Evidence map›Paper›PMID 30356301›Full record

ArticlePloS one2018

Implementing a simple pharmacovigilance program to improve reporting of adverse events associated with biologic therapy in rheumatology: Preliminary results from the Calabria Biologics Pharmacovigilance Program (CBPP).

Caterina Palleria, Luigi Iannone, Christian Leporini, Rita Citraro, Antonia Manti, Maurizio Caminiti, Pietro Gigliotti, Rosa Daniela Grembiale, Massimo L'Andolina, Giuseppe Muccari and 9 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

8 citing papers in PubMed, 12 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

19 authors at 7 institutions in 1 country.

Caterina PalleriaDepartment of Health Sciences, University of Catanzaro "Magna Graecia", Catanzaro, Italy.
Luigi IannoneDepartment of Health Sciences, University of Catanzaro "Magna Graecia", Catanzaro, Italy.
Christian LeporiniDepartment of Health Sciences, University of Catanzaro "Magna Graecia", Catanzaro, Italy.
Rita CitraroDepartment of Health Sciences, University of Catanzaro "Magna Graecia", Catanzaro, Italy.
Antonia MantiDepartment of Health Sciences, University of Catanzaro "Magna Graecia", Catanzaro, Italy.
Maurizio CaminitiAssociazione Calabrese per la Ricerca in Reumatologia (ACRR), Catanzaro, Italy.
Pietro GigliottiAssociazione Calabrese per la Ricerca in Reumatologia (ACRR), Catanzaro, Italy.
Rosa Daniela GrembialeDepartment of Health Sciences, University of Catanzaro "Magna Graecia", Catanzaro, Italy.
Massimo L'AndolinaAssociazione Calabrese per la Ricerca in Reumatologia (ACRR), Catanzaro, Italy.
Giuseppe MuccariAssociazione Calabrese per la Ricerca in Reumatologia (ACRR), Catanzaro, Italy.
Maria Diana NaturaleDepartment of Health Sciences, University of Catanzaro "Magna Graecia", Catanzaro, Italy.ORCID 0000-0002-5599-1265
Domenico OlivoAssociazione Calabrese per la Ricerca in Reumatologia (ACRR), Catanzaro, Italy.
Giuseppa Pagano MarianoAssociazione Calabrese per la Ricerca in Reumatologia (ACRR), Catanzaro, Italy.
Roberta PellegriniAssociazione Calabrese per la Ricerca in Reumatologia (ACRR), Catanzaro, Italy.
Giuseppe VarcasiaAssociazione Calabrese per la Ricerca in Reumatologia (ACRR), Catanzaro, Italy.
Karim AbdallaDepartment of Medical and Surgical Sciences, University of Catanzaro "Magna Graecia", Catanzaro, Italy.
Emilio RussoDepartment of Health Sciences, University of Catanzaro "Magna Graecia", Catanzaro, Italy.ORCID 0000-0002-1279-8123
Francesco UrsiniDepartment of Health Sciences, University of Catanzaro "Magna Graecia", Catanzaro, Italy.
Giovambattista De SarroDepartment of Health Sciences, University of Catanzaro "Magna Graecia", Catanzaro, Italy.
Magna Graecia University · ITAzienda ospedaliera "Bianchi-Melacrino-Morelli" · ITAzienda Ospedaliera di Cosenza · ITAzienda Ospedaliera Pugliese Ciaccio · ITAzienda Sanitaria Locale Viterbo · ITIstituto S.Anna Crotone · ITOspedale Annunziata di Cosenza · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPost-marketing surveillance activities (namely pharmacovigilance) are crucial to favor the early detection of unexpected adverse events (AEs) and/or serious adverse reactions (SAEs). Indeed, spontaneous reporting of AEs has been demonstrated to underestimate the number of events in different clinical settings. Aim of the present study is to report the preliminary data of a Regional (Calabria, Italy) Pharmacovigilance Program (CBPP) aimed at improving AEs' reporting associated with biologics use in rheumatology. MATERIALS AND

methodsWe developed a simple, cost-effective pharmacovigilance program based on regular training sessions for physicians (stimulated reporting), periodical phone calls by a clinical pharmacologist aimed at identifying new events and stimulating self-awareness and encouraging reporting to the physician during the subsequent follow-up visit for minor AEs. To test this approach, all consecutive patients undergoing treatment with one biologic agent at eight rheumatology centers during a two-years period were invited to participate. Collected AEs were compared to the number of AEs spontaneously reported for the same molecules in the same centers before starting the protocol.

resultsDuring the study period, 399 patients (245 females; mean age: 58 ± 11 years) were started on treatment with biologics for active RA (n = 211, 52.9%), PsA (n = 119, 29.8%) or AS (n = 69, 17.3%) at eight rheumatology centers. A total of 125 AEs (31.3%) and 9 SAEs (2.3%) were reported during the two-years study period. In the control cohort (comprising 368 consecutive patients started on treatment with bDMARDs during a two-years period before CBPP study) only 42 (11.4%) AEs and no SAEs were reported (p < 0.0001). The most common AEs were injection site reactions and skin disorders.

conclusionsIn conclusion, our study provides further evidence of a critical role of active pharmacovigilance in detection, reporting and analysis of AEs in rheumatology.

Indexed as

PharmacovigilanceAdverse Drug Reaction Reporting SystemsAntirheumatic AgentsBiological ProductsBiological TherapyDrug SubstitutionFemaleFollow-Up StudiesHumansMaleMiddle AgedPhysiciansPreliminary DataRheumatologyAntirheumatic AgentsBiological Products

Identifiers

PMID30356301
PMCPMC6200211
OpenAlexW2898512333

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.