What are the patients' and health care professionals' understanding and behaviors towards adverse drug reaction reporting and additional monitoring?


Journal

Pharmacoepidemiology and drug safety
ISSN: 1099-1557
Titre abrégé: Pharmacoepidemiol Drug Saf
Pays: England
ID NLM: 9208369

Informations de publication

Date de publication:
03 2021
Historique:
received: 21 04 2020
revised: 09 09 2020
accepted: 21 10 2020
pubmed: 26 10 2020
medline: 25 11 2021
entrez: 25 10 2020
Statut: ppublish

Résumé

The additional monitoring (AM)/black triangle concept is aimed to enhance ADR reporting for certain types of medicinal products for which the safety profile is less well established. The objective of this survey was to assess (a) attitudes towards ADR reporting and reasons for not reporting an ADR and (b) awareness of AM among HCPs, patients or their careers in EU countries. An online questionnaire which was available in all EU languages was completed by 2918 responders coming from all EEA countries. The main factors motivating to report an ADR were severity or novelty of the reaction or novelty of the medicine. The main factors for not reporting an ADR was the fact that the ADR is already known (35%), the ADR was not serious (18%) or reporter was not sure if the ADR was related to the medicine (15%). Half of the respondents indicated that they have seen AM statement before. Thirty percent of the responders had correct understanding of the AM concept while 20 % misunderstood the concept. Underreporting occurs but it seems this is because of reporter's prioritisation towards certain type of ADRs. AM aims to increase reporting for certain medicines, however, approximately half of responders have seen the AM symbol before and 20% of all responders (independent of their previous awareness) misunderstood the concept.

Sections du résumé

BACKGROUND
The additional monitoring (AM)/black triangle concept is aimed to enhance ADR reporting for certain types of medicinal products for which the safety profile is less well established.
PURPOSE
The objective of this survey was to assess (a) attitudes towards ADR reporting and reasons for not reporting an ADR and (b) awareness of AM among HCPs, patients or their careers in EU countries.
METHODS
An online questionnaire which was available in all EU languages was completed by 2918 responders coming from all EEA countries.
RESULTS
The main factors motivating to report an ADR were severity or novelty of the reaction or novelty of the medicine. The main factors for not reporting an ADR was the fact that the ADR is already known (35%), the ADR was not serious (18%) or reporter was not sure if the ADR was related to the medicine (15%). Half of the respondents indicated that they have seen AM statement before. Thirty percent of the responders had correct understanding of the AM concept while 20 % misunderstood the concept.
CONCLUSION
Underreporting occurs but it seems this is because of reporter's prioritisation towards certain type of ADRs. AM aims to increase reporting for certain medicines, however, approximately half of responders have seen the AM symbol before and 20% of all responders (independent of their previous awareness) misunderstood the concept.

Identifiants

pubmed: 33099846
doi: 10.1002/pds.5162
pmc: PMC7894330
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

334-341

Informations de copyright

© 2020 The Authors. Pharmacoepidemiology and Drug Safety published by John Wiley & Sons Ltd.

Références

Pharmacoepidemiol Drug Saf. 2017 Nov;26(11):1307-1313
pubmed: 28857309
Br J Clin Pharmacol. 2017 Apr;83(4):875-883
pubmed: 27868226
BioDrugs. 2018 Jun;32(3):267-280
pubmed: 29721705
Drug Saf. 2006;29(5):385-96
pubmed: 16689555
Drug Saf. 2017 Oct;40(10):855-869
pubmed: 28735357
Pharmacoepidemiol Drug Saf. 2021 Mar;30(3):334-341
pubmed: 33099846
Health Technol Assess. 2011 May;15(20):1-234, iii-iv
pubmed: 21545758

Auteurs

Justina Januskiene (J)

Pharmacovigilance and Epidemiology Department, European Medicines Agency, Amsterdam, HS, The Netherlands.

Andrej Segec (A)

Pharmacovigilance and Epidemiology Department, European Medicines Agency, Amsterdam, HS, The Netherlands.

Jim Slattery (J)

Pharmacovigilance and Epidemiology Department, European Medicines Agency, Amsterdam, HS, The Netherlands.

Georgy Genov (G)

Pharmacovigilance and Epidemiology Department, European Medicines Agency, Amsterdam, HS, The Netherlands.

Kelly Plueschke (K)

Pharmacovigilance and Epidemiology Department, European Medicines Agency, Amsterdam, HS, The Netherlands.

Xavier Kurz (X)

Pharmacovigilance and Epidemiology Department, European Medicines Agency, Amsterdam, HS, The Netherlands.

Peter Arlett (P)

Pharmacovigilance and Epidemiology Department, European Medicines Agency, Amsterdam, HS, The Netherlands.
London School of Hygiene and Tropic Medicine, London, UK.

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