Evidence map›Paper›PMID 39735944›Full record

ArticleCJC open2024

Impact of Vanessa's Law on the Reporting of Serious Adverse Events: A Retrospective Study Among Antiplatelet Users in a Tertiary-Care Cardiology Centre.

Laura Blonde Guefack Djiokeng, Shweta Todkar, Sonia Corbin, Maude Lavallée, Pallavi Pradhan, Magalie Thibault, Marie-Eve Piché, Julie Méthot, Anick Bérard, Jennifer Midiani Gonella and 4 more

Abstract read
In one paragraph

Article in CJC open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

14 authors.

Laura Blonde Guefack DjiokengDepartment of Anatomy, Université du Québec à Trois-Rivières, Trois-Rivières, Québec, Canada.
Shweta TodkarInstitut universitaire de cardiologie et de pneumologie de Québec-Université Laval, Québec, Québec, Canada.
Sonia CorbinInstitut universitaire de cardiologie et de pneumologie de Québec-Université Laval, Québec, Québec, Canada.
Maude LavalléeInstitut universitaire de cardiologie et de pneumologie de Québec-Université Laval, Québec, Québec, Canada.
Pallavi PradhanDepartment of Anatomy, Université du Québec à Trois-Rivières, Trois-Rivières, Québec, Canada.
Magalie ThibaultInstitut universitaire de cardiologie et de pneumologie de Québec-Université Laval, Québec, Québec, Canada.
Marie-Eve PichéInstitut universitaire de cardiologie et de pneumologie de Québec-Université Laval, Québec, Québec, Canada.
Julie MéthotInstitut universitaire de cardiologie et de pneumologie de Québec-Université Laval, Québec, Québec, Canada.
Anick BérardFaculty of Pharmacy, Université de Montréal, Montréal, Québec, Canada.
Jennifer Midiani GonellaDepartment of General and Specialized Nursing, University of Sa͂o Paulo at Ribeira͂o Preto College of Nursing, Sa͂o Paulo, Sa͂o Paulo, Brazil.
Fernanda Raphael Escobar GimenesDepartment of General and Specialized Nursing, University of Sa͂o Paulo at Ribeira͂o Preto College of Nursing, Sa͂o Paulo, Sa͂o Paulo, Brazil.
Rosalie DarveauInstitut universitaire de cardiologie et de pneumologie de Québec-Université Laval, Québec, Québec, Canada.
Isabelle CloutierInstitut universitaire de cardiologie et de pneumologie de Québec-Université Laval, Québec, Québec, Canada.
Jacinthe LeclercInstitut universitaire de cardiologie et de pneumologie de Québec-Université Laval, Québec, Québec, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Antiplatelet drugs, such as clopidogrel, ticagrelor, prasugrel, and acetylsalicylic acid, may be associated with a risk of adverse events (AEs). Vanessa's Law was enacted to strengthen regulations to protect Canadians from drug-related side effects (with mandatory reporting of serious adverse events [SAEs]). Objective: To determine whether Vanessa's Law has led to an increase in SAE reporting among antiplatelet users. Methods: This descriptive retrospective study was conducted from January, 2018-December, 2021. Included are 260 adult antiplatelet users (cohorts: 2018 [n = 64]; 2019 [n = 79]; 2020 [n = 73]; 2021 [n = 44]) hospitalized at the Institut universitaire de cardiologie et de pneumologie de Québec - Université Laval. The main diagnostic of hospitalization was coded using the International Classification of Diseases,10th revision, Canadian version, and data related to demographic characteristics, hospitalization length-of-stay, drugs administered, and AEs were extracted. Results: The 260 antiplatelet users were hospitalized mainly for diseases of the circulatory system (codes [I00-I99]; 2018, 75 %; 2019, 71 %; 2020, 71 %; 2021, 77 %) or diseases of the respiratory system (codes [J00-J99]; 2018, 6 %; 2019, 8 %; 2020, 4 %; 2021, 7 %). The median age was 70 years. The median duration of hospital stay was 3 days. Among the 1395 AEs recorded during the study, 12 % were SAEs. None of the SAEs (or AEs) was reported to Health Canada, either before or after Vanessa's Law implementation. Conclusions: These results provide the first picture of reporting trends for SAEs among antiplatelet users in Canada. Investigation of the underreporting of SAEs is needed, as the implementation of a mandatory policy does not seem to have had a favourable impact. Clinical Trial Registration: 135263.

Identifiers

PMID39735944
PMCPMC11681356

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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.