Capturing Pediatric Health and Medication Use in a US National Health Data Network.

IF 2.4 4区 医学 Q3 PHARMACOLOGY & PHARMACY
Ashley I Michnick, Kimberly Barrett, Gifty Brisbane, Samuel McGown, Sampada Nandyala, Emmanuel Ojo, Bahareh Rasouli, Katherine E Round, Samantha Smith, Judith C Maro, José J Hernández-Muñoz
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Abstract

Background: Assessing medication safety in the pediatric population can take many forms, but given the shortcomings of traditional methods, there has been a shift toward leveraging real-world data to bolster these efforts.

Objectives: To characterize demographics, enrollment, and health characteristics among pediatric members in the Sentinel Distributed Database (SDD).

Methods: Using administrative healthcare data from the SDD between January 1, 2000, and May 8, 2023, we used descriptive statistics to characterize the demographics, enrollment, and select health characteristics of pediatric members in the following age groups: 29 days-< 24 months (infants), 2-< 6 years (young children), 6 -< 12 years (older children), 12-< 18 years (early adolescents), and 18-21 years (late adolescents).

Results: Older children (6-< 12 years of age) represented the largest pediatric age group in the SDD, with over 46 million members, though there were between 27.5 and 45.4 million members in each of the other age groups as well. Estimates of common health conditions and medication use were in line with current national estimates.

Conclusions: The FDA's Sentinel Distributed Database accurately captures key aspects of pediatric health and can be used as an adjunct to current methods to assess and monitor the safety of approved medical products in the pediatric United States population.

在美国国家健康数据网络中获取儿童健康和药物使用。
背景:评估儿科人群的药物安全性可以采取多种形式,但鉴于传统方法的缺点,已经转向利用现实世界的数据来支持这些努力。目的:在Sentinel分布式数据库(SDD)中描述儿科成员的人口统计学特征、入组情况和健康特征。方法:使用2000年1月1日至2023年5月8日期间SDD的行政保健数据,我们使用描述性统计来描述以下年龄组儿科成员的人口统计学、入组和选择健康特征:FDA的Sentinel分布式数据库准确地捕获了儿童健康的关键方面,可以作为当前方法的辅助,用于评估和监测美国儿科人群中批准的医疗产品的安全性。
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来源期刊
CiteScore
4.80
自引率
7.70%
发文量
173
审稿时长
3 months
期刊介绍: The aim of Pharmacoepidemiology and Drug Safety is to provide an international forum for the communication and evaluation of data, methods and opinion in the discipline of pharmacoepidemiology. The Journal publishes peer-reviewed reports of original research, invited reviews and a variety of guest editorials and commentaries embracing scientific, medical, statistical, legal and economic aspects of pharmacoepidemiology and post-marketing surveillance of drug safety. Appropriate material in these categories may also be considered for publication as a Brief Report. Particular areas of interest include: design, analysis, results, and interpretation of studies looking at the benefit or safety of specific pharmaceuticals, biologics, or medical devices, including studies in pharmacovigilance, postmarketing surveillance, pharmacoeconomics, patient safety, molecular pharmacoepidemiology, or any other study within the broad field of pharmacoepidemiology; comparative effectiveness research relating to pharmaceuticals, biologics, and medical devices. Comparative effectiveness research is the generation and synthesis of evidence that compares the benefits and harms of alternative methods to prevent, diagnose, treat, and monitor a clinical condition, as these methods are truly used in the real world; methodologic contributions of relevance to pharmacoepidemiology, whether original contributions, reviews of existing methods, or tutorials for how to apply the methods of pharmacoepidemiology; assessments of harm versus benefit in drug therapy; patterns of drug utilization; relationships between pharmacoepidemiology and the formulation and interpretation of regulatory guidelines; evaluations of risk management plans and programmes relating to pharmaceuticals, biologics and medical devices.
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