Evidence map›Paper›PMID 34948955›Full record

ReviewInternational journal of environmental research and public health2021

Generating Real-World Evidence on the Quality Use, Benefits and Safety of Medicines in Australia: History, Challenges and a Roadmap for the Future.

Sallie-Anne Pearson, Nicole Pratt, Juliana de Oliveira Costa, Helga Zoega, Tracey-Lea Laba, Christopher Etherton-Beer, Frank M Sanfilippo, Alice Morgan, Lisa Kalisch Ellett, Claudia Bruno and 5 more

Abstract readReview
In one paragraph

Review in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Innovations in pharmacovigilance studies of medicines in older people.British journal of clinical pharmacology · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Health Statistics in Australia: What We Know and Do Not Know.International journal of environmental research and public health · 2022
    Review
  11. General Practice Statistics in Australia: Pushing a Round Peg into a Square Hole.International journal of environmental research and public health · 2022
    Article
  12. Article
  13. Review
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

15 authors.

Sallie-Anne PearsonCentre for Big Data Research in Health, Faculty of Medicine and Health, UNSW Sydney, Sydney 2052, Australia.
Nicole PrattQuality Use of Medicines and Pharmacy Research Centre, Clinical and Health Sciences, University of South Australia, Adelaide 5000, Australia.
Juliana de Oliveira CostaCentre for Big Data Research in Health, Faculty of Medicine and Health, UNSW Sydney, Sydney 2052, Australia.ORCID 0000-0002-8355-023X
Helga ZoegaCentre for Big Data Research in Health, Faculty of Medicine and Health, UNSW Sydney, Sydney 2052, Australia.ORCID 0000-0003-0761-9028
Tracey-Lea LabaCentre for Health Economics Research and Evaluation, Faculty of Health, University of Technology Sydney, Sydney 2006, Australia.
Christopher Etherton-BeerWA Centre for Health and Ageing, Medical School, University of Western Australia, Perth 6009, Australia.ORCID 0000-0001-5148-0188
Frank M SanfilippoWA Centre for Health and Ageing, Medical School, University of Western Australia, Perth 6009, Australia.ORCID 0000-0003-3639-0787
Alice MorganResearch School of Population Health, College of Health and Medicine, Australian National University, Canberra 2601, Australia.
Lisa Kalisch EllettQuality Use of Medicines and Pharmacy Research Centre, Clinical and Health Sciences, University of South Australia, Adelaide 5000, Australia.
Claudia BrunoCentre for Big Data Research in Health, Faculty of Medicine and Health, UNSW Sydney, Sydney 2052, Australia.ORCID 0000-0001-7789-3415
Erin KeltyWA Centre for Health and Ageing, Medical School, University of Western Australia, Perth 6009, Australia.ORCID 0000-0002-0841-2216
Maarten IJzermanCentre for Cancer Research and Centre for Health Policy, Melbourne School of Population and Global Health, University of Melbourne, Melbourne 3000, Australia.ORCID 0000-0001-5788-5805
David B PreenWA Centre for Health and Ageing, Medical School, University of Western Australia, Perth 6009, Australia.
Claire M VajdicCentre for Big Data Research in Health, Faculty of Medicine and Health, UNSW Sydney, Sydney 2052, Australia.ORCID 0000-0002-3612-8298
David HenryInstitute for Evidence Based Healthcare, Bond University, Gold Coast 4229, Australia.ORCID 0000-0003-2934-2242

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Australia spends more than $20 billion annually on medicines, delivering significant health benefits for the population. However, inappropriate prescribing and medicine use also result in harm to individuals and populations, and waste of precious health resources. Medication data linked with other routine collections enable evidence generation in pharmacoepidemiology; the science of quantifying the use, effectiveness and safety of medicines in real-world clinical practice. This review details the history of medicines policy and data access in Australia, the strengths of existing data sources, and the infrastructure and governance enabling and impeding evidence generation in the field. Currently, substantial gaps persist with respect to cohesive, contemporary linked data sources supporting quality use of medicines, effectiveness and safety research; exemplified by Australia's limited capacity to contribute to the global effort in real-world studies of vaccine and disease-modifying treatments for COVID-19. We propose a roadmap to bolster the discipline, and population health more broadly, underpinned by a distinct capability governing and streamlining access to linked data assets for accredited researchers. Robust real-world evidence generation requires current data roadblocks to be remedied as a matter of urgency to deliver efficient and equitable health care and improve the health and well-being of all Australians.

Indexed as

COVID-19AustraliaForecastingHumansPharmacoepidemiologySARS-CoV-2data linkagehealth outcomesmedication datamedication safetypharmacoepidemiologyprescribingquality use of medicinesreal-world datareal-world evidence

Identifiers

PMID34948955
PMCPMC8707536

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.