Evidence map›Paper›PMID 21988288›Full record

ReviewBritish journal of clinical pharmacology2012

Reported paediatric adverse drug reactions in the UK 2000-2009.

Daniel B Hawcutt, Pramod Mainie, Andrew Riordan, Rosalind L Smyth, Munir Pirmohamed

Abstract readReview
In one paragraph

Review in British journal of clinical pharmacology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
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  5. Article
  6. Article
  7. Parental reporting of adverse drug reactions in South Africa: An online survey.African journal of primary health care & family medicine · 2021
    Article
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  9. Observational
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  12. Observational
  13. Article
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  15. Article
  16. Adverse drug reactions experience in a teaching hospital in Jordan.International journal of clinical pharmacy · 2015
    Observational
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Daniel B HawcuttDivision of Developmental and Reproductive Medicine, University of Liverpool, Liverpool Northwick Park Hospital, Watford Road, Harrow, London Alder Hey Children's Hospital, Liverpool Department of Molecular and Clinical Pharmacology, University of Liverpool, Liverpool, UK.
Pramod Mainie
Andrew Riordan
Rosalind L Smyth
Munir Pirmohamed

Funding

Department of Health RP-PG-0606-1170Wellcome Trust
6 · The paper itself

Abstract

aimsThe UK Medicines and Healthcare products Regulatory Agency (MHRA) runs a national spontaneous reporting system (Yellow Card Scheme) to collect 'suspected' adverse drug reaction (ADR) data. MHRA advice is to report all suspected ADRs in paediatric (<17 years) patients.

methodsData on all ADRs reported to the MHRA in patients <17 years from the years 2000-9 were supplied in two datasets, inclusive and exclusive of vaccines.

resultsOf 222 755 ADR reports received by the MHRA from 2000-9, 31726 (14.2%) were in children <17 years. The number of reports in 2000 was greater than in subsequent years (12035) due to a national vaccination programme (Meningococcal Serogroup C conjugate vaccine). The median number of ADR reports per annum (2001-2009) for children was 2146 (95% CI 1801, 2575). Vaccines were included in 22102 (66.5%) paediatric ADR reports, with Meningococcal Serogroup C conjugate vaccine reported most frequently (12106 reports) and headache the commonest symptom (3163). Excluding vaccines, methylphenidate (653 reports) and atomoxetine (491) were the most commonly reported medications, and the most commonly reported symptom was vomiting (374). Reporting by nurses increased from 396 in 2001 to 1295 in 2009 (41.8% of all reports); reporting by doctors stayed constant. Reports from patients, parents or carers more than doubled but remained infrequent (1.5% in 2005, 4.0% in 2009).

conclusionsAlthough under-reporting is probably common, the Yellow Card Scheme in the UK receives more than 2000 reports per year on patients <17 years. Nurses now report more suspected ADRs in children than any other healthcare professional.

Indexed as

Drug-Related Side Effects and Adverse ReactionsAdolescentAdverse Drug Reaction Reporting SystemsChildChild, PreschoolHealth PersonnelHumansInfantUnited KingdomVaccination

Identifiers

PMID21988288
PMCPMC3370348

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.