Evidence map›Paper›PMID 25968811›Full record

ArticleDrug safety2015

Methodological approaches to evaluate the impact of FDA drug safety communications.

Aaron S Kesselheim, Eric G Campbell, Sebastian Schneeweiss, Paula Rausch, Brian M Lappin, Esther H Zhou, John D Seeger, John S Brownstein, Steven Woloshin, Lisa M Schwartz and 3 more

Erratum issuedAbstract read
PubMed Publisher
In one paragraph

Article in Drug safety, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 9% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

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  14. The impact of FDA regulatory activities on incident dispensing of LABA-containing medication: 2005-2011.The Journal of asthma : official journal of the Association for the Care of Asthma · 2018
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 1 country.

Aaron S KesselheimProgram on Regulation, Therapeutics, and Law (PORTAL), Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Suite 3030, 1620 Tremont Street, Boston, MA, 02120, USA, akesselheim@partners.org.
Eric G Campbell
Sebastian Schneeweiss
Paula Rausch
Brian M Lappin
Esther H Zhou
John D Seeger
John S Brownstein
Steven Woloshin
Lisa M Schwartz
Timothy Toomey
Gerald J Dal Pan
Jerry Avorn
Brigham and Women's Hospital · USCenter for Drug Evaluation and Research · USHarvard University · USDartmouth Institute for Health Policy and Clinical Practice · USBoston Children's Hospital · USUnited States Food and Drug Administration · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhen the US FDA approves a new prescription drug there is still a great deal remaining to be learned about the safe and proper use of that product. When new information addressing these topics emerges post-approval, the FDA may issue a Drug Safety Communication (DSC) to alert patients and physicians. The effectiveness of the communication-how drug safety messaging conveyed in FDA DSCs changes patient or prescriber behavior-may depend on multiple factors, including the way physicians and patients learn about the information, their understanding of the issues conveyed, and their perception of the importance of the information. In 2013, the FDA issued two DSCs addressing critical new warnings related to products containing the sedative/hypnotic zolpidem.

objectiveIn this article, we describe a core set of research initiatives that can be used to study how zolpidem-related DSCs affected subsequent physician and patient decision making.

methodsThese research initiatives include analyzing drug utilization patterns and related health outcomes; comparing zolpidem-containing products against a comparator with similar indications [eszopiclone (Lunesta)] not covered by the 2013 DSCs; and surveying patients and qualitatively evaluating the dissemination of information regarding these drugs in traditional and social-media channels.

conclusionsUsing an integrated, multidisciplinary approach, we can obtain information that can be used to optimize regulatory communications by seeking to understand the impact of the information contained in FDA risk communications.

Indexed as

CommunicationDrug-Related Side Effects and Adverse ReactionsDrug ApprovalHumansHypnotics and SedativesPrescription DrugsPyridinesRisk ManagementUnited StatesUnited States Food and Drug AdministrationZolpidemHypnotics and SedativesPrescription DrugsPyridinesZolpidem

Identifiers

PMID25968811
OpenAlexW2167459341

What OpenQuestion holds

Textmetadata
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.