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Are consumers ready to take part in the Pharmacovigilance System?—a Portuguese preliminary study concerning ADR reporting

  • Pharmacoepidemiology and Prescription
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European Journal of Clinical Pharmacology Aims and scope Submit manuscript

Abstract

Background

New pharmacovigilance legislation allows consumers to report adverse drug reactions (ADRs) directly to competent authorities in all European Union countries. Consumer reporting is available in Portugal since July 2012. In 2013, the National Pharmacovigilance System (SNF) had received 3461 spontaneous ADR reports, of which only 1.4 % (n = 50) were from consumers. Consumer reporting could be one opportunity to reduce underreporting.

Aim

The aim of this study was to describe the attitudes and knowledge of the general public regarding spontaneous reporting and the reasons and opinions that can influence consumers’ ADR underreporting.

Methods

A descriptive-correlational study was performed looking for consumers’ attitudes and knowledge regarding spontaneous reporting. A 6-month survey was conducted from June to November 2013 in general adult consumers from a community pharmacy in Coimbra, Portugal, who used prescribed medicines or over-the-counter (OTC) drugs. Attitudes and opinions were surveyed by personal interview in a closed-answer questionnaire using a Likert scale. Questionnaires from healthcare professionals or incomplete ones were not considered. Data were analyzed using descriptive statistics, chi-square (χ 2) tests, and Spearman’s correlation coefficients.

Results

One thousand eighty-four questionnaires were collected (response rate of 81.1 %) and 948 completed were selected for analysis. Of the respondents, 44.1 % never heard about SNF. Younger people and those with a higher education were significantly more likely to be aware of SNF. Only one consumer had previously reported directly an ADR. Reporting ADRs indirectly through a healthcare professional (HCP) was preferred by 62.4 %. The main reasons for consumers reporting spontaneous ADR would be the severity of reactions (81.1 % agreed or strongly agreed) and worries about their situation (73.4 % agreed or strongly agreed). Only weak and moderate correlations were found between studied statements..

Conclusions

Consumers are more likely to do spontaneous report about severe reactions or if they are worried about the symptoms. Tailored and proactive information on ADR reporting and educational interventions on consumers could increase the number of reports from consumers in Portugal.

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References

  1. Herdeiro MT, Figueiras A, Polónia J, Gestal-Otero J (2006) Influence of pharmacists’ attitudes on adverse drug reaction reporting. Drug Saf 29(4):331–340

    Article  PubMed  Google Scholar 

  2. Pal SN, Duncombe C, Falzon D, Olsson S (2013) WHO strategy for collecting safety data in public health programmes: complementing spontaneous reporting systems. Drug Saf 36(2):75–81

    Article  PubMed Central  PubMed  Google Scholar 

  3. EC. Directive 2010/84/EU of the European Parliament and of the Council of 15 December 2010 amending, as regards pharmacovigilance. Directive 2001/83/EC on the Community code relating to medicinal products for human us [online]. Available from URL: http://eur-lex.europa.eu/LexUriServ/LexUriServ.douri=OJ:L:2010:348:0074:0099:EN:PDF [Accessed 2011 May 30], 2010.

  4. Aagaard L, Nielsen LH, Hansen EH (2009) Consumer reporting of adverse drug reactions: a retrospective analysis of the Danish adverse drug reaction database from 2004 to 2006. Drug Saf 32(11):1067–1074

    Article  PubMed  Google Scholar 

  5. van Hunsel FPAM (2011) The contribution of direct patient reporting to pharmacovigilance

    Google Scholar 

  6. Avery AJ, Anderson C, Bond C, Fortnum H, Gifford A, Hannaford P, et al. (2011) Evaluation of patient reporting of adverse drug reactions to the UK 'Yellow Card Scheme': literature review, descriptive and qualitative analyses, and questionnaire surveys: Prepress Projects Limited

    Google Scholar 

  7. Blenkinsopp A, Wilkie P, Wang M, Routledge P (2006) Patient reporting of suspected adverse drug reactions: a review of published literature and international experience. Br J Clin Pharmacol 63(2):148–156

    Article  PubMed Central  Google Scholar 

  8. Hazell L, Cornelius V, Hannaford P, Shakir S, Avery AJ (2013) How do patients contribute to signal detection? Drug Saf 1-8

  9. van Hunsel F, Talsma A, van Puijenbroek E, de Jong-van den Berg L, van Grootheest K. The proportion of patient reports of suspected ADRs to signal detection in the Netherlands: case–control study. Pharmacoepidemiol Drug Saf. 2011;20(3):286-291.

  10. Marques J, Ribeiro-Vaz I, Pereira AC, Polónia J (2013) A survey of spontaneous reporting of adverse drug reactions in 10 years of activity in a pharmacovigilance centre in Portugal. Int J Pharm Pract

  11. Anderson C, Krska J, Murphy E, Avery A (2011) The importance of direct patient reporting of suspected adverse drug reactions: a patient perspective. Br J Clin Pharmacol 72(5):806–822

    Article  PubMed Central  PubMed  Google Scholar 

  12. Fortnum H, Lee A, Rupnik B, Avery A (2012) Survey to assess public awareness of patient reporting of adverse drug reactions in Great Britain. J Clin Pharm Ther 37(2):161–165

    Article  CAS  PubMed  Google Scholar 

  13. McLernon DJ, Bond CM, Lee AJ, Watson MC, Hannaford PC, Fortnum H, et al. (2011) Patient views and experiences of making adverse drug reaction reports to the Yellow Card Scheme in the UK. Pharmacoepidemiol Drug Saf 20(5):523–531

    Article  PubMed  Google Scholar 

  14. van Hunsel F, van der Welle C, Passier A, van Puijenbroek E, van Grootheest K (2010) Motives for reporting adverse drug reactions by patient-reporters in the Netherlands. Eur J Clin Pharmacol 66(11):1143–1150

    Article  PubMed Central  PubMed  Google Scholar 

  15. Cohen J (1988) Statistical power analysis for the behavioral sciences

    Google Scholar 

  16. Inman W (1996) Attitudes to adverse drug reaction reporting. Br J Clin Pharmacol 41(5):434

    CAS  PubMed  Google Scholar 

  17. INFARMED. Relatório anual 2013 - Notificações e Casos de RAM recebidos no SNF (Sistema Nacional de Farmacovigilância). 2014.

  18. INFARMED. Relatório anual 2012 - Notificações e Casos de RAM recebidos no SNF (Sistema Nacional de Farmacovigilância). 2013.

  19. Ekman E, Bäckström M (2009) Attitudes among hospital physicians to the reporting of adverse drug reactions in Sweden. Eur J Clin Pharmacol 65(1):43–46

    Article  PubMed  Google Scholar 

  20. Hasford J, Goettler M, Munter K-H, Müller-Oerlinghausen B (2002) Physicians’ knowledge and attitudes regarding the spontaneous reporting system for adverse drug reactions. J Clin Epidemiol 55(9):945–950

    Article  CAS  PubMed  Google Scholar 

  21. Belton K (1997) Attitude survey of adverse drug-reaction reporting by health care professionals across the European Union. Eur J Clin Pharmacol 52(6):423–427

    Article  CAS  PubMed  Google Scholar 

  22. Herdeiro MT, Figueiras A, Polónia J, Gestal-Otero JJ (2005) Physicians’ attitudes and adverse drug reaction reporting. Drug Saf 28(9):825–833

    Article  PubMed  Google Scholar 

  23. Herdeiro MT, Ribeiro-Vaz I, Ferreira M, Polónia J, Falcão A, Figueiras A (2012) Workshop- and telephone-based interventions to improve adverse drug reaction reporting. Drug Saf 35(8):655–665

    Article  PubMed  Google Scholar 

  24. Lopez-Gonzalez E, Herdeiro MT, Figueiras A (2009) Determinants of under-reporting of adverse drug reactions. Drug Saf 32(1):19–31

    Article  CAS  PubMed  Google Scholar 

  25. Ribeiro-Vaz I, Herdeiro MT, Polónia J, Figueiras A (2011) Strategies to increase the sensitivity of pharmacovigilance in Portugal. Rev Saude Publica 45(1):129–135

    Article  PubMed  Google Scholar 

  26. Van Grootheest AC (2003) Improving pharmacovigilance and the role of the pharmacist: Centre Lareb

    Google Scholar 

  27. Bäckström M, Mjörndal T, Dahlqvist R, Nordkvist-Olsson T (2000) Attitudes to reporting adverse drug reactions in northern Sweden. Eur J Clin Pharmacol 56(9-10):729–732

    Article  PubMed  Google Scholar 

  28. Biriell C, Edwards IR (1997) Reasons for reporting adverse drug reactions—some thoughts based on an international review. Pharmacoepidemiol Drug Saf 6(1):21–26

    Article  CAS  PubMed  Google Scholar 

  29. Golomb BA, McGraw JJ, Evans MA, Dimsdale JE (2007) Physician response to patient reports of adverse drug effects. Drug Saf 30(8):669–675

    Article  PubMed  Google Scholar 

  30. Frankenfeld C (2004) “Serious” and “severe” adverse drug reactions need defining. BMJ 329(7465):573

    Article  PubMed Central  PubMed  Google Scholar 

  31. Rolfes L, Hunsel F, Wilkes S, Grootheest Kv, Puijenbroek Ev. Adverse drug reaction reports of patients and healthcare professionals—differences in reported information. Pharmacoepidemiol Drug Saf. 2014.

  32. Cohen J (2013) Statistical power analysis for the behavioral sciences. Routledge Academic

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Acknowledgments

No sources of funding were used to assist in the preparation of this manuscript.

Conflict of interest

The authors declare that they have no competing interests.

Author Contributions

All authors conceived and designed the study protocol.

Matos C. conducted the study, has collected and analyzed the data, and was the primary author of the manuscript.

Van Hunsel F. and Joaquim J. were the supervisors of the study and assisted with the manuscript preparation.

All authors contributed to the study design discussions and revision of the manuscript and gave the approval of final versions.

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Correspondence to Cristiano Matos.

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Matos, C., van Hunsel, F. & Joaquim, J. Are consumers ready to take part in the Pharmacovigilance System?—a Portuguese preliminary study concerning ADR reporting. Eur J Clin Pharmacol 71, 883–890 (2015). https://doi.org/10.1007/s00228-015-1867-2

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  • DOI: https://doi.org/10.1007/s00228-015-1867-2

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