Evidence map›Paper›PMID 33657139›Full record

ArticlePloS one2021

Analysis of the reporting of adverse drug reactions in children and adolescents in Germany in the time period from 2000 to 2019.

Sarah Leitzen, Diana Dubrall, Irmgard Toni, Julia Stingl, Maike Schulz, Matthias Schmid, Antje Neubert, Bernhardt Sachs

Abstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Assessment and analysis of outpatient medication errors related to pediatric prescriptions.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2021
    Article
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

8 authors.

Sarah LeitzenResearch Division, Federal Institute for Drugs and Medical Devices, Bonn, Germany.ORCID 0000-0002-1207-4168
Diana DubrallResearch Division, Federal Institute for Drugs and Medical Devices, Bonn, Germany.ORCID 0000-0002-8763-051X
Irmgard ToniDepartment of Pediatrics and Adolescent Medicine, University Hospital Erlangen, Erlangen, Germany.ORCID 0000-0002-0089-1494
Julia StinglInstitute of Clinical Pharmacology, University Hospital of the RWTH Aachen, Aachen, Germany.
Maike SchulzCentral Research Institute of Ambulatory Health Care in Germany, Berlin, Germany.
Matthias SchmidInstitute for Medical Biometry, Informatics and Epidemiology, University Hospital of Bonn, Bonn, Germany.
Antje NeubertDepartment of Pediatrics and Adolescent Medicine, University Hospital Erlangen, Erlangen, Germany.
Bernhardt SachsResearch Division, Federal Institute for Drugs and Medical Devices, Bonn, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of this study was to analyse reports on adverse drug reactions (ADRs) from Germany in the particularly vulnerable patient group of children and adolescents. Reporting characteristics, demographic parameters and off-label use were examined among others. The ratio of ADR reports per number of German inhabitants and the ratio of ADR reports per number of German inhabitants exposed to drugs were calculated and compared. These parameters were examined to derive trends in reporting of ADRs. 20,854 spontaneous ADR reports for the age group 0-17 years were identified in the European ADR database EudraVigilance for the time period 01.01.2000-28.02.2019 and analysed with regard to the aforementioned criteria. 86.5% (18,036/20,854) of the ADR reports originated from Healthcare Professionals and 12.2% (2,546/20,854) from non-Healthcare Professionals. 74.4% (15,522/20,854) of the ADR reports were classified as serious. The proportion of ADR reports per age group was 11.8% (0-1 month), 11.0% (2 months-1 year), 7.4% (2-3 years), 9.3% (4-6 years), 25.8% (7-12 years), and 34.8% (13-17 years) years, respectively. Male sex slightly dominated (51.2% vs. 44.8% females). Only 3.5% of the ADR reports reported off-label use. The annual number of ADR reports increased since 2000, even if set in context with the number of inhabitants and assumed drug-exposed inhabitants. The pediatric population declined in the study period which argues against its prominent role for the increase in the total number of ADR reports. Instead, among others, changes in reporting obligations may apply. The high proportion of serious ADR reports underlines the importance of pediatric drug safety.

Indexed as

Adverse Drug Reaction Reporting SystemsDatabases, FactualAdolescentChildChild, PreschoolDrug-Related Side Effects and Adverse ReactionsFemaleGermanyHumansInfantInfant, NewbornMale

Identifiers

PMID33657139
PMCPMC7928460

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.