Evidence map›Paper›PMID 33197106›Full record

ArticlePharmacoepidemiology and drug safety2021

Does additional monitoring status increase the reporting of adverse drug reactions? An interrupted time series analysis of EudraVigilance data.

Andrej Segec, Jim Slattery, Daniel R Morales, Justina Januskiene, Xavier Kurz, Peter Arlett

Open access · hybridAbstract 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 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 35% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Improving adverse drug event reporting by healthcare professionals.The Cochrane database of systematic reviews · 2024
    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

6 authors at 1 institution in 2 countries.

Andrej SegecPharmacovigilance and Epidemiology Department, European Medicines Agency, Amsterdam, The Netherlands.ORCID 0000-0003-2881-0593
Jim SlatteryPharmacovigilance and Epidemiology Department, European Medicines Agency, Amsterdam, The Netherlands.ORCID 0000-0002-8352-9350
Daniel R MoralesPharmacovigilance and Epidemiology Department, European Medicines Agency, Amsterdam, The Netherlands.ORCID 0000-0002-0063-8069
Justina JanuskienePharmacovigilance and Epidemiology Department, European Medicines Agency, Amsterdam, The Netherlands.ORCID 0000-0001-6758-650X
Xavier KurzPharmacovigilance and Epidemiology Department, European Medicines Agency, Amsterdam, The Netherlands.ORCID 0000-0002-9838-7754
Peter ArlettPharmacovigilance and Epidemiology Department, European Medicines Agency, Amsterdam, The Netherlands.ORCID 0000-0002-6640-0117
European Medicines Agency · NL

Funding

Wellcome Trust
6 · The paper itself

Abstract

purposeTo evaluate the impact of including a medicine in the list of medicinal products subject to additional monitoring (AM) on the reporting of adverse drug reactions (ADRs) in the european economic area (EEA).

methodsInterrupted time series using the monthly number of EEA ADR reports in EudraVigilance during 12 months before and after the addition to AM list. The main outcome was the change (%) in reporting of ADRs with step change as the a priori impact model. Further time series analysis was performed using Joinpoint Regression.

resultsThe analysis included 11 active substances. No significant immediate (step change) increase of reporting was identified for any product at time of addition to AM list. We identified a significant gradual increase of ADR reporting after addition to AM list (slope change) for two out of five new products-boceprevir (10% per month, 95% confidence interval (CI) 3%-18%) and denosumab-Xgeva (13% per month, 95% CI 4%-22%). No change was identified for Prolia, another denosumab-containing product not subject to AM. No significant increase was identified for any product included in the AM list due to the requirement to conduct a PASS. Conversely, a gradual decrease in reporting was identified for natalizumab (-5% per month; 95% CI -10% to -1%), rivaroxaban (-5%; -8 to -3%), and varenicline (-16%; -21 to -10%). The results were corroborated by the Joinpoint analyses, which yielded similar results.

conclusionsWe identified limited evidence that reporting of ADRs increased modestly and gradually for some new products and not for products with PASS requirement.

Indexed as

Drug-Related Side Effects and Adverse ReactionsPharmacovigilanceAdverse Drug Reaction Reporting SystemsHumansInterrupted Time Series Analysisadditional monitoringadverse drug reactionsimpactpharmacovigilance

Identifiers

PMID33197106
PMCPMC7898803
OpenAlexW3104500752

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.