Evidence map›Paper›PMID 40566817›Full record

ArticlePharmacoepidemiology and drug safety2025

Quality of Clinical Information in Pregnancy Pharmacovigilance Data Sources-A Contribution of the ConcePTION Project.

Yrea R J van Rijt-Weetink, Jip van Gendt, Toine C G Egberts, Florence P A M van Hunsel, David J Lewis, Laura M Yates, Ursula Winterfeld, Eugène P van Puijenbroek

Abstract read
In one paragraph

Article in Pharmacoepidemiology and drug safety, 2025. 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

8 authors.

Yrea R J van Rijt-WeetinkGroningen Research Institute of Pharmacy, PharmacoTherapy, -Epidemiology and -Economics, University of Groningen, Groningen, the Netherlands.ORCID https://orcid.org/0000-0002-5997-3718
Jip van GendtGroningen Research Institute of Pharmacy, PharmacoTherapy, -Epidemiology and -Economics, University of Groningen, Groningen, the Netherlands.ORCID https://orcid.org/0009-0005-2930-0650
Toine C G EgbertsDivision of Pharmacoepidemiology and Clinical Pharmacology, Department of Pharmaceutical Sciences, Faculty of Science, Utrecht University, Utrecht, the Netherlands.ORCID https://orcid.org/0000-0003-1758-7779
Florence P A M van HunselGroningen Research Institute of Pharmacy, PharmacoTherapy, -Epidemiology and -Economics, University of Groningen, Groningen, the Netherlands.ORCID https://orcid.org/0000-0001-8965-3224
David J LewisGlobal Drug Development, Novartis Pharma GmbH, Wehr, Germany.ORCID https://orcid.org/0000-0001-9576-3489
Laura M YatesKRISP, University of Kwazulu-Natal, Durban, South Africa.ORCID https://orcid.org/0000-0002-7963-625X
Ursula WinterfeldSwiss Teratogen Information Service and Clinical Pharmacology Service, Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne, Lausanne, Switzerland.ORCID https://orcid.org/0000-0002-9926-7164
Eugène P van PuijenbroekGroningen Research Institute of Pharmacy, PharmacoTherapy, -Epidemiology and -Economics, University of Groningen, Groningen, the Netherlands.ORCID https://orcid.org/0000-0002-2236-1398

Funding

Innovative Medicines Initiative (call 13, topic 9) 821520
6 · The paper itself

Abstract

purposeGood documentation of adverse events related to medicines is essential for the assessment of safety signals. Information on the clinical quality of primary pregnancy safety data sources is lacking. The objective of this study was to assess the differences in clinical quality of various sources of primary pregnancy pharmacovigilance (PV) data.

methodsFifty reports of exposures to medicines during pregnancy were collected from: spontaneous and literature reports from EudraVigilance, European Network of Teratology Information Services (ENTIS), the Dutch Pregnancy Drug Register, enhanced PV programmes (EPV), and patient support programmes (PSP). Reports were standardized and anonymized, after which their clinical quality was assessed. Mean scores per source were compared using ANOVA (analysis of variance test).

resultsMean clinical quality scores were 89.0% (SD 10.1%) for the Dutch Pregnancy Drug Register, 77.1% (SD 13.3%) for TIS, 64.7% (SD 20.5%) for EPVs, 49.5% (SD 16.2%) for PSPs, 40.9% (SD 21.6%) for spontaneous reports, and 38.6% (SD 18.0%) for literature reports. All were statistically significantly different (p ≤ 0.05) except for spontaneous versus literature reports (mean difference 2.2%, p = 0.99) and spontaneous reports versus reports from PSPs (-8.6%, p = 0.14).

conclusionsFor data sources specifically designed for pregnancy data collection, the clinical quality of information generally outweighed sources designed to capture general safety information. EPV methods showed better scores for clinical quality compared to spontaneous reporting data for pregnancy PV.

Indexed as

Adverse Drug Reaction Reporting SystemsData AccuracyDrug-Related Side Effects and Adverse ReactionsPharmacovigilancePregnancy ComplicationsDatabases, FactualFemaleHumansInformation SourcesNetherlandsPregnancyRegistriespharmacovigilancepregnancyquality

Identifiers

PMID40566817
PMCPMC12198719

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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.