Evidence map›Paper›PMID 33941259›Full record

ArticleBiology of sex differences2021

Sex differences associated with adverse drug reactions resulting in hospital admissions.

L C Hendriksen, P D van der Linden, A L M Lagro-Janssen, P M L A van den Bemt, S J Siiskonen, M Teichert, J G Kuiper, R M C Herings, B H Stricker, L E Visser

Open access · goldAbstract read
In one paragraph

Article in Biology of sex differences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
13.7field-weighted citation impact, top 1% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
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  18. Sex-Specific Differences in Lipoprotein Production and Clearance.Arteriosclerosis, thrombosis, and vascular biology · 2023
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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

10 authors at 7 institutions in 2 countries.

L C HendriksenDepartment of Epidemiology, Erasmus Medical Center, Rotterdam, The Netherlands.
P D van der LindenDepartment of Clinical Pharmacy, Tergooi Hospital, Hilversum, The Netherlands.
A L M Lagro-JanssenDepartment of Primary and Community Care, Gender and Women's Health, Radboud University Medical Centre, Nijmegen, The Netherlands.
P M L A van den BemtDepartment of Clinical Pharmacy and Pharmacology, University Medical Center Groningen, Groningen, The Netherlands.
S J SiiskonenDivision of Pharmacoepidemiology & Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Faculty of Science, Utrecht University, Utrecht, The Netherlands.
M TeichertDepartment of Clinical Pharmacy & Toxicology, Leiden University Medical Center, Leiden, The Netherlands.
J G KuiperPHARMO Institute for Drug Outcomes Research, Utrecht, The Netherlands.
R M C HeringsPHARMO Institute for Drug Outcomes Research, Utrecht, The Netherlands.
B H StrickerDepartment of Epidemiology, Erasmus Medical Center, Rotterdam, The Netherlands.
L E VisserDepartment of Epidemiology, Erasmus Medical Center, Rotterdam, The Netherlands. l.e.visser@erasmusmc.nl.ORCID 0000-0002-1421-6246
Erasmus MC · NLPharmo Institute · NLLeiden University Medical Center · NLRadboud University Nijmegen · NLTergooi · NLUniversity Medical Center Groningen · NLUniversity of Helsinki · FI

Funding

ZonMw projectnumber 849200006
6 · The paper itself

Abstract

backgroundAdverse drug events, including adverse drug reactions (ADRs), are responsible for approximately 5% of unplanned hospital admissions: a major health concern. Women are 1.5-1.7 times more likely to develop ADRs. The main objective was to identify sex differences in the types and number of ADRs leading to hospital admission.

methodsADR-related hospital admissions between 2005 and 2017 were identified from the PHARMO Database Network using hospital discharge diagnoses. Patients aged ≥ 16 years with a drug possibly responsible for the ADR and dispensed within 3 months before admission were included. Age-adjusted odds ratios (OR) with 95% CIs for drug-ADR combinations for women versus men were calculated.

resultsA total of 18,469 ADR-related hospital admissions involving women (0.35% of all women admitted) and 14,678 admissions involving men (0.35% of all men admitted) were included. Most substantial differences were seen in ADRs due to anticoagulants and diuretics. Anticoagulants showed a lower risk of admission with persistent haematuria (ORadj 0.31; 95%CI 0.21, 0.45) haemoptysis (ORadj 0.47, 95%CI 0.30,0.74) and subdural haemorrhage (ORadj 0.61; 95%CI 0.42,0.88) in women than in men and a higher risk of rectal bleeding in women (ORadj 1.48; 95%CI 1.04,2.11). Also, there was a higher risk of admission in women using thiazide diuretics causing hypokalaemia (ORadj 3.03; 95%CI 1.58, 5.79) and hyponatraemia (ORadj 3.33, 95%CI 2.31, 4.81) than in men.

conclusionsThere are sex-related differences in the risk of hospital admission in specific drug-ADR combinations. The most substantial differences were due to anticoagulants and diuretics.

Indexed as

Drug-Related Side Effects and Adverse ReactionsSex CharacteristicsAnticoagulantsDiureticsFemaleHospitalsHumansMalePharmaceutical PreparationsAnticoagulantsDiureticsPharmaceutical PreparationsAdverse drug reactionsHospital admissionsPharmacoepidemiologySex differences

Identifiers

PMID33941259
PMCPMC8091530
OpenAlexW3158162879

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.