Evidence map›Paper›PMID 39363642›Full record

ArticleBritish journal of clinical pharmacology2025

Economic burden of hospital admissions for adverse drug reactions in France: The IATROSTAT-ECO study.

Marie-Laure Laroche, Noémie Tarbouriech, Taha Jai, Marie-Blanche Valnet-Rabier, Virginie Nerich

Abstract read
In one paragraph

Article in British journal of clinical pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
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  7. Observational
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  9. Survey of Drugs Induced Skin Pigmentation (Hyper and Hypo Pigmentation).Clinical, cosmetic and investigational dermatology · 2025
    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

5 authors.

Marie-Laure LarocheRegional Pharmacovigilance Centre of Limoges, Department of Pharmacology-Toxicology and Pharmacovigilance, CHU Limoges, Limoges, France.ORCID https://orcid.org/0000-0003-4344-0359
Noémie TarbouriechPôle Pharmacie, CHU Besançon, Besançon, France.
Taha JaiPôle Pharmacie, CHU Besançon, Besançon, France.
Marie-Blanche Valnet-RabierCentre Régional de Pharmacovigilance et d'information sur le médicament, CHU Besançon, Besançon, France.ORCID https://orcid.org/0000-0001-5737-5733
Virginie NerichCHU Besançon, INSERM, EFS-BFC, UMR 1098, Pôle Pharmacie, Université de Franche-Comté, Besançon, France.ORCID https://orcid.org/0000-0002-0351-6040

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsHospitalizations for adverse drug reactions (ADR-HA) have increased over the last decade, but the impact of ADR-HA has rarely been evaluated. The aim of this study was to estimate the economic burden of ADR-HA in France.

methodsA partial economic evaluation from the viewpoint of French public health insurance was performed, based on a previous pharmacovigilance study (IATROSTAT) performed in 2018 in public hospital medical units. The cost included direct medical costs, collected retrospectively, from the French hospital discharge database. The economic burden was estimated by calculating the total cost per ADR-HA patient (cost of hospital stays, additional daily cost of specific stays, such as in a resuscitation, intensive care or continuous surveillance unit, drug products and medical devices in addition to Healthcare Resource Group-based tariffs, and specific outpatient consultations and other clinical and technical medical procedures, over 3 months as from the first day of ADR-HA). The robustness of the results was assessed using a one-way deterministic sensitivity analysis of cost factors applying tariffs from 2023 instead of 2018.

resultsAccording to the 2018 tariffs (vs. 2023), the mean total cost per patient with ADR-HA was estimated at €5208 ± €3719 (vs. €5974 ± €4232) ranging from €514 to €23 355 (vs. €618 to €27 380). The total cost for 196 patients with ADR-HA admitted to a sample of French public hospitals was estimated at €1 020 549 (vs. €1 170 960). It could be estimated at €1.3 billion at the national level.

conclusionsIn addition to the increase in the number of expensive drugs, the ageing population and polypharmacy, the economic impact of serious ADR-HA weighs heavily on healthcare spending.

Indexed as

Cost of IllnessDrug-Related Side Effects and Adverse ReactionsHospitalizationAdultAgedAged, 80 and overFemaleFranceHumansLength of StayMaleMiddle AgedPharmacovigilanceRetrospective StudiesYoung Adultadverse drug reactionscost analysishospitalizationobservational studypharmacovigilance

Identifiers

PMID39363642
PMCPMC11773093

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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.