PMID- 17538548 OWN - NLM STAT- MEDLINE DCOM- 20070911 LR - 20220318 IS - 0009-9236 (Print) IS - 0009-9236 (Linking) VI - 82 IP - 2 DP - 2007 Aug TI - Novel statistical tools for monitoring the safety of marketed drugs. PG - 157-66 AB - Robust tools for monitoring the safety of marketed therapeutic products are of paramount importance to public health. In recent years, innovative statistical approaches have been developed to screen large post-marketing safety databases for adverse events (AEs) that occur with disproportionate frequency. These methods, known variously as quantitative signal detection, disproportionality analysis, or safety data mining, facilitate the identification of new safety issues or possible harmful effects of a product. In this article, we describe the statistical concepts behind these methods, as well as their practical application to monitoring the safety of pharmaceutical products using spontaneous AE reports. We also provide examples of how these tools can be used to identify novel drug interactions and demographic risk factors for adverse drug reactions. Challenges, controversies, and frontiers for future research are discussed. FAU - Almenoff, J S AU - Almenoff JS AD - Department of Epidemiology and Population Health, Safety Evaluation and Risk Management, Global Clinical Safety and Pharmacovigilance, GlaxoSmithKline, Research Triangle Park, North Carolina, USA. june.s.almenoff@gsk.com FAU - Pattishall, E N AU - Pattishall EN FAU - Gibbs, T G AU - Gibbs TG FAU - DuMouchel, W AU - DuMouchel W FAU - Evans, S J W AU - Evans SJ FAU - Yuen, N AU - Yuen N LA - eng GR - G0600621/MRC_/Medical Research Council/United Kingdom PT - Journal Article PT - Review DEP - 20070530 PL - United States TA - Clin Pharmacol Ther JT - Clinical pharmacology and therapeutics JID - 0372741 SB - IM MH - Adverse Drug Reaction Reporting Systems/statistics & numerical data MH - *Data Interpretation, Statistical MH - Drug Information Services/statistics & numerical data MH - Drug Monitoring/*methods/statistics & numerical data/trends MH - Humans MH - Product Surveillance, Postmarketing/*methods/statistics & numerical data/trends RF - 74 EDAT- 2007/06/01 09:00 MHDA- 2007/09/12 09:00 CRDT- 2007/06/01 09:00 PHST- 2007/06/01 09:00 [pubmed] PHST- 2007/09/12 09:00 [medline] PHST- 2007/06/01 09:00 [entrez] AID - 6100258 [pii] AID - 10.1038/sj.clpt.6100258 [doi] PST - ppublish SO - Clin Pharmacol Ther. 2007 Aug;82(2):157-66. doi: 10.1038/sj.clpt.6100258. Epub 2007 May 30.