Evidence map›Paper›PMID 37247159›Full record

SynthesisInternational journal of clinical pharmacy2023

Factors associated with underreporting of adverse drug reactions by patients: a systematic review.

Catarina Costa, Patricia Abeijon, Daniela A Rodrigues, Adolfo Figueiras, Maria Teresa Herdeiro, Carla Torre

Abstract readSystematic Review
In one paragraph

Synthesis in International journal of clinical pharmacy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing 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

39 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Comment on Wei et al.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
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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.

Catarina CostaFaculdade de Farmácia da Universidade de Lisboa, Lisbon, Portugal.
Patricia AbeijonFacultad de Medicina y Odontología de la Universidad de Santiago de Compostela, A Coruña, Galicia, Spain.
Daniela A RodriguesResearch Unit for Inland Development, Polytechnic Institute of Guarda (UDI-IPG), Guarda, Portugal.
Adolfo FigueirasDepartment of Preventive Medicine and Public Health, University of Santiago de Compostela, Santiago de Compostela, Spain.
Maria Teresa HerdeiroDepartment of Medical Sciences, Institute of Biomedicine - iBiMED, University of Aveiro, Aveiro, Portugal.
Carla TorreFaculdade de Farmácia da Universidade de Lisboa, Lisbon, Portugal. carla.torre@ff.ulisboa.pt.ORCID http://orcid.org/0000-0002-5542-9993

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpontaneous reporting is the most used method to monitor post-marketing safety information. Although patient involvement in spontaneous reporting has increased overtime, little is known about factors associated with patients' adverse drug reaction (ADR) reporting.

aimTo identify and assess the sociodemographic characteristics, attitudes and knowledge that influence spontaneous reporting and the reasons associated with ADR underreporting by patients.

methodA systematic review was conducted according to PRISMA guidelines. A search on the MEDLINE and EMBASE scientific databases was performed to retrieve studies published between 1 January 2006 and 1 November 2022. Studies were included if they addressed knowledge and attitudes associated with ADR underreporting.

resultsA total of 2512 citations were identified, of which 13 studies were included. Sociodemographic characteristics were frequently identified with ADR reporting in 6 studies, being age (3/13) and level of education (3/13) the most often reported. Older age groups (2/13) and individuals with higher level of education (3/13) were more likely to report ADRs. Underreporting was shown to be motivated by reasons related to knowledge, attitudes, and excuses. Ignorance (10/13), complacency (6/13), and lethargy (6/13) were the most frequent reasons for not reporting.

conclusionThis study highlighted the scarcity of research conducted with the aim of assessing ADR underreporting by patients. Knowledge, attitudes, and excuses were commonly observed in the decision to report ADRs. These motives are characteristics that can be changed; hence strategies must be designed to raise awareness, continually educate, and empower this population to change the paradigm of underreporting.

Indexed as

Adverse Drug Reaction Reporting SystemsDrug-Related Side Effects and Adverse ReactionsAgedHealth Knowledge, Attitudes, PracticeHumansPharmacovigilanceSurveys and QuestionnairesAdverse drug reactionsPharmacovigilanceSpontaneous reportingUnderreporting

Identifiers

PMID37247159
PMCPMC10682061

What OpenQuestion holds

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LicenceCC BY
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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.