Evidence map›Paper›PMID 33288793›Full record

ArticleScientific reports2020

Effects of the number of drugs used on the prevalence of adverse drug reactions in children.

Mayuko Sugioka, Tomoya Tachi, Takashi Mizui, Aisa Koyama, Azusa Murayama, Hayato Katsuno, Takuya Matsuyama, Satoshi Aoyama, Tomohiro Osawa, Yoshihiro Noguchi and 3 more

Abstract read
In one paragraph

Article in Scientific reports, 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
  2. Article
  3. Observational
  4. Drug-related problems and their predictors in pediatric community-acquired infections: the role of pharmacist-led interventions in Pakistan.Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques · 2026
    Article
  5. Article
  6. A Case Report from Somalia: Multispecies Intestinal Parasitism andInternational medical case reports journal · 2025
    Article
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  12. 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

13 authors.

Mayuko SugiokaLaboratory of Clinical Pharmacy, Gifu Pharmaceutical University, 1-25-4, Daigakunishi, Gifu-shi, Gifu, 501-1196, Japan.
Tomoya TachiLaboratory of Clinical Pharmacy, Gifu Pharmaceutical University, 1-25-4, Daigakunishi, Gifu-shi, Gifu, 501-1196, Japan. tachi@gifu-pu.ac.jp.
Takashi MizuiDepartment of Pharmacy, Gifu Municipal Hospital, 7-1, Kashima-cho, Gifu, Japan.
Aisa KoyamaLaboratory of Clinical Pharmacy, Gifu Pharmaceutical University, 1-25-4, Daigakunishi, Gifu-shi, Gifu, 501-1196, Japan.
Azusa MurayamaLaboratory of Clinical Pharmacy, Gifu Pharmaceutical University, 1-25-4, Daigakunishi, Gifu-shi, Gifu, 501-1196, Japan.
Hayato KatsunoLaboratory of Clinical Pharmacy, Gifu Pharmaceutical University, 1-25-4, Daigakunishi, Gifu-shi, Gifu, 501-1196, Japan.
Takuya MatsuyamaLaboratory of Clinical Pharmacy, Gifu Pharmaceutical University, 1-25-4, Daigakunishi, Gifu-shi, Gifu, 501-1196, Japan.
Satoshi AoyamaDepartment of Pharmacy, Gifu Municipal Hospital, 7-1, Kashima-cho, Gifu, Japan.
Tomohiro OsawaDepartment of Pharmacy, Gifu Municipal Hospital, 7-1, Kashima-cho, Gifu, Japan.
Yoshihiro NoguchiLaboratory of Clinical Pharmacy, Gifu Pharmaceutical University, 1-25-4, Daigakunishi, Gifu-shi, Gifu, 501-1196, Japan.
Masahiro YasudaDepartment of Pharmacy, Gifu Municipal Hospital, 7-1, Kashima-cho, Gifu, Japan.
Chitoshi GotoDepartment of Pharmacy, Gifu Municipal Hospital, 7-1, Kashima-cho, Gifu, Japan.
Hitomi TeramachiLaboratory of Clinical Pharmacy, Gifu Pharmaceutical University, 1-25-4, Daigakunishi, Gifu-shi, Gifu, 501-1196, Japan. teramachih@gifu-pu.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In pediatric individuals, polypharmacy would increase the prevalence of adverse drug reactions (ADRs). However, there is no report on the ADR increase adjusted for the influence of concomitant disease types. We conducted a retrospective study in pediatric patients to determine whether polypharmacy is a risk factor for ADR development, after the adjustment. Patients aged 1-14 years on medication who visited Gifu Municipal Hospital (Gifu, Japan) were included. We evaluated patient characteristics, ADR causality, ADR classification and severity, and ADR-causing drugs. We examined the association between ADR prevalence and number of drugs used. We performed multiple logistic regression analyses to investigate risk factors for ADR development. Of 1330 patients, 3.5% sought medical attention for ADRs. ADR causality was most often assessed as "possible," with gastrointestinal ADRs being the most common. Grade 1 ADRs were the most and antibiotics were the most common suspected ADR-inducing drug. The multiple logistic regression analysis showed that ≥ 2 or ≥ 4 drug use, neoplasms, mental and behavioral disorders, and circulatory system diseases significantly increased ADR prevalence. Polypharmacy increased the prevalence of ADR resulting in hospital visits in children, after adjusting for the influence of disease types. Therefore, proactive polypharmacy control measures are necessary for children.

Indexed as

AdolescentAnti-Bacterial AgentsChildChild, PreschoolDrug-Related Side Effects and Adverse ReactionsFemaleHospitalsHumansInfantLogistic ModelsMalePrevalenceRetrospective StudiesAnti-Bacterial Agents

Identifiers

PMID33288793
PMCPMC7721890

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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.