Evidence map›Paper›PMID 30039198›Full record

ArticleEuropean journal of clinical pharmacology2018

Towards preventive pharmacovigilance through medicine misuse identification: an example with recombinant human growth hormone for aesthetic purposes.

Alfredo J Rodrigues-Neto, Camila Biazoni-Albaricci, Adalton Ribeiro, Silvana Lima, Albert Figueras

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Article in European journal of clinical pharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.1field-weighted citation impact, top 18% 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

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. 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 at 2 institutions in 2 countries.

Alfredo J Rodrigues-NetoFaculdade de Ciências Farmacêuticas, Universidade de São Paulo, São Paulo, Brazil.
Camila Biazoni-AlbaricciFaculdade de Ciências Farmacêuticas, Universidade de São Paulo, São Paulo, Brazil.
Adalton RibeiroNúcleo de Farmacovigilância, Centro de Vigilância Sanitária de São Paulo, São Paulo, Brazil.
Silvana LimaNúcleo de Farmacovigilância, Centro de Vigilância Sanitária de São Paulo, São Paulo, Brazil.
Albert FiguerasFundació Institut Català de Farmacologia, Departament de Farmacologia, Universitat Autònoma de Barcelona, Barcelona, Spain. afs@icf.uab.cat.ORCID http://orcid.org/0000-0002-2740-2013
Universidade de São Paulo · BRUniversitat Autònoma de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHistorically, somatropin has been used for conditions related with ageing, but since the marketing of recombinant human growth hormone (rhGH), increasing promotional pressure has prompted aesthetic uses, despite lack of evidences about its efficacy and safety for those purposes.

methodsA routine analysis of the Pharmacovigilance Center of São Paulo (Brazil) showed reports of suspected adverse reactions in young adults and mature patients receiving rhGH. After presuming an off-label use of this expensive product, a drug utilisation study within the pharmacovigilance database has been carried out.

resultsThe analysis showed a bimodal age distribution of the rhGH reports. Up to 17.1% of the 1289 reports (n = 220) involved patients aged ≥ 20 years taking rhGH for off-label uses.

conclusionsThis information was the basis to design interventions in order to reduce inappropriate utilisation of this expensive product. Analyses of how medicines are being used through pharmacovigilance databases are a way to identify its irrational utilisation, thus facilitating preventive actions to improve how medicines are used and reducing avoidable adverse effects.

Indexed as

PharmacovigilanceAdultAdverse Drug Reaction Reporting SystemsAge DistributionBrazilFemaleHuman Growth HormoneHumansInappropriate PrescribingMaleOff-Label UseRecombinant ProteinsYoung AdultHuman Growth HormoneRecombinant ProteinsMedicines utilisationOff-labelPharmacovigilanceSomatropin

Identifiers

PMID30039198
OpenAlexW2884208973

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.