Evidence map›Paper›PMID 26446143›Full record

ArticleDrug safety2016

Feasibility of Prioritizing Drug-Drug-Event Associations Found in Electronic Health Records.

Juan M Banda, Alison Callahan, Rainer Winnenburg, Howard R Strasberg, Aurel Cami, Ben Y Reis, Santiago Vilar, George Hripcsak, Michel Dumontier, Nigam Haresh Shah

Abstract read
In one paragraph

Article in Drug safety, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–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

24 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Big Data and Pharmacovigilance: Data Mining for Adverse Drug Events and Interactions.P & T : a peer-reviewed journal for formulary management · 2018
    Article
  18. Review
  19. Drug-drug interaction discovery and demystification using Semantic Web technologies.Journal of the American Medical Informatics Association : JAMIA · 2017
    Article
  20. PhLeGrA: Graph Analytics in Pharmacology over the Web of Life Sciences Linked Open Data.Proceedings of the ... International World-Wide Web Conference. International WWW Conference · 2017
    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

10 authors.

Juan M BandaStanford Center for Biomedical Informatics Research, 1265 Welch Road, MSOB, Stanford, CA, 94305, USA. jmbanda@stanford.edu.ORCID http://orcid.org/0000-0001-8499-824X
Alison CallahanStanford Center for Biomedical Informatics Research, 1265 Welch Road, MSOB, Stanford, CA, 94305, USA.
Rainer WinnenburgStanford Center for Biomedical Informatics Research, 1265 Welch Road, MSOB, Stanford, CA, 94305, USA.
Howard R StrasbergWolters Kluwer Health, San Diego, CA, USA.
Aurel CamiDivision of Emergency Medicine, Boston Children's Hospital, Boston, MA, USA.
Ben Y ReisDivision of Emergency Medicine, Boston Children's Hospital, Boston, MA, USA.
Santiago VilarDepartment of Biomedical Informatics, Columbia University Medical Center, New York, NY, USA.
George HripcsakDepartment of Biomedical Informatics, Columbia University Medical Center, New York, NY, USA.
Michel DumontierStanford Center for Biomedical Informatics Research, 1265 Welch Road, MSOB, Stanford, CA, 94305, USA.
Nigam Haresh ShahStanford Center for Biomedical Informatics Research, 1265 Welch Road, MSOB, Stanford, CA, 94305, USA.

Funding

STANFORD COMPOSITE(RMI)U54HG004028 · NHGRI · STANFORD UNIVERSITY · PI MUSEN, MARK A · 2005 to 2014
$36.2M
DISCOVERING AND APPLYING KNOWLEDGE IN CLINICAL DATABASESR01LM006910 · NLM · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HRIPCSAK, GEORGE M · 2000 to 2023
$10.6M
Methods for generalized ontology terms enrichment analysisR01LM011369 · NLM · STANFORD UNIVERSITY · PI SHAH, NIGAM H · 2013 to 2020
$5.0M
Mining health data for drug safety profilesR01GM101430 · NIGMS · STANFORD UNIVERSITY · PI SHAH, NIGAM H · 2013 to 2017
$2.9M
NHGRI NIH HHS U54 HG004028NIGMS NIH HHS R01 GM101430NLM NIH HHS R01 LM006910NLM NIH HHS R01 LM011369
6 · The paper itself

Abstract

BACKGROUND AND

objectiveSeveral studies have demonstrated the ability to detect adverse events potentially related to multiple drug exposure via data mining. However, the number of putative associations produced by such computational approaches is typically large, making experimental validation difficult. We theorized that those potential associations for which there is evidence from multiple complementary sources are more likely to be true, and explored this idea using a published database of drug-drug-adverse event associations derived from electronic health records (EHRs).

methodsWe prioritized drug-drug-event associations derived from EHRs using four sources of information: (1) public databases, (2) sources of spontaneous reports, (3) literature, and (4) non-EHR drug-drug interaction (DDI) prediction methods. After pre-filtering the associations by removing those found in public databases, we devised a ranking for associations based on the support from the remaining sources, and evaluated the results of this rank-based prioritization.

resultsWe collected information for 5983 putative EHR-derived drug-drug-event associations involving 345 drugs and ten adverse events from four data sources and four prediction methods. Only seven drug-drug-event associations (<0.5 %) had support from the majority of evidence sources, and about one third (1777) had support from at least one of the evidence sources.

conclusionsOur proof-of-concept method for scoring putative drug-drug-event associations from EHRs offers a systematic and reproducible way of prioritizing associations for further study. Our findings also quantify the agreement (or lack thereof) among complementary sources of evidence for drug-drug-event associations and highlight the challenges of developing a robust approach for prioritizing signals of these associations.

Indexed as

Adverse Drug Reaction Reporting SystemsDatabases, FactualData MiningDrug InteractionsDrug-Related Side Effects and Adverse ReactionsElectronic Health RecordsFeasibility StudiesHumans

Identifiers

PMID26446143
PMCPMC4712252

What OpenQuestion holds

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LicenceCC BY-NC
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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.