Causality assessment of adverse reactions to drugs--I. A novel method based on the conclusions of international consensus meetings: application to drug-induced liver injuries.

Abstract:

:Despite the great number of methods proposed, assessing the causal role of a drug in the occurrence of an adverse medical event remains one of the most controversial issues. Qualifying terms for criteria, such as "compatible", "suggestive" of "inconclusive", have never been strictly defined, leading to low reproducibility. Weights of the criteria are usually not adapted to the injured organ, decreasing the specificity of the method. In this paper, a new method for drug causality assessment is described. Contents and limits of the criteria have been defined by experts convened to organ-oriented international consensus meetings. Additional criteria have been introduced and weights attributed. The method was applied to reports of acute liver injuries. The reproducibility was tested by an independent team. The validity of this novel method is studied in the following paper, based on an original approach using reports with positive rechallenge as external standard.

journal_name

J Clin Epidemiol

authors

Danan G,Benichou C

doi

10.1016/0895-4356(93)90101-6

subject

Has Abstract

pub_date

1993-11-01 00:00:00

pages

1323-30

issue

11

eissn

0895-4356

issn

1878-5921

pii

0895-4356(93)90101-6

journal_volume

46

pub_type

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