PMID- 27601271 OWN - NLM STAT- MEDLINE DCOM- 20170731 LR - 20210109 IS - 1099-1557 (Electronic) IS - 1053-8569 (Print) IS - 1053-8569 (Linking) VI - 25 IP - 12 DP - 2016 Dec TI - Can social media data lead to earlier detection of drug-related adverse events? PG - 1425-1433 LID - 10.1002/pds.4090 [doi] AB - PURPOSE: To compare the patient characteristics and the inter-temporal reporting patterns of adverse events (AEs) for atorvastatin (Lipitor((R)) ) and sibutramine (Meridia((R)) ) in social media (AskaPatient.com) versus the FDA Adverse Event Reporting System (FAERS). METHODS: We identified clinically important AEs associated with atorvastatin (muscle pain) and sibutramine (cardiovascular AEs), compared their patterns in social media postings versus FAERS and used Granger causality tests to assess whether social media postings were useful in forecasting FAERS reports. RESULTS: We analyzed 998 and 270 social media postings between 2001 and 2014, 69 003 and 7383 FAERS reports between 1997 and 2014 for atorvastatin and sibutramine, respectively. Social media reporters were younger (atorvastatin: 53.9 vs. 64.0 years, p < 0.001; sibutramine: 36.8 vs. 43.8 years, p < 0.001). Social media reviews contained fewer serious AEs (atorvastatin, pain: 2.5% vs. 38.2%; sibutramine, cardiovascular issues: 7.9% vs. 63.0%; p < 0.001 for both) and concentrated on fewer types of AEs (proportion comprising the top 20 AEs: atorvastatin, 88.7% vs. 55.4%; sibutramine, 86.3% vs. 65.4%) compared with FAERS. While social media sibutramine reviews mentioning cardiac issues helped predict those in FAERS 11 months later (p < 0.001), social media atorvastatin reviews did not help predict FAERS reports. CONCLUSIONS: Social media AE reporters were younger and focused on less-serious and fewer types of AEs than FAERS reporters. The potential for social media to provide earlier indications of AEs compared with FAERS is uncertain. Our findings highlight some of the promises and limitations of online social media versus conventional pharmacovigilance sources and the need for careful interpretation of the results. (c) 2016 The Authors. Pharmacoepidemiology and Drug Safety published by John Wiley & Sons Ltd. CI - (c) 2016 The Authors. Pharmacoepidemiology and Drug Safety published by John Wiley & Sons Ltd. FAU - Duh, Mei Sheng AU - Duh MS AD - Analysis Group, Inc., Boston, MA, USA. FAU - Cremieux, Pierre AU - Cremieux P AD - Analysis Group, Inc., Boston, MA, USA. FAU - Audenrode, Marc Van AU - Audenrode MV AD - Groupe d'analyse, Ltee, Montreal, QC, Canada. FAU - Vekeman, Francis AU - Vekeman F AD - Groupe d'analyse, Ltee, Montreal, QC, Canada. FAU - Karner, Paul AU - Karner P AD - Analysis Group, Inc., Boston, MA, USA. FAU - Zhang, Haimin AU - Zhang H AD - Groupe d'analyse, Ltee, Montreal, QC, Canada. FAU - Greenberg, Paul AU - Greenberg P AD - Analysis Group, Inc., Boston, MA, USA. LA - eng PT - Journal Article DEP - 20160907 PL - England TA - Pharmacoepidemiol Drug Saf JT - Pharmacoepidemiology and drug safety JID - 9208369 RN - 0 (Cyclobutanes) RN - A0JWA85V8F (Atorvastatin) RN - WV5EC51866 (sibutramine) SB - IM MH - Adult MH - Adverse Drug Reaction Reporting Systems/*statistics & numerical data MH - Aged MH - Atorvastatin/*adverse effects MH - Cyclobutanes/*adverse effects MH - Drug-Related Side Effects and Adverse Reactions/epidemiology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Pharmacovigilance MH - Social Media/*statistics & numerical data MH - Time Factors MH - United States MH - United States Food and Drug Administration PMC - PMC5157765 OTO - NOTNLM OT - Granger causality OT - Internet OT - adverse event OT - pharmacoepidemiology OT - pharmacovigilance OT - social media EDAT- 2016/09/08 06:00 MHDA- 2017/08/02 06:00 PMCR- 2016/12/15 CRDT- 2016/09/08 06:00 PHST- 2015/10/22 00:00 [received] PHST- 2016/07/27 00:00 [revised] PHST- 2016/08/08 00:00 [accepted] PHST- 2016/09/08 06:00 [pubmed] PHST- 2017/08/02 06:00 [medline] PHST- 2016/09/08 06:00 [entrez] PHST- 2016/12/15 00:00 [pmc-release] AID - PDS4090 [pii] AID - 10.1002/pds.4090 [doi] PST - ppublish SO - Pharmacoepidemiol Drug Saf. 2016 Dec;25(12):1425-1433. doi: 10.1002/pds.4090. Epub 2016 Sep 7.