不良反应信号挖掘流程.pdf

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不良反应信号挖掘流程

Adversedrugreactions(ADRs)areasignificantconcern

inhealthcareastheycanleadtopatientharm,increased

healthcarecosts,andregulatoryissues.Therefore,itis

crucialtohaveaneffectiveprocessfordetectingand

monitoringADRsignals.Inthisresponse,Iwilldiscuss

theproblemofADRsignalminingandoutlinethe

requirementsforanefficientADRsignalminingworkflow.

ADRscanarisefromvarioussources,includingclinical

trials,post-marketingsurveillance,andspontaneous

reportingsystems.ThefirststepintheADRsignalmining

processisdatacollection.Thisinvolvesgathering

informationfromdiversesources,suchaselectronichealth

records,patientreports,andsocialmediaplatforms.The

collecteddatashouldbecomprehensiveandcoverawide

rangeofpatientpopulationsanddrugexposures.

Oncethedataiscollected,thenextstepisdata

preprocessing.Thisinvolvescleaningthedata,removing

duplicates,andstandardizingtheformat.Itisimportant

toensuredataqualityandintegritytominimizefalse

signalsandimprovetheaccuracyoftheanalysis.

Additionally,datapreprocessingmayinvolvecodingthe

reportedadverseeventsusingstandardizedmedical

terminology,suchastheMedicalDictionaryforRegulatory

Activities(MedDRA).

Afterdatapreprocessing,thedataisreadyfor

analysis.Variousstatisticalanddataminingtechniques

canbeemployedtoidentifypotentialADRsignals.One

commonlyusedapproachisdisproportionalityanalysis,

whichcomparestheobservednumberofADRreportsfora

specificdrug-eventcombinationwiththeexpectednumber

basedonbackgroundrates.Othermethodsincludetime-to-

onsetanalysis,whichexaminesthetemporalrelationship

betweendrugexposureandtheonsetofadverseevents,and

signaldetectionalgorithms,suchastheBayesian

ConfidencePropagationNeuralNetwork(BCPNN).

OncepotentialADRsigna

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