Evidence map›Paper›PMID 40814839›Full record

ArticlePharmacoepidemiology and drug safety2025

Impact of Additional Monitoring on Pharmacovigilance and Pharmacists' Role: A Scoping Review.

Xabier Aizpurua-Arruti, Estíbaliz Goyenechea, Arantxa Isla, Ainhoa Oñatibia-Astibia, Amaia Malet-Larrea, Miguel Ángel Gastelurrutia, María Ángeles Solinís, Ana Del Pozo-Rodriguez

Abstract readScoping Review
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. Review
  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.

Xabier Aizpurua-ArrutiOfficial Pharmacist Association of Gipuzkoa, Donostia, San Sebastián, Spain.ORCID https://orcid.org/0000-0001-9028-8236
Estíbaliz GoyenecheaOfficial Pharmacist Association of Gipuzkoa, Donostia, San Sebastián, Spain.ORCID https://orcid.org/0000-0001-7990-5192
Arantxa IslaPharmacy Practice Research Group, PharmaNanoGene Group, Faculty of Pharmacy, University of the Basque Country UPV/EHU, Vitoria-Gasteiz, Spain.ORCID https://orcid.org/0000-0001-7575-2715
Ainhoa Oñatibia-AstibiaOfficial Pharmacist Association of Gipuzkoa, Donostia, San Sebastián, Spain.ORCID https://orcid.org/0000-0002-1726-6943
Amaia Malet-LarreaOfficial Pharmacist Association of Gipuzkoa, Donostia, San Sebastián, Spain.ORCID https://orcid.org/0000-0002-2809-6249
Miguel Ángel GastelurrutiaOfficial Pharmacist Association of Gipuzkoa, Donostia, San Sebastián, Spain.ORCID https://orcid.org/0000-0003-1019-0234
María Ángeles SolinísPharmacy Practice Research Group, PharmaNanoGene Group, Faculty of Pharmacy, University of the Basque Country UPV/EHU, Vitoria-Gasteiz, Spain.ORCID https://orcid.org/0000-0001-9127-0775
Ana Del Pozo-RodriguezPharmacy Practice Research Group, PharmaNanoGene Group, Faculty of Pharmacy, University of the Basque Country UPV/EHU, Vitoria-Gasteiz, Spain.ORCID https://orcid.org/0000-0003-2478-0884

Funding

Department of Education of the Basque Government
6 · The paper itself

Abstract

introductionPharmacovigilance plays a critical role in ensuring the safety of medicinal products, particularly those under additional monitoring (AM). The European Union (EU) implemented AM in 2012 to enhance post-marketing surveillance. However, its impact on adverse drug reaction (ADR) reporting and pharmacists' role remains insufficiently explored. This scoping review examines the influence of AM label on ADR reporting management, and pharmacists' awareness and involvement in AM medicines.

methodsA systematic search across four scientific databases (Web of Science, Scopus, Science Direct, and PubMed) and gray literature sources, covering studies published between 2012 and 2024 in the EU, identified 17 relevant studies according to eligibility criteria: AM labeling's impact on pharmacovigilance in the EU. Relevant data (title, year of publication, country, field, design, objective, results) and relation with research questions were charted.

resultsAM label alone does not significantly increase ADR reporting rates. However, structured training programs and targeted interventions for healthcare professionals (HCPs), particularly pharmacists, lead to improved ADR reporting and patient safety outcomes. Pharmacists exhibit the highest awareness of AM among HCPs but often underutilize their role in ADR reporting. Different studies demonstrated that pharmacist-led interventions significantly increased ADR notifications. Education campaigns, standardized reporting protocols, and enhanced integration of AM into clinical practice can strengthen AM pharmacovigilance efforts.

conclusionsThis review highlights the need to implement structured AM training programs and develop systematic evaluation frameworks to assess the effectiveness of AM labeling in improving pharmacovigilance practices. Further research is required to optimize AM strategies and reinforce pharmacists' role in post-marketing drug safety.

Indexed as

Adverse Drug Reaction Reporting SystemsDrug-Related Side Effects and Adverse ReactionsPharmacistsPharmacovigilanceProfessional RoleDrug LabelingDrug MonitoringEuropean UnionHumansadditional monitoringadverse drug reactionpharmacovigilancepharmacysafety

Identifiers

PMID40814839
PMCPMC12355443

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.