使用电子医疗数据中的累积顺序分析,对药物安全进行流行病学监测
Mia Aakjaer1, Marie Louise De Bruin2, Morten Andersen1
1Pharmacovigilance Research Center, Department of Drug Design and Pharmacology, University of Copenhagen, Copenhagen, Denmark.
Basic & clinical pharmacology & toxicology
|October 28, 2023
概括
电子医疗数据的顺序分析为流行病监测提供了一种新的方法. 这种方法利用了重复的队列研究,证明了检测安全信号的可行性,并通过信号评估研究证实了结果.
科学领域:
- 药物监督 药物监督 药物监督
- 流行病学监测 流行病学监测
- 医疗信息学 医疗信息学
背景情况:
- 传统的自发报告系统在安全信号检测方面存在局限性.
- 开发用于对电子医疗数据进行顺序分析的方法至关重要.
研究的目的:
- 对电子医疗数据的顺序分析进行文献审查.
- 使用这种方法开发和测试一种新的流行病学监测系统.
主要方法:
- 在主要数据库 (Medline,Embase,PubMed,Scopus,Web of Science,Cochrane Library) 进行系统的文献搜索.
- 开发使用重复队列研究的监测系统.
- 在模拟的前性环境中进行测试,并进行信号评估和灵敏度分析.
主要成果:
- 在文献中发现的11项研究对数据进行了顺序分析;只有两项使用了传统的流行病学方法.
- 拟议的顺序分析系统成功地对暴露和结果进行了流行病学监测.
- 信号评估研究验证了该系统的发现.
结论:
- 现有的研究很少在多个时间点分析数据,这是现实方法测试的关键方面.
- 证明了使用电子医疗数据的顺序监控系统的可行性.
更多相关视频
07:31Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
7.1K
11:21Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data
Published on: July 27, 2018
8.2K
相关概念视频
Pharmacovigilance
860
Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
860
Drug Regulation
1.4K
Drug regulation encompasses the management of drug usage by evaluating its safety and efficacy through assessments conducted by regulatory authorities. Regrettably, the history of drug regulation is marred by several catastrophic events. One such incident is the Elixir Sulfanilamide tragedy, in which the toxic compound diethyl glycol was included in a sweet-tasting medication, leading to numerous fatalities. This event prompted the enactment of the Food, Drug, and Cosmetic Act in 1938. Under...
1.4K
Analysis of Population Pharmacokinetic Data
267
Analysis of population pharmacokinetic data involves studying the behavior of drugs within diverse populations to understand their pharmacokinetic parameters. Traditional pharmacokinetic methods typically involve collecting samples from a few individuals and estimating these parameters. While these methods are commonly used, they have limitations in capturing the variability in drug response among individuals or heterogeneous populations. Population pharmacokinetics is employed to address these...
267
Steps in Outbreak Investigation
135
In the ever-evolving field of public health, statistical analysis serves as a cornerstone for understanding and managing disease outbreaks. By leveraging various statistical tools, health professionals can predict potential outbreaks, analyze ongoing situations, and devise effective responses to mitigate impact. For that to happen, there are a few possible stages of the analysis:
135
Clinical Trials
6.8K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
6.8K
Time Course of Drug Effect
2.1K
The progression of a drug's impact can be analyzed by examining both the concentration-time course and the effect-time course. The concentration-time course is determined by the drug's half-life and is influenced by factors such as its pharmacokinetics, including absorption, distribution, metabolism, and elimination. The effect of the drug is often related to its concentration in the plasma and is calculated using the maximum drug effect and the plasma concentration that generates 50...
2.1K
