Evidence map›Paper›PMID 33099846›Full record

ArticlePharmacoepidemiology and drug safety2021

What are the patients' and health care professionals' understanding and behaviors towards adverse drug reaction reporting and additional monitoring?

Justina Januskiene, Andrej Segec, Jim Slattery, Georgy Genov, Kelly Plueschke, Xavier Kurz, Peter Arlett

Abstract read
In one paragraph

Article in Pharmacoepidemiology and drug safety, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Pooled it
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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

7 authors.

Justina JanuskienePharmacovigilance and Epidemiology Department, European Medicines Agency, Amsterdam, HS, The Netherlands.ORCID 0000-0001-6758-650X
Andrej SegecPharmacovigilance and Epidemiology Department, European Medicines Agency, Amsterdam, HS, The Netherlands.ORCID 0000-0003-2881-0593
Jim SlatteryPharmacovigilance and Epidemiology Department, European Medicines Agency, Amsterdam, HS, The Netherlands.ORCID 0000-0002-8352-9350
Georgy GenovPharmacovigilance and Epidemiology Department, European Medicines Agency, Amsterdam, HS, The Netherlands.
Kelly PlueschkePharmacovigilance and Epidemiology Department, European Medicines Agency, Amsterdam, HS, The Netherlands.
Xavier KurzPharmacovigilance and Epidemiology Department, European Medicines Agency, Amsterdam, HS, The Netherlands.ORCID 0000-0002-9838-7754
Peter ArlettPharmacovigilance and Epidemiology Department, European Medicines Agency, Amsterdam, HS, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe additional monitoring (AM)/black triangle concept is aimed to enhance ADR reporting for certain types of medicinal products for which the safety profile is less well established. PURPOSE: The objective of this survey was to assess (a) attitudes towards ADR reporting and reasons for not reporting an ADR and (b) awareness of AM among HCPs, patients or their careers in EU countries.

methodsAn online questionnaire which was available in all EU languages was completed by 2918 responders coming from all EEA countries.

resultsThe main factors motivating to report an ADR were severity or novelty of the reaction or novelty of the medicine. The main factors for not reporting an ADR was the fact that the ADR is already known (35%), the ADR was not serious (18%) or reporter was not sure if the ADR was related to the medicine (15%). Half of the respondents indicated that they have seen AM statement before. Thirty percent of the responders had correct understanding of the AM concept while 20 % misunderstood the concept.

conclusionUnderreporting occurs but it seems this is because of reporter's prioritisation towards certain type of ADRs. AM aims to increase reporting for certain medicines, however, approximately half of responders have seen the AM symbol before and 20% of all responders (independent of their previous awareness) misunderstood the concept.

Indexed as

Drug-Related Side Effects and Adverse ReactionsPharmacovigilanceAdverse Drug Reaction Reporting SystemsHealth Knowledge, Attitudes, PracticeHealth PersonnelHumansadditional monitoringadverse drug reactionsblack triangleimpactpharmacoepidemiologypharmacovigilance

Identifiers

PMID33099846
PMCPMC7894330

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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.