Big Data in the Assessment of Pediatric Medication Safety.

Big data (BD) in pediatric medication safety research provides many opportunities to improve the safety and health of children. The number of pediatric medication and device trials has increased in part because of the past 20 years of US legislation requiring and incentivizing study of the effects o...

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Publicado en:Pediatrics Vol. 145; no. 2; pp. 1 - 10
Autores principales: McMahon, Ann W., Cooper, William O., Brown, Jeffrey S., Carleton, Bruce, Doshi-Velez, Finale, Kohane, Isaac, Goldman, Jennifer L., Hoffman, Mark A., Kamaleswaran, Rishikesan, Michiyo Sakiyama, Shohko Sekine, Sturkenboom, Miriam C. J. M., Turner, Mark A., Califf, Robert M.
Formato: pictorial Journal Article
Publicado: American Academy of Pediatrics Feb2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2020
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      pub: American Academy of Pediatrics
      place: Elk Grove Village, Illinois
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        10.1542/peds.2019-0562
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        au:
          McMahon, Ann W.
          Cooper, William O.
          Brown, Jeffrey S.
          Carleton, Bruce
          Doshi-Velez, Finale
          Kohane, Isaac
          Goldman, Jennifer L.
          Hoffman, Mark A.
          Kamaleswaran, Rishikesan
          Michiyo Sakiyama
          Shohko Sekine
          Sturkenboom, Miriam C. J. M.
          Turner, Mark A.
          Califf, Robert M.
        affil: Office of Pediatric Therapeutics, US Food and Drug Administration, Rockville, Maryland
      sug:
        subj:
          Data Analytics Utilization
          Medication Errors Prevention and Control
          Patient Safety
          Pediatrics
          Child Safety
          Research, Medical
          Seminars and Workshops
      ab: Big data (BD) in pediatric medication safety research provides many opportunities to improve the safety and health of children. The number of pediatric medication and device trials has increased in part because of the past 20 years of US legislation requiring and incentivizing study of the effects of medical products in children (Food and Drug Administration Modernization Act of 1997, Pediatric Rule in 1998, Best Pharmaceuticals for Children Act of 2002, and Pediatric Research Equity Act of 2003). There are some limitations of traditional approaches to studying medication safety in children. Randomized clinical trials within the regulatory context may not enroll patients who are representative of the general pediatric population, provide the power to detect rare safety signals, or provide long-term safety data. BD sources may have these capabilities. In recent years, medical records have become digitized, and cell phones and personal devices have proliferated. In this process, the field of biomedical science has progressively used BD from those records coupled with other data sources, both digital and traditional. Additionally, large distributed databases that include pediatric-specific outcome variables are available. A workshop entitled "Advancing the Development of Pediatric Therapeutics: Application of 'Big Data' to Pediatric Safety Studies" held September 18 to 19, 2017, in Silver Spring, Maryland, formed the basis of many of the ideas outlined in this article, which are intended to identify key examples, critical issues, and future directions in this early phase of an anticipated dramatic change in the availability and use of BD.
      pubtype: Academic Journal
      doctype:
        pictorial
        Journal Article
      ougenre: Article
    language: English
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