Skegg D C, Richards S M, Doll R
J Epidemiol Community Health. 1981 Mar;35(1):32-4. doi: 10.1136/jech.35.1.32.
For two years, the following records were linked for 10 453 people: (1) basic attributes; (2) details of prescriptions; and (3) information about illnesses recorded by general practitioners (GPs) in an "E' book. Analyses were performed to reveal association between drugs and diagnoses. Although the "E' book has certain disadvantages for drug monitoring, the methods proved to be capable of detecting adverse effects of drugs. Unfortunately the number of practitioners using "E' books would be too small for detection of most serious hazards such as the induction of cancer. Hence it is concluded that the first priority should be to establish a record linkage scheme covering hospital admissions, obstetric deliveries, and deaths.
两年来,对10453人进行了以下记录关联:(1)基本属性;(2)处方详情;(3)全科医生(GP)在“E”书中记录的疾病信息。进行分析以揭示药物与诊断之间的关联。尽管“E”书在药物监测方面有一定的缺点,但这些方法被证明能够检测出药物的不良反应。不幸的是,使用“E”书的从业者数量太少,无法检测到大多数严重危害,如诱发癌症。因此得出结论,首要任务应该是建立一个涵盖住院、产科分娩和死亡的记录关联计划。