Validity of Drug and Diagnosis Data in Pharmacoepidemiology

Mary Elizabeth Ritchey, Suzanne L. West, George Maldonado

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

This chapter begins by discussing the validity of the drug and diagnostic information used by clinicians in patients’ care. Next, it discusses measurement error, describing the different types of error and error detection methods, exploring how errors may affect the point estimate, and describing current techniques for mitigation. The chapter illustrates validity concerns when data from administrative claims, electronic health records, or questionnaire responses are used, using as examples studies of the associations between nonsteroidal anti‐inflammatory drugs (NSAIDs) and myocardial infarction, and between NSAIDs and gastrointestinal bleeding. Besides self‐reported data, pharmacoepidemiologists have been using administrative claims data for more than 30 years to evaluate drug safety. The chapter discusses validity issues with using these data for research. However, the changing landscape of health care requires reassessing the validity of the data pharmacoepidemiologists are now using for their research and how these data impact clinical practice.

Original languageEnglish (US)
Title of host publicationTextbook of Pharmacoepidemiology, Third Edition
PublisherWiley
Pages221-245
Number of pages25
ISBN (Electronic)9781119701101
ISBN (Print)9781119701088
DOIs
StatePublished - Jan 1 2021

Bibliographical note

Publisher Copyright:
© 2022 John Wiley & Sons Ltd.

Keywords

  • diagnostic information
  • nonsteroidal anti‐inflammatory drugs
  • pharmacoepidemiologic research
  • pharmacoepidemiologists
  • validity issues

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