize the definitions commonly used in pharmacoepidemiologic DDI studies, discuss common sources of bias, and illustrate through examples how these biases can be mitigated.

摘要

药物相互作用(DDIs)是临床护理和公共卫生的重大关注点,但许多药物相互作用对健康的影响在很大程度上仍未得到充分探索。这一知识空白凸显了药物流行病学研究评估药物相互作用实际健康结果的迫切需求。在本综述中,我们总结了药物流行病学药物相互作用研究中常用的定义,讨论了常见的偏倚来源,并通过实例说明如何减轻这些偏倚。

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Clin Pharmacol Ther. 2025 Feb;117(2):421-426. doi: 10.1002/cpt.3479. Epub 2024 Oct 21.
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The Prevalent New-User Design to Study Drug-Drug Interactions: The Example of Sulfonylureas and Warfarin Interaction on the Risk of Severe Hypoglycemia.新兴药物相互作用研究的普遍设计:以磺酰脲类药物和华法林相互作用致严重低血糖风险为例。
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Comparative Risk of Injury with Concurrent Use of Opioids and Skeletal Muscle Relaxants.同时使用阿片类药物和骨骼肌松弛剂的损伤风险比较。
Clin Pharmacol Ther. 2024 Jul;116(1):117-127. doi: 10.1002/cpt.3248. Epub 2024 Mar 14.
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Core concepts in pharmacoepidemiology: Measurement of medication exposure in routinely collected healthcare data for causal inference studies in pharmacoepidemiology.药物流行病学中的核心概念:在常规收集的医疗保健数据中测量药物暴露情况,以便进行药物流行病学中的因果推断研究。
Pharmacoepidemiol Drug Saf. 2024 Mar;33(3):e5683. doi: 10.1002/pds.5683. Epub 2023 Sep 26.
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