Drug Safety Matters

#20 The evidence for signals – Daniele Sartori

February 23, 2023 Uppsala Monitoring Centre
Drug Safety Matters
#20 The evidence for signals – Daniele Sartori
Show Notes Chapter Markers

Spontaneous reports of adverse drug reactions are a common source of evidence in pharmacovigilance, but as the science evolves, so do the types of data used to find and assess signals. Uppsala Monitoring Centre’s Daniele Sartori reviews how signal detection practices have changed over time.

Tune in to find out: 

  • Which features of case reports are most often used to assess causality 
  • Why pharmacovigilance experts should report clinical assessments clearly 
  • How to shorten the time between signal detection and communication 


Want to know more?

Check out the full scoping review that inspired this episode.

In 2002, Meyboom and colleagues discussed criteria to select and follow up on signals.

In the first chapter of Uncertainty in Pharmacology, Aronson explains the difference between evidence for a mechanism and evidence from a mechanism.

In 2018, Murad and colleagues published a method to evaluate the quality of evidence in a series of case reports.

UMC scientists have shown how chemical information can support timely signal detection.

This episode is the first of a three-part series on sources of evidence in pharmacovigilance. Listen to the other two episodes here:

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Intro
Welcome, Daniele!
What is a signal?
Sources of evidence
Why did you research this?
Scoping review
Signals based on case reports
Features of causality
Experimental evidence
Reporting clinical assessments
Case-by-case assessment
Unexpected findings
Value of other types of evidence
Pharmacological reasoning
Time to communication
Using signal information
Is artificial intelligence a threat?
Impact of the study
Future research
Outro