Drug-drug interactions with oral anticoagulants: information consistency assessment of three commonly used online drug interactions databases in Switzerland.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_ADB060660B82
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Drug-drug interactions with oral anticoagulants: information consistency assessment of three commonly used online drug interactions databases in Switzerland.
Journal
Frontiers in pharmacology
Author(s)
Coumau C., Gaspar F., Terrier J., Schulthess-Lisibach A., Lutters M., Le Pogam M.A., Csajka C.
ISSN
1663-9812 (Print)
ISSN-L
1663-9812
Publication state
Published
Issued date
2024
Peer-reviewed
Oui
Volume
15
Pages
1332147
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Background: Toxicity or treatment failure related to drug-drug interactions (DDIs) are known to significantly affect morbidity and hospitalization rates. Despite the availability of numerous databases for DDIs identification and management, their information often differs. Oral anticoagulants are deemed at risk of DDIs and a leading cause of adverse drug events, most of which being preventable. Although many databases include DDIs involving anticoagulants, none are specialized in them. Aim and method: This study aims to compare the DDIs information content of four direct oral anticoagulants and two vitamin K antagonists in three major DDI databases used in Switzerland: Lexi-Interact, Pharmavista, and MediQ. It evaluates the consistency of DDIs information in terms of differences in severity rating systems, mechanism of interaction, extraction and documentation processes and transparency. Results: This study revealed 2'496 DDIs for the six anticoagulants, with discrepant risk classifications. Only 13.2% of DDIs were common to all three databases. Overall concordance in risk classification (high, moderate, and low risk) was slight (Fleiss' kappa = 0.131), while high-risk DDIs demonstrated a fair agreement (Fleiss' kappa = 0.398). The nature and the mechanism of the DDIs were more consistent across databases. Qualitative assessments highlighted differences in the documentation process and transparency, and similarities for availability of risk classification and references. Discussion: This study highlights the discrepancies between three commonly used DDI databases and the inconsistency in how terminology is standardised and incorporated when classifying these DDIs. It also highlights the need for the creation of specialised tools for anticoagulant-related interactions.
Keywords
consistency, direct oral anticoagulant,, discrepancies, drug information, drug-drug interaction databases, oral anticoagulant, risk classification, vitamin K antagonist
Pubmed
Web of science
Open Access
Yes
Create date
19/04/2024 9:02
Last modification date
27/04/2024 7:04
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