Cargando…

Clarity and applicability of adverse drug reaction-related monitoring instructions in clinical practice guidelines for children and adolescents treated with antipsychotic drugs: a review of six clinical practice guidelines

OBJECTIVES: Monitoring instructions related to adverse drug reactions (ADRs) are not always clearly described in clinical practice guidelines (CPGs) and not always easily applicable in daily clinical practice. The aim of this study was to assess the clarity of presentation and the applicability of A...

Descripción completa

Detalles Bibliográficos
Autores principales: Minjon, Lenneke, Aarts, Juul W, van den Ban, Els, Egberts, Toine CG, Heerdink, Eibert R
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8905889/
https://www.ncbi.nlm.nih.gov/pubmed/35260462
http://dx.doi.org/10.1136/bmjopen-2021-058940
_version_ 1784665288587870208
author Minjon, Lenneke
Aarts, Juul W
van den Ban, Els
Egberts, Toine CG
Heerdink, Eibert R
author_facet Minjon, Lenneke
Aarts, Juul W
van den Ban, Els
Egberts, Toine CG
Heerdink, Eibert R
author_sort Minjon, Lenneke
collection PubMed
description OBJECTIVES: Monitoring instructions related to adverse drug reactions (ADRs) are not always clearly described in clinical practice guidelines (CPGs) and not always easily applicable in daily clinical practice. The aim of this study was to assess the clarity of presentation and the applicability of ADR-related monitoring instructions in CPGs for children and adolescents treated with antipsychotic drugs. SETTING: Guidelines from different countries were selected, and monitoring instructions for 13 ADR-related parameters were assessed. PRIMARY AND SECONDARY OUTCOME MEASURES: To assess the clarity and the applicability of the sections concerning monitoring instructions in each CPG, the Appraisal of Guidelines for Research and Evaluation instrument was used. To assess the clarity and the applicability of the monitoring instructions for each ADR-related parameter, the Systematic Information for Monitoring score was used. RESULTS: Six CPGs were included. Overall, the presentation of the monitoring instructions in the different CPGs was clear; three CPGs scored >75%. All CPGs scored lower on applicability, as, for example, the barriers and facilitators were poorly described. The number of ADR-related parameters included in the CPGs varied between 8 and 13. Why and what to monitor was always described for each parameter. When to start monitoring was also often described (90.2%), but when to stop monitoring was less frequently described (37.4%). CONCLUSIONS: The CPGs differed on the parameters that needed to be monitored. Overall, the monitoring instructions were clearly presented, but improvement in their applicability is required. By improving the monitoring instructions, CPGs can provide better guidance on monitoring ADRs in daily clinical practice.
format Online
Article
Text
id pubmed-8905889
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-89058892022-03-25 Clarity and applicability of adverse drug reaction-related monitoring instructions in clinical practice guidelines for children and adolescents treated with antipsychotic drugs: a review of six clinical practice guidelines Minjon, Lenneke Aarts, Juul W van den Ban, Els Egberts, Toine CG Heerdink, Eibert R BMJ Open Pharmacology and Therapeutics OBJECTIVES: Monitoring instructions related to adverse drug reactions (ADRs) are not always clearly described in clinical practice guidelines (CPGs) and not always easily applicable in daily clinical practice. The aim of this study was to assess the clarity of presentation and the applicability of ADR-related monitoring instructions in CPGs for children and adolescents treated with antipsychotic drugs. SETTING: Guidelines from different countries were selected, and monitoring instructions for 13 ADR-related parameters were assessed. PRIMARY AND SECONDARY OUTCOME MEASURES: To assess the clarity and the applicability of the sections concerning monitoring instructions in each CPG, the Appraisal of Guidelines for Research and Evaluation instrument was used. To assess the clarity and the applicability of the monitoring instructions for each ADR-related parameter, the Systematic Information for Monitoring score was used. RESULTS: Six CPGs were included. Overall, the presentation of the monitoring instructions in the different CPGs was clear; three CPGs scored >75%. All CPGs scored lower on applicability, as, for example, the barriers and facilitators were poorly described. The number of ADR-related parameters included in the CPGs varied between 8 and 13. Why and what to monitor was always described for each parameter. When to start monitoring was also often described (90.2%), but when to stop monitoring was less frequently described (37.4%). CONCLUSIONS: The CPGs differed on the parameters that needed to be monitored. Overall, the monitoring instructions were clearly presented, but improvement in their applicability is required. By improving the monitoring instructions, CPGs can provide better guidance on monitoring ADRs in daily clinical practice. BMJ Publishing Group 2022-03-08 /pmc/articles/PMC8905889/ /pubmed/35260462 http://dx.doi.org/10.1136/bmjopen-2021-058940 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Pharmacology and Therapeutics
Minjon, Lenneke
Aarts, Juul W
van den Ban, Els
Egberts, Toine CG
Heerdink, Eibert R
Clarity and applicability of adverse drug reaction-related monitoring instructions in clinical practice guidelines for children and adolescents treated with antipsychotic drugs: a review of six clinical practice guidelines
title Clarity and applicability of adverse drug reaction-related monitoring instructions in clinical practice guidelines for children and adolescents treated with antipsychotic drugs: a review of six clinical practice guidelines
title_full Clarity and applicability of adverse drug reaction-related monitoring instructions in clinical practice guidelines for children and adolescents treated with antipsychotic drugs: a review of six clinical practice guidelines
title_fullStr Clarity and applicability of adverse drug reaction-related monitoring instructions in clinical practice guidelines for children and adolescents treated with antipsychotic drugs: a review of six clinical practice guidelines
title_full_unstemmed Clarity and applicability of adverse drug reaction-related monitoring instructions in clinical practice guidelines for children and adolescents treated with antipsychotic drugs: a review of six clinical practice guidelines
title_short Clarity and applicability of adverse drug reaction-related monitoring instructions in clinical practice guidelines for children and adolescents treated with antipsychotic drugs: a review of six clinical practice guidelines
title_sort clarity and applicability of adverse drug reaction-related monitoring instructions in clinical practice guidelines for children and adolescents treated with antipsychotic drugs: a review of six clinical practice guidelines
topic Pharmacology and Therapeutics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8905889/
https://www.ncbi.nlm.nih.gov/pubmed/35260462
http://dx.doi.org/10.1136/bmjopen-2021-058940
work_keys_str_mv AT minjonlenneke clarityandapplicabilityofadversedrugreactionrelatedmonitoringinstructionsinclinicalpracticeguidelinesforchildrenandadolescentstreatedwithantipsychoticdrugsareviewofsixclinicalpracticeguidelines
AT aartsjuulw clarityandapplicabilityofadversedrugreactionrelatedmonitoringinstructionsinclinicalpracticeguidelinesforchildrenandadolescentstreatedwithantipsychoticdrugsareviewofsixclinicalpracticeguidelines
AT vandenbanels clarityandapplicabilityofadversedrugreactionrelatedmonitoringinstructionsinclinicalpracticeguidelinesforchildrenandadolescentstreatedwithantipsychoticdrugsareviewofsixclinicalpracticeguidelines
AT egbertstoinecg clarityandapplicabilityofadversedrugreactionrelatedmonitoringinstructionsinclinicalpracticeguidelinesforchildrenandadolescentstreatedwithantipsychoticdrugsareviewofsixclinicalpracticeguidelines
AT heerdinkeibertr clarityandapplicabilityofadversedrugreactionrelatedmonitoringinstructionsinclinicalpracticeguidelinesforchildrenandadolescentstreatedwithantipsychoticdrugsareviewofsixclinicalpracticeguidelines