PMID- 34453158 OWN - NLM STAT- MEDLINE DCOM- 20220309 LR - 20220309 IS - 1477-4054 (Electronic) IS - 1467-5463 (Linking) VI - 22 IP - 6 DP - 2021 Nov 5 TI - Detection algorithms and attentive points of safety signal using spontaneous reporting systems as a clinical data source. LID - bbab347 [pii] LID - 10.1093/bib/bbab347 [doi] AB - Continuous evaluation of drug safety is needed following approval to determine adverse events (AEs) in patient populations with diverse backgrounds. Spontaneous reporting systems are an important source of information for the detection of AEs not identified in clinical trials and for safety assessments that reflect the real-world use of drugs in specific populations and clinical settings. The use of spontaneous reporting systems is expected to detect drug-related AEs early after the launch of a new drug. Spontaneous reporting systems do not contain data on the total number of patients that use a drug; therefore, signal detection by disproportionality analysis, focusing on differences in the ratio of AE reports, is frequently used. In recent years, new analyses have been devised, including signal detection methods focused on the difference in the time to onset of an AE, methods that consider the patient background and those that identify drug-drug interactions. However, unlike commonly used statistics, the results of these analyses are open to misinterpretation if the method and the characteristics of the spontaneous reporting system cannot be evaluated properly. Therefore, this review describes signal detection using data mining, considering traditional methods and the latest knowledge, and their limitations. CI - (c) The Author(s) 2021. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com. FAU - Noguchi, Yoshihiro AU - Noguchi Y AUID- ORCID: 0000-0002-9110-9604 AD - Laboratory of Clinical Pharmacy, Gifu Pharmaceutical University, 1-25-4, Daigakunishi, Gifu 501-1196, Japan. FAU - Tachi, Tomoya AU - Tachi T AD - Laboratory of Clinical Pharmacy, Gifu Pharmaceutical University, 1-25-4, Daigakunishi, Gifu 501-1196, Japan. FAU - Teramachi, Hitomi AU - Teramachi H AD - Laboratory of Clinical Pharmacy, Gifu Pharmaceutical University, 1-25-4, Daigakunishi, Gifu 501-1196, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Brief Bioinform JT - Briefings in bioinformatics JID - 100912837 SB - IM MH - *Adverse Drug Reaction Reporting Systems MH - *Algorithms MH - Bayes Theorem MH - Data Mining MH - Databases, Factual MH - Drug-Related Side Effects and Adverse Reactions/*diagnosis/epidemiology MH - Humans MH - Medical Informatics/*methods MH - Models, Statistical MH - Odds Ratio MH - ROC Curve MH - Reproducibility of Results OTO - NOTNLM OT - disproportionality analysis OT - signal detection OT - spontaneous reporting systems OT - time to onset algorithm EDAT- 2021/08/29 06:00 MHDA- 2022/03/11 06:00 CRDT- 2021/08/28 05:55 PHST- 2021/05/14 00:00 [received] PHST- 2021/07/30 00:00 [revised] PHST- 2021/08/02 00:00 [accepted] PHST- 2021/08/29 06:00 [pubmed] PHST- 2022/03/11 06:00 [medline] PHST- 2021/08/28 05:55 [entrez] AID - 6358402 [pii] AID - 10.1093/bib/bbab347 [doi] PST - ppublish SO - Brief Bioinform. 2021 Nov 5;22(6):bbab347. doi: 10.1093/bib/bbab347.