Document Detail


Postmarketing analysis of medicines: methodology and value of the spanish case-control study and surveillance system in preventing birth defects.
MedLine Citation:
PMID:  17408307     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
There are many surveillance systems of congenital defects all over the world; several of them have developed specific approaches to generate and test selected hypotheses regarding human teratogens. However, to the best of our knowledge, none of them have a permanent and systematised programme for the study of the risk and safety of drugs. The aim of this article is to describe the research programme on the potential effects of drugs in pregnancy followed by the Spanish Collaborative Study of Congenital Malformations (ECEMC), which is a permanent ongoing case-control study and surveillance system. The programme to analyse drugs includes a continuous and systematic study on the potential effects of medicines used during pregnancy. This programme has several characteristics that make it different from other current systems: (i) the collection of numerous datapoints (up to 312 per infant) in a case-control design; (ii) the use of a versatile and specific coding of birth defects; (iii) a specific programme for the continuous analysis of the potential effects of each type of drugs used during pregnancy that has been developed specifically for the ECEMC methodology, including its dysmorphological coding system. The description of the ECEMC's approach to surveillance of the effects of drug use during pregnancy may help researches in this area, particularly those using data from birth defects registries.
Authors:
María Luisa Martínez-Frías
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Drug safety : an international journal of medical toxicology and drug experience     Volume:  30     ISSN:  0114-5916     ISO Abbreviation:  Drug Saf     Publication Date:  2007  
Date Detail:
Created Date:  2007-04-05     Completed Date:  2007-09-12     Revised Date:  2009-11-03    
Medline Journal Info:
Nlm Unique ID:  9002928     Medline TA:  Drug Saf     Country:  New Zealand    
Other Details:
Languages:  eng     Pagination:  307-16     Citation Subset:  IM    
Affiliation:
Spanish Collaborative Study of Congenital Malformations and the Research Center of Congenital Anomalies, Instituto de Salud Carlos III, Facultad de Medicina de la Universidad Complutense de Madrid, Madrid, Spain. mlmartinez.frias@isciii.es
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Drug-Induced / epidemiology,  etiology,  prevention & control*
Case-Control Studies
Female
Humans
Pharmaceutical Preparations / administration & dosage,  adverse effects*
Pregnancy
Product Surveillance, Postmarketing / methods*,  statistics & numerical data
Spain / epidemiology
Chemical
Reg. No./Substance:
0/Pharmaceutical Preparations

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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