Evidence map›Paper›PMID 25736702›Full record

ArticleEuropean journal of clinical pharmacology2015

Preventability of adverse effects of analgesics: analysis of spontaneous reports.

Irina Cazacu, Ghada Miremont-Salamé, Cristina Mogosan, Annie Fourrier-Réglat, Felicia Loghin, Françoise Haramburu

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Article in European journal of clinical pharmacology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
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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

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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

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Irina CazacuDepartment of Pharmacology, Physiology and Physiopathology, Faculty of Pharmacy, University of Medicine and Pharmacy "Iuliu Hatieganu", Cluj-Napoca, 400012, Romania, cazacuirina@yahoo.com.
Ghada Miremont-Salamé
Cristina Mogosan
Annie Fourrier-Réglat
Felicia Loghin
Françoise Haramburu

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aims of this study were to determine the patterns of analgesic adverse drug reactions (ADRs) and to assess their preventability and contributing factors.

methodsThis is a retrospective, descriptive study conducted on ADRs of analgesics and other drugs indicated as analgesics, spontaneously reported to the Bordeaux pharmacovigilance center from January 2011 to June 2012.

resultsThe 141 cases selected for the analysis included 16 cases of medication errors (11.3%) and 15 addiction cases (10.6%). In total, 214 ADRs were registered, for which 173 analgesic medicines were suspected. The most frequent ADRs reported were nervous system disorders (26.6%), psychiatric disorders (15.0%), and skin and subcutaneous tissue disorders (12.1%). Tramadol alone or in combination (17.3%), followed by morphine (15%), fentanyl (9.8%), and paracetamol (8.7%) were the most frequently involved analgesics. More than half of the cases (54.6%) were serious and led to hospitalization or prolonged hospitalization. Preventability was determined for 134 cases (95%): 51.5% were considered as preventable, 26.1% not preventable, and 22.4% not assessable. The main contributing factors for the preventable cases included negligence of recommendations for analgesic use and failure to consider patients' risk factors when prescribing.

conclusionsA significant number of analgesic ADRs could be prevented, and being aware of their contributing factors promotes efficient analgesia with minimum risks to the patients.

Indexed as

Adverse Drug Reaction Reporting SystemsAnalgesicsAnalgesics, OpioidAnticonvulsantsAntidepressive AgentsAnti-Inflammatory Agents, Non-SteroidalDrug-Related Side Effects and Adverse ReactionsFemaleFranceHumansMaleMiddle AgedPharmacovigilanceRetrospective StudiesAnalgesicsAnalgesics, OpioidAnticonvulsantsAntidepressive AgentsAnti-Inflammatory Agents, Non-Steroidal

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