通过数据挖掘技术检测药物不良事件

A. Tripathy, Nilakshi Joshi, Harshal S. Kale, M. Durando, L. Carvalho
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引用次数: 3

摘要

药物不良反应(ADR)是医疗从业者在药物安全方面面临的主要问题。许多上市前试验未能发现药物不良反应,相反,它们只有在对药物使用进行长期上市后监测后才能观察到。为了制药行业的进步和安全,应尽早对药品不良反应进行检测。不良事件数量的增加和挖掘技术的发展推动了adr检测的统计和数据挖掘方法的发展。这些方法对用户来说既不方便又繁琐,而且探索过程非常耗时。有一些特定的保健单位提供对病人电子记录的访问,汇总和整合来自多个来源的电子健康记录相当具有挑战性。在这项工作中,比例报告比(PRR)与点估计的精度估计器(如卡方检验)相结合,用于挖掘药物与不良反应之间的不同关联。这项工作提出了一种检测药物不良反应的系统,允许药物和症状之间的关联进行互动发现,称为药物- adr关联,该关联已通过使用用户感兴趣的其他因素(如人口统计信息)进一步发展,目前已对5000条记录进行了分析。
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Detection of adverse drug events through data mining techniques
Adverse Drug Reaction (ADR) is a major problem faced by medical practitioners with respect to drug safety. A number of Pre-marketing trials have fail to detect adverse drug reactions, instead, they are only observed after long term post-marketing surveillance of drug usage. The detection of Adverse Drug Reactions should be done as early as possible for the progress and safety of pharmaceutical industry. The increase in the number of adverse events and development of mining technology have motivated development of statistical and data mining methods for ADRs detection. These methods are inconvenient and tedious for users and exploration processes are time consuming. There are particular health units which provide access to electronic records of patients Aggregating and integrating electronic health records from multiple sources is rather challenging. The manual addition of data about drugs, adverse drug reactions, disease reported in scientific literature has been used to create tables as data collection technique In this work, Proportional Reporting Ratio (PRR) have been used, in combination with an estimator of the precision of point estimate such as the Chi-square test, to mine the different associations between drugs and adverse reactions. This work proposes a system for the detection of ADRs allowing an interactive discovery of associations between drugs and symptoms, called a drug-ADR association which has been further developed using other factors of interest to the user, such as demographic information, the current analysis has been done on 5000 records.
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