Evidence map›Paper›PMID 28391408›Full record

ArticleEuropean journal of clinical pharmacology2017

Informativeness of patient initial reports of adverse drug reactions. Can it be improved by a pharmacovigilance centre?

F Kheloufi, A Default, F Rouby, D Laugier-Castellan, M Boyer, B Rodrigues, J Ponte-Astoul, M J Jean-Pastor, O Blin, J Micallef

Abstract read
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In one paragraph

Article in European journal of clinical pharmacology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. The Importance of Direct Patient Reporting of Adverse Drug Reactions in the Safety Monitoring Process.International journal of environmental research and public health · 2021
    Review
  7. Article
  8. Current trends in pharmacovigilance: value and gaps of patient reporting.International journal of clinical pharmacy · 2018
    Article
  9. Article
  10. 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.

F KheloufiRegional Pharmacovigilance Centre of Marseille Provence Corse, Department of Clinical Pharmacology and Pharmacovigilance, Assistance Publique - Hôpitaux de Marseille, 270 boulevard Sainte Marguerite, 13009, Marseille, France.
A DefaultRegional Pharmacovigilance Centre of Marseille Provence Corse, Department of Clinical Pharmacology and Pharmacovigilance, Assistance Publique - Hôpitaux de Marseille, 270 boulevard Sainte Marguerite, 13009, Marseille, France.
F RoubyRegional Pharmacovigilance Centre of Marseille Provence Corse, Department of Clinical Pharmacology and Pharmacovigilance, Assistance Publique - Hôpitaux de Marseille, 270 boulevard Sainte Marguerite, 13009, Marseille, France.
D Laugier-CastellanRegional Pharmacovigilance Centre of Marseille Provence Corse, Department of Clinical Pharmacology and Pharmacovigilance, Assistance Publique - Hôpitaux de Marseille, 270 boulevard Sainte Marguerite, 13009, Marseille, France.
M BoyerRegional Pharmacovigilance Centre of Marseille Provence Corse, Department of Clinical Pharmacology and Pharmacovigilance, Assistance Publique - Hôpitaux de Marseille, 270 boulevard Sainte Marguerite, 13009, Marseille, France.
B RodriguesRegional Pharmacovigilance Centre of Marseille Provence Corse, Department of Clinical Pharmacology and Pharmacovigilance, Assistance Publique - Hôpitaux de Marseille, 270 boulevard Sainte Marguerite, 13009, Marseille, France.
J Ponte-AstoulRegional Pharmacovigilance Centre of Marseille Provence Corse, Department of Clinical Pharmacology and Pharmacovigilance, Assistance Publique - Hôpitaux de Marseille, 270 boulevard Sainte Marguerite, 13009, Marseille, France.
M J Jean-PastorRegional Pharmacovigilance Centre of Marseille Provence Corse, Department of Clinical Pharmacology and Pharmacovigilance, Assistance Publique - Hôpitaux de Marseille, 270 boulevard Sainte Marguerite, 13009, Marseille, France.
O BlinRegional Pharmacovigilance Centre of Marseille Provence Corse, Department of Clinical Pharmacology and Pharmacovigilance, Assistance Publique - Hôpitaux de Marseille, 270 boulevard Sainte Marguerite, 13009, Marseille, France.
J MicallefRegional Pharmacovigilance Centre of Marseille Provence Corse, Department of Clinical Pharmacology and Pharmacovigilance, Assistance Publique - Hôpitaux de Marseille, 270 boulevard Sainte Marguerite, 13009, Marseille, France. joelle.micallef@ap-hm.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLittle is known about the informativeness of initial patient reports before they are reviewed by a pharmacovigilance centre (PVC). We aim to describe the patterns of patient adverse drug reaction (ADR) reporting in France and estimate the contribution of a review by a PVC assessor on the informativeness of these reports.

methodsA retrospective study was conducted on patient reports between July 2011 and July 2015. Informativeness of 16 key elements of information (including drug start and end date, duration of treatment, time to onset and duration of the ADR, outcome, medical history and concomitant medication) was assessed in initial reports before and after review by a pharmacovigilance assessor.

resultsOverall, 240 reports concerning 522 ADR and involving 278 drugs were reported over this 4-year period. Mean number of available key elements of information in initial reports was increased from 11/16 to 15/16 after review of reports by the PVC. Time to onset and duration of the ADR were respectively available in only 51 and 58% of the reports before review compared to 83 and 90% after review. Medical history and concomitant medication were missing in 75% of the initial reports compared to less than 30% of the reports after review. Contacting the reporter enabled an increase of informativeness of most elements of information for more than 90% of the reports.

conclusionPatient reports often need to be completed on key elements of information that are required to assess reports. Both upstream education of patients and downstream intervention of a pharmacovigilance assessor to complete missing information could help to enhance the informativeness of such reports.

Indexed as

AdultAgedDrug-Related Side Effects and Adverse ReactionsFemaleFranceHumansMaleMiddle AgedPharmacovigilanceSelf ReportAdverse drug reactionsConsumerDirect patient reportingHealth democracyInformativenessPatientsPharmacovigilanceQualitySpontaneous reporting

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Registered trials

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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.