Evidence map›Paper›PMID 36073295›Full record

ArticlePharmacoepidemiology and drug safety2023

Evaluating awareness, knowledge and practice of healthcare professionals following implementation of a revised pregnancy prevention programme for isotretinoin in Ireland: A multi-stakeholder cross-sectional study.

John E Hughes, Niamh Buckley, Yvonne Looney, Gráinne Kirwan, Maeve Mullooly, Kathleen E Bennett

Open access · hybridAbstract read
In one paragraph

Article in Pharmacoepidemiology and drug safety, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

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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 2 institutions in 1 country.

John E HughesSchool of Population Health, RCSI University of Medicine and Health Sciences, Dublin 2, Ireland.ORCID https://orcid.org/0000-0002-3944-8326
Niamh BuckleyHealth Products Regulatory Authority, Kevin O'Malley House, Earlsfort Terrace, Dublin 2, Ireland.
Yvonne LooneyHealth Products Regulatory Authority, Kevin O'Malley House, Earlsfort Terrace, Dublin 2, Ireland.
Gráinne KirwanHealth Products Regulatory Authority, Kevin O'Malley House, Earlsfort Terrace, Dublin 2, Ireland.
Maeve MulloolySchool of Population Health, RCSI University of Medicine and Health Sciences, Dublin 2, Ireland.ORCID https://orcid.org/0000-0003-1388-6907
Kathleen E BennettSchool of Population Health, RCSI University of Medicine and Health Sciences, Dublin 2, Ireland.ORCID https://orcid.org/0000-0002-2861-7665
Health and Safety Authority · IEUniversity College Dublin · IE

Funding

Health Research Board
6 · The paper itself

Abstract

purposeIn 2018, following an EU-wide safety review, a revised pregnancy prevention programme (PPP) was introduced for isotretinoin (Roaccutane®). This study aimed to examine awareness, knowledge, and experience implementing the revised isotretinoin PPP in clinical practice across three healthcare professional (HCP) groups in Ireland.

methodsA cross-sectional study using anonymous online surveys among general practitioners (GPs), community pharmacists, and specialist consultants was undertaken. Descriptive analyses are presented.

resultsAcross all HCP groups there was high (≥87%) awareness that oral isotretinoin is contraindicated in women of childbearing potential (WCBP) unless the conditions of the PPP are fulfilled, but varying awareness among GPs (54.9%) and community pharmacists (45.9%) that exposure during pregnancy can cause both severe fetal malformations and spontaneous abortions. Implementation of the PPP in clinical practice varied across HCP groups. When initiating isotretinoin in WCBP, 66.7% of specialists and 40.8% of GPs indicated they had considered alternative treatment options, and 71.4% of specialists and 31.6% of GPs reported they first requested a pregnancy test. There was limited provision of the patient reminder card to WCBP, where 26.1% of community pharmacists provide this at each dispensing, while 47.6% of specialists and 11.8% of GPs ensured WCBP had a copy of the card when initiating treatment. Across all HCP groups, there was high (≥81.6%) awareness of the need for urgent consultation and immediate cessation of isotretinoin in the event of an unplanned or suspected pregnancy.

conclusionsReinforcement of the provision and utilisation of the isotretinoin patient reminder card may be required, and further targeted education on specific elements of the PPP should be considered for GPs and community pharmacists.

Indexed as

Abnormalities, Drug-InducedGeneral PractitionersCross-Sectional StudiesDelivery of Health CareFemaleHumansIrelandIsotretinoinPregnancyIsotretinoinisotretinoinpatient safetypharmacoepidemiologypharmacovigilancepregnancy prevention programteratogenicity

Identifiers

PMID36073295
PMCPMC10092126
OpenAlexW4294992667

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.