Signalling paediatric side effects using an ensemble of simple study designs

Background: Children are frequently prescribed medication `o-label', meaning there has not been sucient testing of the medication to determine its safety or eectiveness. The main reason this safety knowledge is lacking is due to ethical restrictions that prevent children from being included in...

Full description

Bibliographic Details
Main Authors: Reps, Jenna M., Garibaldi, Jonathan M., Aickelin, Uwe, Soria, Daniele, Gibson, Jack E., Hubbard, Richard B.
Format: Article
Published: Springer 2014
Subjects:
Online Access:https://eprints.nottingham.ac.uk/3356/
_version_ 1848791022456274944
author Reps, Jenna M.
Garibaldi, Jonathan M.
Aickelin, Uwe
Soria, Daniele
Gibson, Jack E.
Hubbard, Richard B.
author_facet Reps, Jenna M.
Garibaldi, Jonathan M.
Aickelin, Uwe
Soria, Daniele
Gibson, Jack E.
Hubbard, Richard B.
author_sort Reps, Jenna M.
building Nottingham Research Data Repository
collection Online Access
description Background: Children are frequently prescribed medication `o-label', meaning there has not been sucient testing of the medication to determine its safety or eectiveness. The main reason this safety knowledge is lacking is due to ethical restrictions that prevent children from being included in the majority of clinical trials. Methods: Multiple measures of association are calculated for each drug and medical event pair and these are used as features that are fed into a classifier to determine the likelihood of the drug and medical event pair corresponding to an adverse drug reaction. The classier is trained using known adverse drug reactions or known non-adverse drug reaction relationships. Results: The novel ensemble framework obtained a false positive rate of 0:149, a sensitivity of 0:547 and a specificity of 0:851 when implemented on a reference set of drug and medical event pairs. The novel framework consistently outperformed each individual simple study design. Conclusion: This research shows that it is possible to exploit the mechanism of causality and presents a framework for signalling adverse drug reactions eectively.
first_indexed 2025-11-14T18:21:54Z
format Article
id nottingham-3356
institution University of Nottingham Malaysia Campus
institution_category Local University
last_indexed 2025-11-14T18:21:54Z
publishDate 2014
publisher Springer
recordtype eprints
repository_type Digital Repository
spelling nottingham-33562020-05-04T16:42:32Z https://eprints.nottingham.ac.uk/3356/ Signalling paediatric side effects using an ensemble of simple study designs Reps, Jenna M. Garibaldi, Jonathan M. Aickelin, Uwe Soria, Daniele Gibson, Jack E. Hubbard, Richard B. Background: Children are frequently prescribed medication `o-label', meaning there has not been sucient testing of the medication to determine its safety or eectiveness. The main reason this safety knowledge is lacking is due to ethical restrictions that prevent children from being included in the majority of clinical trials. Methods: Multiple measures of association are calculated for each drug and medical event pair and these are used as features that are fed into a classifier to determine the likelihood of the drug and medical event pair corresponding to an adverse drug reaction. The classier is trained using known adverse drug reactions or known non-adverse drug reaction relationships. Results: The novel ensemble framework obtained a false positive rate of 0:149, a sensitivity of 0:547 and a specificity of 0:851 when implemented on a reference set of drug and medical event pairs. The novel framework consistently outperformed each individual simple study design. Conclusion: This research shows that it is possible to exploit the mechanism of causality and presents a framework for signalling adverse drug reactions eectively. Springer 2014-03-01 Article PeerReviewed Reps, Jenna M., Garibaldi, Jonathan M., Aickelin, Uwe, Soria, Daniele, Gibson, Jack E. and Hubbard, Richard B. (2014) Signalling paediatric side effects using an ensemble of simple study designs. Drug Safety, 37 (3). pp. 163-170. ISSN 0114-5916 Biomedical Informatics Data Mining http://link.springer.com/article/10.1007/s40264-014-0137-z doi:10.1007/s40264-014-0137-z doi:10.1007/s40264-014-0137-z
spellingShingle Biomedical Informatics
Data Mining
Reps, Jenna M.
Garibaldi, Jonathan M.
Aickelin, Uwe
Soria, Daniele
Gibson, Jack E.
Hubbard, Richard B.
Signalling paediatric side effects using an ensemble of simple study designs
title Signalling paediatric side effects using an ensemble of simple study designs
title_full Signalling paediatric side effects using an ensemble of simple study designs
title_fullStr Signalling paediatric side effects using an ensemble of simple study designs
title_full_unstemmed Signalling paediatric side effects using an ensemble of simple study designs
title_short Signalling paediatric side effects using an ensemble of simple study designs
title_sort signalling paediatric side effects using an ensemble of simple study designs
topic Biomedical Informatics
Data Mining
url https://eprints.nottingham.ac.uk/3356/
https://eprints.nottingham.ac.uk/3356/
https://eprints.nottingham.ac.uk/3356/