Evidence map›Paper›PMID 39690247›Full record

SynthesisEuropean journal of clinical pharmacology2025

The quantity, reliability, transparency, reporting, and interpretation of pharmacovigilance signal detection studies in pregnancy: a meta-epidemiological study.

Xue-Feng Jiao, Zhengyang Zhang, Lixiong Gong, Shan Lan, Songzhen Zhang, Jiang Wang, Xiubi Chen, Qiang Wei, Hailong Li, Linan Zeng and 2 more

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in European 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Xue-Feng Jiao *Department of Pharmacy/Evidence-Based Pharmacy Center, West China Second University Hospital, Sichuan University, Children's Medicine Key Laboratory of Sichuan Province, Renmin Nan Road 20, Chengdu, 610041, China.
Zhengyang Zhang *Mental Health Center and Institute of Psychiatry, West China Hospital, Sichuan University, Chengdu, China.
Lixiong GongCenter for Drug Reevaluation of Henan, Zhengzhou, China.
Shan LanSichuan Center for Food and Drug Evaluation, Inspection & Monitoring, SCFDA Adverse Drug Reaction Monitoring Center Medical Device Technology Review and Evaluation Center, Chengdu, China.
Songzhen ZhangAdministration for Market Regulation of Zhengzhou City, Zhengzhou, China.
Jiang WangPharmacovigilance Center of Zhengzhou, Zhengzhou, China.
Xiubi ChenCenter for Adverse Drug Reaction Monitoring of Mianyang, Mianyang, China.
Qiang WeiKey Laboratory of Birth Defects and Related Diseases of Women and Children, Sichuan University, Ministry of Education, Chengdu, China.
Hailong LiDepartment of Pharmacy/Evidence-Based Pharmacy Center, West China Second University Hospital, Sichuan University, Children's Medicine Key Laboratory of Sichuan Province, Renmin Nan Road 20, Chengdu, 610041, China.
Linan ZengDepartment of Pharmacy/Evidence-Based Pharmacy Center, West China Second University Hospital, Sichuan University, Children's Medicine Key Laboratory of Sichuan Province, Renmin Nan Road 20, Chengdu, 610041, China.
Lu HanDepartment of Pharmacy/Evidence-Based Pharmacy Center, West China Second University Hospital, Sichuan University, Children's Medicine Key Laboratory of Sichuan Province, Renmin Nan Road 20, Chengdu, 610041, China. luhan830301@sina.com.
Lingli ZhangDepartment of Pharmacy/Evidence-Based Pharmacy Center, West China Second University Hospital, Sichuan University, Children's Medicine Key Laboratory of Sichuan Province, Renmin Nan Road 20, Chengdu, 610041, China. zhanglingli@scu.edu.cn.

Funding

Natural Science Foundation of Sichuan Province 2022NSFSC0644
6 · The paper itself

Abstract

purposeTo systematically review the characteristics of the available pharmacovigilance signal detection studies in pregnancy, and comprehensively assess the reliability, transparency, reporting, and interpretation of these studies.

methodsWe searched five databases from inception to February 2024 to identify the available pharmacovigilance signal detection studies in pregnancy. We extracted three aspects of information (basic information, data processing modes, signal detection analyses) to assess the reliability, transparency, and reporting of each study. Moreover, we adopted the criteria of Mouffak et al.'s study to assess the misinterpretation of signal detection results in these studies.

resultsA total of 33 pharmacovigilance signal detection studies in pregnancy were identified. Among them, there were great methodological heterogeneities in the data processing modes (restriction to the population, comparator, standardization of drug names and adverse event names, the assigned roles of drugs, counting unit, etc.) and signal detection analyses (signal detection method, sensitivity analysis, subgroup analysis, adjustment for confounding factors, etc.). Moreover, 13 (39%) studies had at least one type of inappropriate interpretation and/or extrapolation of signal detection results.

conclusionOur results reveals that the quantity of pharmacovigilance signal detection studies in pregnancy is relatively limited. Furthermore, the reliability, transparency, reporting, and interpretation of the existing studies are less optimistic. The main issues existing in the available pharmacovigilance signal detection studies in pregnancy consist of two aspects: (1) great methodological heterogeneities exist in the data processing modes and signal detection analyses among different studies and (2) inappropriate interpretation and extrapolation of signal detection results are frequent.

Indexed as

Adverse Drug Reaction Reporting SystemsDrug-Related Side Effects and Adverse ReactionsPharmacovigilanceDatabases, FactualEpidemiologic StudiesFemaleHumansPregnancyPregnancy ComplicationsReproducibility of ResultsInterpretationPharmacovigilance signal detection studiesPregnancyQuantityReliabilityReportingTransparency

Identifiers

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Registered trials

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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.