PMID- 31055175 OWN - NLM STAT- MEDLINE DCOM- 20200525 LR - 20200525 IS - 1878-5921 (Electronic) IS - 0895-4356 (Linking) VI - 113 DP - 2019 Sep TI - Harms are assessed inconsistently and reported inadequately part 1: systematic adverse events. PG - 20-27 LID - S0895-4356(18)31107-7 [pii] LID - 10.1016/j.jclinepi.2019.04.022 [doi] AB - OBJECTIVES: We examined systematic adverse events (AEs) in Part 1 (of 2) of a study describing the assessment and reporting of AEs in clinical trials. STUDY DESIGN AND SETTING: We examined 52 public and nonpublic data sources about trials of quetiapine for bipolar depression using data from the Multiple Data Sources study. We extracted and compared information about systematic AEs (i.e., AEs assessed for all participants) in six prespecified domains: cardiovascular, cholesterol, endocrine, extrapyramidal symptoms, mania, and weight. RESULTS: Eligible trials did not assess and report the same systematic AEs, and most results were not available in public sources. Overall, public sources reported 159 results, of which 92 of 159 (58%) included sufficient statistical information to calculate the treatment effect and its precision. Nonpublic sources reported 636 results; 630 of 636 (99%) reported sufficient statistical information. CONCLUSION: Systematic AEs were defined and analyzed in many ways, which led to many numerical results. Most systematic AEs were not mentioned in public sources. To minimize bias, methods for defining and analyzing potential AEs should be prespecified in trial registers and protocols. All trial results should be publicly available so that stakeholders can compare benefits and AEs. Trials could report core sets of AEs to facilitate decision-making. CI - Copyright (c) 2019 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Mayo-Wilson, Evan AU - Mayo-Wilson E AD - Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD 21205, USA. Electronic address: evan.mayo-wilson@jhu.edu. FAU - Fusco, Nicole AU - Fusco N AD - Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD 21205, USA. FAU - Li, Tianjing AU - Li T AD - Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD 21205, USA. FAU - Hong, Hwanhee AU - Hong H AD - Department of Mental Health, Johns Hopkins University Bloomberg School of Public Health, 624 N Broadway, Hampton House, Baltimore, MD 21205, USA. FAU - Canner, Joseph K AU - Canner JK AD - Department of Surgery, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Blalock 1202, Baltimore, MD 21287, USA. FAU - Dickersin, Kay AU - Dickersin K AD - Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD 21205, USA. CN - MUDS investigators LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Systematic Review DEP - 20190502 PL - United States TA - J Clin Epidemiol JT - Journal of clinical epidemiology JID - 8801383 RN - 2S3PL1B6UJ (Quetiapine Fumarate) RN - 6CW7F3G59X (Gabapentin) SB - IM MH - Bipolar Disorder/*drug therapy MH - Data Accuracy MH - Drug-Related Side Effects and Adverse Reactions MH - Gabapentin/*adverse effects/*therapeutic use MH - Humans MH - Neuralgia/*drug therapy MH - Quetiapine Fumarate/*adverse effects/*therapeutic use MH - Randomized Controlled Trials as Topic/*statistics & numerical data MH - Research Report OTO - NOTNLM OT - Adverse events OT - Clinical trials OT - Drug safety OT - Harms OT - Open science OT - Reporting bias FIR - Bertizzolo, Lorenzo IR - Bertizzolo L FIR - Cowley, Terrie IR - Cowley T FIR - Doshi, Peter IR - Doshi P FIR - Ehmsen, Jeffrey IR - Ehmsen J FIR - Gresham, Gillian IR - Gresham G FIR - Guo, Nan IR - Guo N FIR - Haythornthwaite, Jennifer IR - Haythornthwaite J FIR - Heyward, James IR - Heyward J FIR - Pham, Diana IR - Pham D FIR - Payne, Jennifer IR - Payne J FIR - Rosman, Lori IR - Rosman L FIR - Stuart, Elizabeth IR - Stuart E FIR - Suarez-Cuervo, Catalina IR - Suarez-Cuervo C FIR - Tolbert, Elizabeth IR - Tolbert E FIR - Twose, Claire IR - Twose C FIR - Vedula, Swaroop IR - Vedula S EDAT- 2019/05/06 06:00 MHDA- 2020/05/26 06:00 CRDT- 2019/05/06 06:00 PHST- 2018/12/13 00:00 [received] PHST- 2019/03/04 00:00 [revised] PHST- 2019/04/05 00:00 [accepted] PHST- 2019/05/06 06:00 [pubmed] PHST- 2020/05/26 06:00 [medline] PHST- 2019/05/06 06:00 [entrez] AID - S0895-4356(18)31107-7 [pii] AID - 10.1016/j.jclinepi.2019.04.022 [doi] PST - ppublish SO - J Clin Epidemiol. 2019 Sep;113:20-27. doi: 10.1016/j.jclinepi.2019.04.022. Epub 2019 May 2.