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Large collections of electronic patient records provide a vast but still underutilised source of information on the real world use of medicines. They are maintained primarily for the purpose of patient administration, but contain a broad range of clinical information highly relevant for data analysis. While they are a standard resource for epidemiological(More)
The WHO Collaborating Centre for International Drug Monitoring in Uppsala, Sweden, maintains and analyses the world's largest database of reports on suspected adverse drug reaction (ADR) incidents that occur after drugs are on the market. The presence of duplicate case reports is an important data quality problem and their detection remains a formidable(More)
We introduce a novel pattern discovery methodology for event history data focusing explicitly on the detailed temporal relationship between pairs of events. At the core is a graphical statistical approach to summarising and visualising event history data, which contrasts the observed to the expected incidence of the event of interest before and after an(More)
OBJECTIVE The purpose of this study was to investigate regional structural abnormalities in the brains of five patients with refractory obsessive-compulsive disorder (OCD) submitted to gamma ventral capsulotomy. METHODS We acquired morphometric magnetic resonance imaging (MRI) data before and after 1 year of radiosurgery using a 1.5-T MRI scanner. Images(More)
BACKGROUND As a first step towards implementing routine screening of safety issues specifically related to children at the Uppsala Monitoring Centre, this study was performed to explore reporting patterns of adverse reactions in children. OBJECTIVE The first aim of this study was to characterize and contrast child reports against adult reports in an(More)
The entire drug safety enterprise has a need to search, retrieve, evaluate, and synthesize scientific evidence more efficiently. This discovery and synthesis process would be greatly accelerated through access to a common framework that brings all relevant information sources together within a standardized structure. This presents an opportunity to(More)
The vision of creating accessible, reliable clinical evidence by accessing the clincial experience of hundreds of millions of patients across the globe is a reality. Observational Health Data Sciences and Informatics (OHDSI) has built on learnings from the Observational Medical Outcomes Partnership to turn methods research and insights into a suite of(More)
The WHO Collaborating Centre for International Drug Monitoring in Uppsala, Sweden, maintains and analyses the world's largest database of reports on suspected adverse drug reaction incidents that occur after drugs are introduced on the market. As in other post-marketing drug safety data sets, the presence of duplicate records is an important data quality(More)
BACKGROUND Detection of unknown risks with marketed medicines is key to securing the optimal care of individual patients and to reducing the societal burden from adverse drug reactions. Large collections of individual case reports remain the primary source of information and require effective analytics to guide clinical assessors towards likely drug safety(More)