Evidence map›Paper›PMID 28732067›Full record

ArticlePloS one2017

Thromboembolic adverse event study of combined estrogen-progestin preparations using Japanese Adverse Drug Event Report database.

Shiori Hasegawa, Toshinobu Matsui, Yuuki Hane, Junko Abe, Haruna Hatahira, Yumi Motooka, Sayaka Sasaoka, Akiho Fukuda, Misa Naganuma, Kouseki Hirade and 3 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 27% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

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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

13 authors at 3 institutions in 1 country.

Shiori HasegawaLaboratory of Drug Informatics, Gifu Pharmaceutical University, Gifu, Japan.
Toshinobu MatsuiLaboratory of Drug Informatics, Gifu Pharmaceutical University, Gifu, Japan.
Yuuki HaneLaboratory of Drug Informatics, Gifu Pharmaceutical University, Gifu, Japan.
Junko AbeLaboratory of Drug Informatics, Gifu Pharmaceutical University, Gifu, Japan.
Haruna HatahiraLaboratory of Drug Informatics, Gifu Pharmaceutical University, Gifu, Japan.
Yumi MotookaLaboratory of Drug Informatics, Gifu Pharmaceutical University, Gifu, Japan.
Sayaka SasaokaLaboratory of Drug Informatics, Gifu Pharmaceutical University, Gifu, Japan.
Akiho FukudaLaboratory of Drug Informatics, Gifu Pharmaceutical University, Gifu, Japan.
Misa NaganumaLaboratory of Drug Informatics, Gifu Pharmaceutical University, Gifu, Japan.
Kouseki HiradeKizawa Memorial Hospital, Minokamo, Gifu, Japan.
Yukiko TakahashiCritical Care and Surgical Nursing, Gifu University School of Medicine, Gifu, Japan.
Yasutomi KinosadaUnited Graduate School of Drug Discovery and Medical Information Sciences, Gifu University, Gifu, Japan.
Mitsuhiro NakamuraLaboratory of Drug Informatics, Gifu Pharmaceutical University, Gifu, Japan.ORCID http://orcid.org/0000-0002-5062-5522
Gifu Pharmaceutical University · JPGifu University · JPAizawa Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Combined estrogen-progestin preparations (CEPs) are associated with thromboembolic (TE) side effects. The aim of this study was to evaluate the incidence of TE using the Japanese Adverse Drug Event Report (JADER) database. Adverse events recorded from April 2004 to November 2014 in the JADER database were obtained from the Pharmaceuticals and Medical Devices Agency (PMDA) website (www.pmda.go.jp). We calculated the reporting odds ratios (RORs) of suspected CEPs, analyzed the time-to-onset profile, and assessed the hazard type using Weibull shape parameter (WSP). Furthermore, we used the applied association rule mining technique to discover undetected relationships such as the possible risk factors. The total number of reported cases in the JADER contained was 338,224. The RORs (95% confidential interval, CI) of drospirenone combined with ethinyl estradiol (EE, Dro-EE), norethisterone with EE (Ne-EE), levonorgestrel with EE (Lev-EE), desogestrel with EE (Des-EE), and norgestrel with EE (Nor-EE) were 56.2 (44.3-71.4), 29.1 (23.5-35.9), 42.9 (32.3-57.0), 44.7 (32.7-61.1), and 38.6 (26.3-56.7), respectively. The medians (25%-75%) of the time-to-onset of Dro-EE, Ne-EE, Lev-EE, Des-EE, and Nor-EE were 150.0 (75.3-314.0), 128.0 (27.0-279.0), 204.0 (44.0-660.0), 142.0 (41.3-344.0), and 16.5 (8.8-32.0) days, respectively. The 95% CIs of the WSP-β for Ne-EE, Lev-EE, and Nor-EE were lower and excluded 1. Association rule mining indicated that patients with anemia had a potential risk of developing a TE when using CEPs. Our results suggest that it is important to monitor patients administered CEP for TE. Careful observation is recommended, especially for those using Nor-EE, and this information may be useful for efficient therapeutic planning.

Indexed as

AdolescentAdultAdverse Drug Reaction Reporting SystemsAndrostenesChildContraceptives, Oral, CombinedDatabases, FactualDesogestrelDrug-Related Side Effects and Adverse ReactionsEstrogensEthinyl EstradiolFemaleHumansJapanLevonorgestrelMaleAndrostenesContraceptives, Oral, CombinedDesogestreldrospirenoneEstrogensEthinyl EstradiolLevonorgestrelNorethindroneNorgestrelProgestins

Identifiers

PMID28732067
PMCPMC5521832
OpenAlexW2736393355

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.