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Current needs in pediatric pharmacoepidemiology
Tamar Lasky1, Al Artaman2, Angela S Czaja3
1MIE Resources, Baltimore, MD, USA.
Insights
A needs assessment by the International Society of Pharmacoepidemiology (ISPE) Pediatric Special Interest Group (SIG) identified critical needs in pediatric pharmacoepidemiology. Key challenges include limited sample sizes and missing data crucial for child-specific research.
Area of Science:
- Pharmacoepidemiology
- Pediatric Research
- Public Health
Background:
- Pediatric pharmacoepidemiology is an emerging sub-specialty.
- The International Society of Pharmacoepidemiology (ISPE) Pediatric Special Interest Group (SIG) identified a need for a comprehensive assessment.
Purpose of the Study:
- To identify critical needs and future directions in pediatric pharmacoepidemiology.
- To understand current activities and methodologic challenges in the field.
Main Methods:
- A mixed-methods survey using structured interviews was conducted.
- Interviews involved SIG members and the wider ISPE membership over 2013-2014.
- SIG members conducted and summarized the interviews.
Main Results:
- Twenty-nine ISPE members participated, reporting work with 59 distinct databases.
- Limited sample sizes were a significant issue for 57% of respondents, especially for subgroups.
- Missing data elements included detailed medication info, parental links, and age-specific data like birthweight and developmental status.
Conclusions:
- The needs assessment provides a preliminary overview of pediatric pharmacoepidemiology.
- Methodologic challenges unique to pediatric pharmacoepidemiologic research were documented.
Purpose:
We report on a needs assessment conducted by the International Society of Pharmacoepidemiology (ISPE) Pediatric Special Interest Group (SIG) to identify critical needs in pediatric pharmacoepidemiology and directions for future activities.
Methods:
A mixed methods survey using a structured interview was conducted in the SIG and ISPE membership to elicit information about current activities in pediatric pharmacoepidemiology and identify critical methodologic issues. The interviews were conducted in two phases over 2013 and 2014, beginning with interviews of SIG members and expanding to the wider ISPE membership. Members of the SIG conducted the interviews and summarized the responses.
Results:
Twenty-nine ISPE members participated in the needs assessment The respondents reported working with a total of 59 distinct databases, with only eight databases used by more than one respondent. Seventeen respondents (57%) reported issues of limited sample sizes, noting that the problem intensifies when studying age sub-groups or specific genetic populations. Missing data elements were a problem in three main areas: lack of detailed medication information, inability to link to parental data, and lack of detailed information about age. Respondents reported the need for data elements not typically required in studies of adults, such as birthweight and current height and weight, as well as school performance and mental health status.
Conclusions:
Our needs assessment describes a preliminary picture of the emerging sub-specialty of pediatric pharmacoepidemiology encompassing a range of age sub-groups, disease areas, and medical specialties. The assessment also documents a body of methodologic challenges unique to pharmacoepidemiologic research in children. Copyright © 2016 John Wiley & Sons, Ltd.
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