Evidence map›Paper›PMID 30284214›Full record

ArticleDrug safety2019

Pharmacoepidemiologic Evaluation of Birth Defects from Health-Related Postings in Social Media During Pregnancy.

Su Golder, Stephanie Chiuve, Davy Weissenbacher, Ari Klein, Karen O'Connor, Martin Bland, Murray Malin, Mondira Bhattacharya, Linda J Scarazzini, Graciela Gonzalez-Hernandez

Abstract read
In one paragraph

Article in Drug safety, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
–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

29 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Pharmacovigilance in the digital age: gaining insight from social media data.Experimental biology and medicine (Maywood, N.J.) · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Generalizable Natural Language Processing Framework for Migraine Reporting from Social Media.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
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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

10 authors.

Su GolderDepartment of Health Sciences, University of York, Heslington, York, YO10 5DD, UK. su.golder@york.ac.uk.ORCID 0000-0002-8987-5211
Stephanie ChiuveAbbVie, North Chicago, IL, USA.
Davy WeissenbacherDepartment of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Ari KleinDepartment of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Karen O'ConnorDepartment of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Martin BlandDepartment of Health Sciences, University of York, Heslington, York, YO10 5DD, UK.ORCID 0000-0002-9525-5334
Murray MalinAbbVie, North Chicago, IL, USA.
Mondira BhattacharyaAbbVie, North Chicago, IL, USA.
Linda J ScarazziniAbbVie, North Chicago, IL, USA.
Graciela Gonzalez-HernandezDepartment of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-6416-9556

Funding

Social Media Mining for PharmacovigilanceR01LM011176 · NLM · UNIVERSITY OF PENNSYLVANIA · PI GONZALEZ HERNANDEZ, GRACIELA, SHEN, LI · 2012 to 2021
$4.5M
Department of Health PDF-2014-07-041NLM NIH HHS R01 LM011176
6 · The paper itself

Abstract

introductionAdverse effects of medications taken during pregnancy are traditionally studied through post-marketing pregnancy registries, which have limitations. Social media data may be an alternative data source for pregnancy surveillance studies.

objectiveThe objective of this study was to assess the feasibility of using social media data as an alternative source for pregnancy surveillance for regulatory decision making.

methodsWe created an automated method to identify Twitter accounts of pregnant women. We identified 196 pregnant women with a mention of a birth defect in relation to their baby and 196 without a mention of a birth defect in relation to their baby. We extracted information on pregnancy and maternal demographics, medication intake and timing, and birth defects.

resultsAlthough often incomplete, we extracted data for the majority of the pregnancies. Among women that reported birth defects, 35% reported taking one or more medications during pregnancy compared with 17% of controls. After accounting for age, race, and place of residence, a higher medication intake was observed in women who reported birth defects. The rate of birth defects in the pregnancy cohort was lower (0.44%) compared with the rate in the general population (3%).

conclusionsTwitter data capture information on medication intake and birth defects; however, the information obtained cannot replace pregnancy registries at this time. Development of improved methods to automatically extract and annotate social media data may increase their value to support regulatory decision making regarding pregnancy outcomes in women using medications during their pregnancies.

Indexed as

Abnormalities, Drug-InducedSocial MediaAdultAdverse Drug Reaction Reporting SystemsFeasibility StudiesFemaleHumansPharmacoepidemiologyPregnancyRegistries

Identifiers

PMID30284214
PMCPMC6426821

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.