Literature DB >> 26590975

A Multiagent System for Integrated Detection of Pharmacovigilance Signals.

Vassilis Koutkias1,2,3, Marie-Christine Jaulent4,5,6.   

Abstract

Pharmacovigilance is the scientific discipline that copes with the continuous assessment of the safety profile of marketed drugs. This assessment relies on diverse data sources, which are routinely analysed to identify the so-called "signals", i.e. potential associations between drugs and adverse effects, that are unknown or incompletely documented. Various computational methods have been proposed to support domain experts in signal detection. However, recent comparative studies illustrated that current methods exhibit high false-positive rates, significantly variable performance across different datasets used for analysis and events of interest, but also complementarity in their outcomes. In this regard, in order to reinforce accurate and timely signal detection, we elaborated through an agent-based approach towards systematic, joint exploitation of multiple heterogeneous signal detection methods, data sources and other drug-related resources under a common, integrated framework. The approach relies on a multiagent system operating based on a collaborative agent interaction protocol, aiming to implement a comprehensive workflow that comprises of method selection and execution, as well as outcomes' aggregation, filtering, ranking and annotation. This paper presents the design of the proposed multiagent system, discusses implementation issues and demonstrates the applicability of the proposed solution in an example signal detection scenario. This work constitutes a step towards large-scale, integrated and knowledge-intensive computational signal detection.

Keywords:  Aggregation and reasoning scheme; Computational signal detection methods; Heterogeneous data sources; Multiagent system; Pharmacovigilance

Mesh:

Year:  2015        PMID: 26590975     DOI: 10.1007/s10916-015-0378-0

Source DB:  PubMed          Journal:  J Med Syst        ISSN: 0148-5598            Impact factor:   4.460


  32 in total

Review 1.  Utilizing social media data for pharmacovigilance: A review.

Authors:  Abeed Sarker; Rachel Ginn; Azadeh Nikfarjam; Karen O'Connor; Karen Smith; Swetha Jayaraman; Tejaswi Upadhaya; Graciela Gonzalez
Journal:  J Biomed Inform       Date:  2015-02-23       Impact factor: 6.317

2.  Use of triage strategies in the WHO signal-detection process.

Authors:  Marie Lindquist
Journal:  Drug Saf       Date:  2007       Impact factor: 5.606

Review 3.  Evaluating medicines: let's use all the evidence.

Authors:  Chris W Kelman; Sallie-Anne Pearson; Richard O Day; C D'Arcy J Holman; Erich V Kliewer; David A Henry
Journal:  Med J Aust       Date:  2007-03-05       Impact factor: 7.738

4.  Empirical performance of the self-controlled case series design: lessons for developing a risk identification and analysis system.

Authors:  Marc A Suchard; Ivan Zorych; Shawn E Simpson; Martijn J Schuemie; Patrick B Ryan; David Madigan
Journal:  Drug Saf       Date:  2013-10       Impact factor: 5.606

Review 5.  Agents applied in health care: A review.

Authors:  David Isern; David Sánchez; Antonio Moreno
Journal:  Int J Med Inform       Date:  2010-02-02       Impact factor: 4.046

6.  Combing signals from spontaneous reports and electronic health records for detection of adverse drug reactions.

Authors:  Rave Harpaz; Santiago Vilar; William Dumouchel; Hojjat Salmasian; Krystl Haerian; Nigam H Shah; Herbert S Chase; Carol Friedman
Journal:  J Am Med Inform Assoc       Date:  2012-10-31       Impact factor: 4.497

7.  Designing an architectural style for dynamic medical Cross-Organizational Workflow management system: an approach based on agents and web services.

Authors:  Lotfi Bouzguenda; Manel Turki
Journal:  J Med Syst       Date:  2014-03-29       Impact factor: 4.460

8.  Performance of pharmacovigilance signal-detection algorithms for the FDA adverse event reporting system.

Authors:  R Harpaz; W DuMouchel; P LePendu; A Bauer-Mehren; P Ryan; N H Shah
Journal:  Clin Pharmacol Ther       Date:  2013-02-11       Impact factor: 6.875

9.  A side effect resource to capture phenotypic effects of drugs.

Authors:  Michael Kuhn; Monica Campillos; Ivica Letunic; Lars Juhl Jensen; Peer Bork
Journal:  Mol Syst Biol       Date:  2010-01-19       Impact factor: 11.429

10.  Signal detection on spontaneous reports of adverse events following immunisation: a comparison of the performance of a disproportionality-based algorithm and a time-to-onset-based algorithm.

Authors:  Lionel van Holle; Vincent Bauchau
Journal:  Pharmacoepidemiol Drug Saf       Date:  2013-09-09       Impact factor: 2.890

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