Evidence map›Paper›PMID 29582392›Full record

ArticleDrug safety2018

Benefit-Risk Monitoring of Vaccines Using an Interactive Dashboard: A Methodological Proposal from the ADVANCE Project.

Kaatje Bollaerts, Tom De Smedt, Katherine Donegan, Lina Titievsky, Vincent Bauchau

Abstract read
In one paragraph

Article in Drug safety, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
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  7. Quantitative Benefit-Risk Assessment: State of the Practice Within Industry.Therapeutic innovation & regulatory science · 2021
    Article
  8. 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

5 authors.

Kaatje BollaertsP95 Pharmacovigilance and Epidemiology Services, Koning Leopold III laan 1, 3001, Leuven, Belgium. Kaatje.Bollaerts@p-95.com.ORCID http://orcid.org/0000-0001-7704-0527
Tom De SmedtP95 Pharmacovigilance and Epidemiology Services, Koning Leopold III laan 1, 3001, Leuven, Belgium.
Katherine DoneganMedicines and Healthcare products Regulatory Agency, Buckingham Palace Road 151, London, SW1W 9SZ, United Kingdom.
Lina TitievskyWorldwide Research and Development, Pfizer Inc, East 42nd St 235, New York City, NY 10017, NY, USA.
Vincent BauchauGlaxoSmithKline Vaccines, Avenue Fleming 20, 1300, Wavre, Belgium.

Funding

IMI n° 115557
6 · The paper itself

Abstract

introductionNew vaccines are launched based on their benefit-risk (B/R) profile anticipated from clinical development. Proactive post-marketing surveillance is necessary to assess whether the vaccination uptake and the B/R profile are as expected and, ultimately, whether further public health or regulatory actions are needed. There are several, typically not integrated, facets of post-marketing vaccine surveillance: the surveillance of vaccination coverage, vaccine safety, effectiveness and impact.

objectiveWith this work, we aim to assess the feasibility and added value of using an interactive dashboard as a potential methodology for near real-time monitoring of vaccine coverage and pre-specified health benefits and risks of vaccines.

methodsWe developed a web application with an interactive dashboard for B/R monitoring. The dashboard is demonstrated using simulated electronic healthcare record data mimicking the introduction of rotavirus vaccination in the UK. The interactive dashboard allows end users to select certain parameters, including expected vaccine effectiveness, age groups, and time periods and allows calculation of the incremental net health benefit (INHB) as well as the incremental benefit-risk ratio (IBRR) for different sets of preference weights. We assessed the potential added value of the dashboard by user testing amongst a range of stakeholders experienced in the post-marketing monitoring of vaccines.

resultsThe dashboard was successfully implemented and demonstrated. The feedback from the potential end users was generally positive, although reluctance to using composite B/R measures was expressed.

conclusionThe use of interactive dashboards for B/R monitoring is promising and received support from various stakeholders. In future research, the use of such an interactive dashboard will be further tested with real-life data as opposed to simulated data.

Indexed as

Electronic Health RecordsDrug MonitoringFemaleHumansInfantMaleProduct Surveillance, PostmarketingRisk AssessmentVaccinesVaccines

Identifiers

PMID29582392
PMCPMC6061437

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.