The New Zealand Centre for Adverse Reactions Monitoring: a source of practice-based evidence

The database of the New Zealand Centre for Adverse Reactions Monitoring (CARM) is an example of the practice-based evidence discussed in the June issue of the Journal of Primary Health Care. Databases of reported adverse drug reactions (ADRs) were established to generate hypotheses to be tested abou...

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Main Author: Savage R
Format: Article
Language:English
Published: CSIRO Publishing 2013-06-01
Series:Journal of Primary Health Care
Online Access:http://www.rnzcgp.org.nz/assets/documents/Publications/JPHC/June-2013/JPHCViewpointSavageJune2013.pdf
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author Savage R
author_facet Savage R
author_sort Savage R
collection DOAJ
description The database of the New Zealand Centre for Adverse Reactions Monitoring (CARM) is an example of the practice-based evidence discussed in the June issue of the Journal of Primary Health Care. Databases of reported adverse drug reactions (ADRs) were established to generate hypotheses to be tested about previously unrecognised adverse reactions and interactions. Occasionally they are sufficient evidence in themselves. They can also identify prescribing practices that might increase the potential for ADRs to occur and provide feedback into guidelines in terms of the consequences of their use or non-use. Well-documented ADR reports can also highlight risk factors, thus providing a valuable contribution to risk benefit assessments in individual patients. Examples are discussed that support the use of ADRs as practice-based evidence in a non-hierarchical system in which case reports and case series, observational studies and randomised clinical trials contribute in a flexible relationship depending on the issue under investigation.
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spelling doaj.art-2d7925d4ba9c42bb9d1c796fec06a3822022-12-22T03:24:10ZengCSIRO PublishingJournal of Primary Health Care1172-61641172-61562013-06-0152170173The New Zealand Centre for Adverse Reactions Monitoring: a source of practice-based evidenceSavage RThe database of the New Zealand Centre for Adverse Reactions Monitoring (CARM) is an example of the practice-based evidence discussed in the June issue of the Journal of Primary Health Care. Databases of reported adverse drug reactions (ADRs) were established to generate hypotheses to be tested about previously unrecognised adverse reactions and interactions. Occasionally they are sufficient evidence in themselves. They can also identify prescribing practices that might increase the potential for ADRs to occur and provide feedback into guidelines in terms of the consequences of their use or non-use. Well-documented ADR reports can also highlight risk factors, thus providing a valuable contribution to risk benefit assessments in individual patients. Examples are discussed that support the use of ADRs as practice-based evidence in a non-hierarchical system in which case reports and case series, observational studies and randomised clinical trials contribute in a flexible relationship depending on the issue under investigation.http://www.rnzcgp.org.nz/assets/documents/Publications/JPHC/June-2013/JPHCViewpointSavageJune2013.pdf
spellingShingle Savage R
The New Zealand Centre for Adverse Reactions Monitoring: a source of practice-based evidence
Journal of Primary Health Care
title The New Zealand Centre for Adverse Reactions Monitoring: a source of practice-based evidence
title_full The New Zealand Centre for Adverse Reactions Monitoring: a source of practice-based evidence
title_fullStr The New Zealand Centre for Adverse Reactions Monitoring: a source of practice-based evidence
title_full_unstemmed The New Zealand Centre for Adverse Reactions Monitoring: a source of practice-based evidence
title_short The New Zealand Centre for Adverse Reactions Monitoring: a source of practice-based evidence
title_sort new zealand centre for adverse reactions monitoring a source of practice based evidence
url http://www.rnzcgp.org.nz/assets/documents/Publications/JPHC/June-2013/JPHCViewpointSavageJune2013.pdf
work_keys_str_mv AT savager thenewzealandcentreforadversereactionsmonitoringasourceofpracticebasedevidence
AT savager newzealandcentreforadversereactionsmonitoringasourceofpracticebasedevidence