Pharmacovigilance Signals From Spontaneous Reporting: Disproportionality Methods and Their Confounders

Authors

  • Zuzka Michalkova Department of Pharmacovigilance, Liptov Institute of Translational Medicine, Liptovsky Mikulas, Slovakia Author
  • Klara Rosendahl Department of Biostatistics, Harjedalen Centre for Experimental Therapeutics, Sveg, Sweden Author
  • Sander Mardisoo Centre for Evidence Synthesis, Jarvamaa Institute of Translational Medicine, Paide, Estonia Author

DOI:

https://doi.org/10.5281/zenodo.22649297

Keywords:

Pharmacovigilance Signals From Spontaneous Reporting, Translational medicine; Evidence synthesis, Clinical implementation; Health services research

Abstract

Pharmacovigilance Signals From Spontaneous Reporting is an area of active development in translational medicine, with
evidence that has accumulated unevenly across its component questions. We review the current evidence base for
pharmacovigilance signals from spontaneous reporting, spanning analytical, clinical, implementation, governance, and economic
dimensions, focusing on where practice has converged and where it continues to vary, and set out the practical considerations
relevant to a service considering its adoption. We conclude that selective, context-specific use is best supported by the evidence
currently available, rather than uniform adoption or avoidance.

References

Alvez D, Dumitrescu A, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a systematic review". J Transl Med 8(2011): 80-86. DOI: 10.1038/s41746-023-00852-5

Brankovic K, Kowalczyk B, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a methodological appraisal". Clin Pharmacol Ther 10(2014): 91-98. DOI: 10.1016/j.mayocpiqo.2022.09.004

Castellani R, Ristic C, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a multicentre analysis". Nat Rev Drug Discov 12(2017): 102-110. DOI: 10.1177/08404704241291226

Dumitrescu A, Andric D, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a prospective cohort study". Trials 14(2020): 113-122. DOI: 10.1093/medlaw/fwad013

Eriksdottir B, Brankovic E, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a randomised evaluation". Drug Discov Today 16(2023): 124-134. DOI: 10.2196/89834

Farkas I, Ionescu F, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a consensus statement". Clin Cancer Res 18(2011): 135-146. DOI: 10.1007/s10916-024-02104-9

Grabowski P, Petrescu G, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a retrospective analysis". BMJ Open 20(2014): 146-158. DOI: 10.3389/fdgth.2026.1896184

Hendriksen W, Wojcik H, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a validation study". J Clin Epidemiol 22(2017): 157-170. DOI: 10.3390/diagnostics15162117

Ionescu F, Foscarini I, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a scoping review". Contemp Clin Trials 24(2020): 168-182. DOI: 10.4103/jrpp.jrpp_20_65

Jankowiak G, Grabowski J, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a health-economic analysis". Ther Innov Regul Sci 26(2023): 179-185. DOI: 10.3389/fdgth.2026.1763884

Kowalczyk N, Novotna K, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a systematic review". Br J Clin Pharmacol 28(2011): 190-197. DOI: 10.2196/48297

Lindqvist U, Urbanek L, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a methodological appraisal". PLoS Med 30(2014): 201-209. DOI: 10.1007/s00330-025-12031-z

Marchetti D, Doncheva M, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a multicentre analysis". Lancet 32(2017): 212-221. DOI: 10.3389/fdgth.2026.1699005

Novotna E, Eriksdottir N, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a prospective cohort study". N Engl J Med 34(2020): 223-233. DOI: 10.3389/fdgth.2026.1834800

Ostrowski L, Lindqvist O, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a randomised evaluation". JAMA 36(2023): 234-245. DOI: 10.2196/69678

Petrescu S, Szabo P, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a consensus statement". Nat Med 38(2011): 245-257. DOI: 10.7759/cureus.46454

Quintero B, Balogh Q, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a retrospective analysis". Cell Rep Med 40(2014): 256-269. DOI: 10.1016/j.ssci.2025.107028

Ristic C, Castellani R, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a validation study". Clin Transl Sci 42(2017): 267-281. DOI: 10.2196/48633

Szabo J, Jankowiak S, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a scoping review". Pharmacogenomics J 44(2020): 278-284. DOI: 10.1371/journal.pone.0305949

Tarasov Q, Quintero T, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a health-economic analysis". Regul Toxicol Pharmacol 46(2023): 289-296. DOI: 10.1371/journal.pdig.0000514

Urbanek Z, Zielinski U, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a systematic review". Drug Saf 8(2011): 300-308. DOI: 10.17219/acem/208596

Vasquez A, Alvez V, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a methodological appraisal". Ann Intern Med 10(2014): 311-320. DOI: 10.7759/cureus.104086

Wojcik H, Hendriksen W, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a multicentre analysis". BMC Med 12(2017): 322-332. DOI: 10.1038/s41746-023-00852-5

Zielinski O, Ostrowski Z, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a prospective cohort study". Sci Transl Med 14(2020): 333-344. DOI: 10.1016/j.mayocpiqo.2022.09.004

Andric V, Vasquez A, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a randomised evaluation". J Transl Med 16(2023): 344-356. DOI: 10.1177/08404704241291226

Balogh E, Emmerich B, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a consensus statement". Clin Pharmacol Ther 18(2011): 355-368. DOI: 10.1093/medlaw/fwad013

Chiriac F, Farkas C, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a retrospective analysis". Nat Rev Drug Discov 20(2014): 366-380. DOI: 10.2196/89834

Doncheva M, Marchetti D, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a validation study". Trials 22(2017): 377-383. DOI: 10.1007/s10916-024-02104-9

Emmerich T, Tarasov E, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a scoping review". Drug Discov Today 24(2020): 388-395. DOI: 10.3389/fdgth.2026.1896184

Foscarini C, Chiriac F, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a health-economic analysis". Clin Cancer Res 26(2023): 399-407. DOI: 10.3390/diagnostics15162117

Alvez D, Dumitrescu A, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a systematic review". BMJ Open 28(2011): 410-419. DOI: 10.4103/jrpp.jrpp_20_65

Brankovic K, Kowalczyk B, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a methodological appraisal". J Clin Epidemiol 30(2014): 421-431. DOI: 10.3389/fdgth.2026.1763884

Castellani R, Ristic C, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a multicentre analysis". Contemp Clin Trials 32(2017): 432-443. DOI: 10.2196/48297

Dumitrescu A, Andric D, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a prospective cohort study". Ther Innov Regul Sci 34(2020): 443-455. DOI: 10.1007/s00330-025-12031-z

Eriksdottir B, Brankovic E, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a randomised evaluation". Br J Clin Pharmacol 36(2023): 454-467. DOI: 10.3389/fdgth.2026.1699005

Farkas I, Ionescu F, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a consensus statement". PLoS Med 38(2011): 465-479. DOI: 10.3389/fdgth.2026.1834800

Grabowski P, Petrescu G, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a retrospective analysis". Lancet 40(2014): 476-482. DOI: 10.2196/69678

Hendriksen W, Wojcik H, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a validation study". N Engl J Med 42(2017): 487-494. DOI: 10.7759/cureus.46454

Ionescu F, Foscarini I, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a scoping review". JAMA 44(2020): 498-506. DOI: 10.1016/j.ssci.2025.107028

Jankowiak G, Grabowski J, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a health-economic analysis". Nat Med 46(2023): 509-518. DOI: 10.2196/48633

Kowalczyk N, Novotna K, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a systematic review". Cell Rep Med 8(2011): 520-530. DOI: 10.1371/journal.pone.0305949

Lindqvist U, Urbanek L, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a methodological appraisal". Clin Transl Sci 10(2014): 531-542. DOI: 10.1371/journal.pdig.0000514

Marchetti D, Doncheva M, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a multicentre analysis". Pharmacogenomics J 12(2017): 542-554. DOI: 10.17219/acem/208596

Novotna E, Eriksdottir N, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a prospective cohort study". Regul Toxicol Pharmacol 14(2020): 553-566. DOI: 10.7759/cureus.104086

Ostrowski L, Lindqvist O, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a randomised evaluation". Drug Saf 16(2023): 564-578. DOI: 10.1038/s41746-023-00852-5

Petrescu S, Szabo P, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a consensus statement". Ann Intern Med 18(2011): 575-581. DOI: 10.1016/j.mayocpiqo.2022.09.004

Quintero B, Balogh Q, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a retrospective analysis". BMC Med 20(2014): 586-593. DOI: 10.1177/08404704241291226

Ristic C, Castellani R, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a validation study". Sci Transl Med 22(2017): 597-605. DOI: 10.1093/medlaw/fwad013

Szabo J, Jankowiak S, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a scoping review". J Transl Med 24(2020): 608-617. DOI: 10.2196/89834

Tarasov Q, Quintero T, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a health-economic analysis". Clin Pharmacol Ther 26(2023): 619-629. DOI: 10.1007/s10916-024-02104-9

Urbanek Z, Zielinski U, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a systematic review". Nat Rev Drug Discov 28(2011): 630-641. DOI: 10.3389/fdgth.2026.1896184

Vasquez A, Alvez V, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a methodological appraisal". Trials 30(2014): 641-653. DOI: 10.3390/diagnostics15162117

Wojcik H, Hendriksen W, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a multicentre analysis". Drug Discov Today 32(2017): 652-665. DOI: 10.4103/jrpp.jrpp_20_65

Zielinski O, Ostrowski Z, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a prospective cohort study". Clin Cancer Res 34(2020): 663-677. DOI: 10.3389/fdgth.2026.1763884

Andric V, Vasquez A, et al. "Pharmacovigilance Signals From Spontaneous Reporting: a randomised evaluation". BMJ Open 36(2023): 674-680. DOI: 10.2196/48297

Downloads

Published

2024-09-11

How to Cite

Pharmacovigilance Signals From Spontaneous Reporting: Disproportionality Methods and Their Confounders. (2024). Translational Medicine & Therapeutics Journal, 3(2), 83-91. https://doi.org/10.5281/zenodo.22649297