使用MedDRA®编码模两可的信息的策略和挑战:挪威药监官员之间的探索
Tahmineh Garmann1, Hilde Samdal2, Daniele Sartori3
1Faculty of Health Sciences, Institute for Natural Science and Health, Oslo Metropolitan University, Postboks 4, St.Olavs plass, 0130, Oslo, Norway.
在MedDRA®术语中编码不一致是常见的,源于翻译外语和复杂医学术语的挑战. 建议提供有针对性的培训和明确的指导方针,以提高药监编码的准确性.
科学领域:
- 药监和药物安全 药监和药物安全
- 医学术语标准化 标准化 医学术语标准化
- 监管事务 监管事务
背景情况:
- 监管活动医学词典 (MedDRA®) 对于药物监管中的医疗信息标准化至关重要.
- 之前的研究表明,跨平台的MedDRA®编码不一致,但原因尚不清楚.
研究的目的:
- 调查药监官员在编码模两可的不良事件时使用的推理和策略.
- 在MedDRA®系统中对编码不一致性进行分类并确定其来源.
主要方法:
- 一项涉及调查和重点小组采访挪威药物监督官员的横截面研究.
- 参与者编码了模两可的不良事件,他们的选择与标准期选择 (STS) 相比较.
- 对焦点小组讨论的主题分析探讨了编码挑战和策略.
主要成果:
- 只有36%的调查答案与STS准确匹配,不一致性因任务而异.
- 最常见的不一致性是术语替换 (30%),其次是省略 (18%) 和添加 (6%).
- 挑战包括翻译医学术语,挪威术语的英语翻译,并将复杂的描述装入MedDRA®.
结论:
- 在MedDRA®中的编码不一致性受到术语和翻译挑战的模糊性的影响.
- 定制的培训计划和明确的机构指导方针对于解决这些不一致性至关重要.
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