Evidence map›Paper›PMID 30250149›Full record

ArticleThe pharmacogenomics journal2019

Economic burden of adverse drug reactions and potential for pharmacogenomic testing in Singaporean adults.

Sze Ling Chan, Hong Yen Ng, Cynthia Sung, Alexandre Chan, Michael D Winther, Liam R Brunham, Hwee-Lin Wee

Abstract read
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In one paragraph

Article in The pharmacogenomics journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Access to Telepharmacy Services May Reduce Hospital Admissions in Outpatient Populations During the COVID-19 Pandemic.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2022
    Article
  12. Article
  13. Health outcomes and policy in pharmay curricula among Arab countries: An evaluation of 191 academic institutions.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2021
    Article
  14. Progress in study on the association between HLA genetic variation and adverse drug reactions.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2021
    Article
  15. Review
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

7 authors.

Sze Ling ChanHealth Services Research Centre, SingHealth, Singapore, Singapore.
Hong Yen NgDepartment of Pharmacy, Singapore General Hospital, Singapore, Singapore.
Cynthia SungHealth Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore.ORCID http://orcid.org/0000-0001-8603-4022
Alexandre ChanDepartment of Pharmacy, National University of Singapore, Singapore, Singapore.
Michael D WintherGenome Institute of Singapore, Agency for Science, Technology and Research, Singapore, Singapore.
Liam R BrunhamDepartment of Medicine, Centre for Heart Lung Innovation, University of British Columbia, Vancouver, BC, Canada. liam_brunham@tlgm.a-star.edu.sg.
Hwee-Lin WeeDepartment of Pharmacy, National University of Singapore, Singapore, Singapore. phawhl@nus.edu.sg.

Funding

CIHR
6 · The paper itself

Abstract

Adverse drug reactions (ADRs) contribute to hospitalization but data on its economic burden is scant. Pre-emptive pharmacogenetic (PGx) testing can potentially reduce ADRs and its associated costs. The objectives of this study were to quantify the economic burden of ADRs and to estimate the breakeven cost of pre-emptive PGx testing in Singapore. We collected itemized costs for 1000 random non-elective hospitalizations of adults admitted to a tertiary-care general hospital in Singapore. The presence of ADRs at admission and their clinical characteristics were reported previously. The economic burden of ADRs was assessed from two perspectives: (1) Total cost and (2) incremental costs. The breakeven cost of PGx testing was estimated by dividing avoidable hospitalization costs for ADRs due to selected drugs by the number of patients taking those drugs. The total cost of 81 admissions caused by ADRs was US$570,404. Costs were significantly higher for bleeding/elevated international normalized ratio (US$9906 vs. US$2251, p = 6.58 × 10

Indexed as

AgedCase-Control StudiesCost of IllnessDrug-Related Side Effects and Adverse ReactionsFemaleHealth Care CostsHospitalizationHumansIncidenceMaleMiddle AgedPharmacogenomic TestingSingapore

Identifiers

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.