Evidence map›Paper›PMID 22588606›Full record

ArticleClinical pharmacology and therapeutics2012

Active safety monitoring of newly marketed medications in a distributed data network: application of a semi-automated monitoring system.

J J Gagne, R J Glynn, J A Rassen, A M Walker, G W Daniel, G Sridhar, S Schneeweiss

Open access · greenAbstract read
In one paragraph

Article in Clinical pharmacology and therapeutics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
7.3field-weighted citation impact, top 3% of its field
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

21 citing papers in PubMed, 46 citations in OpenAlex.

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  20. Pharmacovigilance using clinical notes.Clinical pharmacology and therapeutics · 2013
    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

7 authors at 4 institutions in 1 country.

J J GagneDivision of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA. jgagne1@partners.org
R J Glynn
J A Rassen
A M Walker
G W Daniel
G Sridhar
S Schneeweiss
Harvard University · USBrigham and Women's Hospital · USBrookings Institution · USWilmington University · US

Funding

Analyzing Complex Healthcare Data to Determine Causality of Observed Drug EffectsR01LM010213 · NLM · BRIGHAM AND WOMEN'S HOSPITAL · PI SCHNEEWEISS, SEBASTIAN G. · 2009 to 2012
$1.6M
Assessment of Treatment Effects in High-Dimensional, Routine Care Claims DataRC4HL106376 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI SCHNEEWEISS, SEBASTIAN G. · 2010 to 2010
$1.3M
"Stopping Rules" for Drug Safety Monitoring Using Healthcare DatabasesRC1LM010351 · NLM · BRIGHAM AND WOMEN'S HOSPITAL · PI SCHNEEWEISS, SEBASTIAN G. · 2009 to 2010
$975k
Effectiveness studies with securely pooled healthcare data and adjusted analysesRC1RR028231 · NCRR · BRIGHAM AND WOMEN'S HOSPITAL · PI SCHNEEWEISS, SEBASTIAN G. · 2009 to 2010
$931k
Comparative effectiveness methods for evaluation of in-hospital exposuresK01HS018088 · AHRQ · BRIGHAM AND WOMEN'S HOSPITAL · PI RASSEN, JEREMY A · 2009 to 2012
$537k
AHRQ HHS K01 HS018088CCR NIH HHS RC1-RR028231NCRR NIH HHS RC1 RR028231NHLBI NIH HHS RC4-HL106373NHLBI NIH HHS RC4 HL106376NLM NIH HHS R01 LM010213NLM NIH HHS RC1 LM010351NLM NIH HHS RC1-LM010351
6 · The paper itself

Abstract

We developed a semi-automated active monitoring system that uses sequential matched-cohort analyses to assess drug safety across a distributed network of longitudinal electronic health-care data. In a retrospective analysis, we show that the system would have identified cerivastatin-induced rhabdomyolysis. In this study, we evaluated whether the system would generate alerts for three drug-outcome pairs: rosuvastatin and rhabdomyolysis (known null association), rosuvastatin and diabetes mellitus, and telithromycin and hepatotoxicity (two examples for which alerting would be questionable). Over >5 years of monitoring, rate differences (RDs) in comparisons of rosuvastatin with atorvastatin were -0.1 cases of rhabdomyolysis per 1,000 person-years (95% confidence interval (CI): -0.4, 0.1) and -2.2 diabetes cases per 1,000 person-years (95% CI: -6.0, 1.6). The RD for hepatotoxicity comparing telithromycin with azithromycin was 0.3 cases per 1,000 person-years (95% CI: -0.5, 1.0). In a setting in which false positivity is a major concern, the system did not generate alerts for the three drug-outcome pairs.

Indexed as

Diabetes MellitusProduct Surveillance, PostmarketingRhabdomyolysisAgedAnti-Bacterial AgentsAzithromycinChemical and Drug Induced Liver InjuryDrug MonitoringElectronic Data ProcessingElectronic Health RecordsFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsKetolidesMaleOutcome Assessment, Health CareAnti-Bacterial AgentsAzithromycinHydroxymethylglutaryl-CoA Reductase InhibitorsKetolidestelithromycin

Identifiers

PMID22588606
PMCPMC3947906
OpenAlexW2152628670

What OpenQuestion holds

Texttitle and abstract
LicenceTDM
Read underepoch 390

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.