Evidence map›Paper›PMID 31769835›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2020

Adverse drug event rates in pediatric pulmonary hypertension: a comparison of real-world data sources.

Alon Geva, Steven H Abman, Shannon F Manzi, Dunbar D Ivy, Mary P Mullen, John Griffin, Chen Lin, Guergana K Savova, Kenneth D Mandl

Abstract readComparative Study
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

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

  1. Pooled it
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  8. Overcoming Barriers to Discovery and Implementation of Equitable Pharmacogenomic Testing in Oncology.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Review
  9. Review
  10. Machine learning approaches for electronic health records phenotyping: a methodical review.Journal of the American Medical Informatics Association : JAMIA · 2023
    Article
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  13. Review
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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

9 authors.

Alon GevaComputational Health Informatics Program, Boston Children's Hospital, Boston, Massachusetts, USA.
Steven H AbmanDivision of Pediatric Pulmonary Medicine, Children's Hospital Colorado, Aurora, Colorado, USA.
Shannon F ManziComputational Health Informatics Program, Boston Children's Hospital, Boston, Massachusetts, USA.
Dunbar D IvyDepartment of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado, USA.
Mary P MullenDepartment of Pediatrics, Harvard Medical School, Boston, Massachusetts, USA.
John GriffinDivision of Critical Care Medicine, Department of Anesthesiology, Critical Care, and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.
Chen LinComputational Health Informatics Program, Boston Children's Hospital, Boston, Massachusetts, USA.
Guergana K SavovaComputational Health Informatics Program, Boston Children's Hospital, Boston, Massachusetts, USA.
Kenneth D MandlComputational Health Informatics Program, Boston Children's Hospital, Boston, Massachusetts, USA.

Funding

Pediatric Critical Care Scientist Development ProgramK12HD047349 · NICHD · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI HEATHER T. KEENAN, Kevin M Watt · 2004 to 2026
$17.0M
Data Fusion: A Sustainable, Scalable, Open Source Registry Advancing PVD ResearchU01HL121518 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI ABMAN, STEVEN HERBERT, MANDL, KENNETH D. · 2014 to 2018
$9.3M
Instrumenting the Delivery System for a Genomics Research Information CommonsU01TR002623 · NCATS · BOSTON CHILDREN'S HOSPITAL · PI MANDL, KENNETH D. · 2019 to 2024
$8.6M
Temporal relation discovery for clinical textR01LM010090 · NLM · BOSTON CHILDREN'S HOSPITAL · PI MARTIN, JAMES H., SAVOVA, GUERGANA K. · 2010 to 2022
$7.1M
RESEARCH TRAINING IN PEDIATRIC EMERGENCY MEDICINET32HD040128 · NICHD · CHILDREN'S HOSPITAL BOSTON · PI Kenneth D. Mandl · 2001 to 2026
$5.0M
NCATS NIH HHS U01 TR002623NHLBI NIH HHS L40 HL133929NHLBI NIH HHS U01 HL121518NICHD NIH HHS K12 HD047349NICHD NIH HHS T32 HD040128NLM NIH HHS R01 LM010090
6 · The paper itself

Abstract

objectiveReal-world data (RWD) are increasingly used for pharmacoepidemiology and regulatory innovation. Our objective was to compare adverse drug event (ADE) rates determined from two RWD sources, electronic health records and administrative claims data, among children treated with drugs for pulmonary hypertension. MATERIALS AND

methodsTextual mentions of medications and signs/symptoms that may represent ADEs were identified in clinical notes using natural language processing. Diagnostic codes for the same signs/symptoms were identified in our electronic data warehouse for the patients with textual evidence of taking pulmonary hypertension-targeted drugs. We compared rates of ADEs identified in clinical notes to those identified from diagnostic code data. In addition, we compared putative ADE rates from clinical notes to those from a healthcare claims dataset from a large, national insurer.

resultsAnalysis of clinical notes identified up to 7-fold higher ADE rates than those ascertained from diagnostic codes. However, certain ADEs (eg, hearing loss) were more often identified in diagnostic code data. Similar results were found when ADE rates ascertained from clinical notes and national claims data were compared. DISCUSSION: While administrative claims and clinical notes are both increasingly used for RWD-based pharmacovigilance, ADE rates substantially differ depending on data source.

conclusionPharmacovigilance based on RWD may lead to discrepant results depending on the data source analyzed. Further work is needed to confirm the validity of identified ADEs, to distinguish them from disease effects, and to understand tradeoffs in sensitivity and specificity between data sources.

Indexed as

Current Procedural TerminologyDrug-Related Side Effects and Adverse ReactionsElectronic Health RecordsNatural Language ProcessingChildChild, PreschoolFemaleHumansHypertension, PulmonaryInsurance, HealthMalePharmacovigilanceRegression AnalysisRetrospective Studiesadministrative claimsadverse drug eventhealthcarehypertensionnatural language processingpulmonary

Identifiers

PMID31769835
PMCPMC7025334

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.