Detection of Drug-Associated Rhabdomyolysis Through Data Mining Techniques

Rhabdomyolysis (RM) is a life-threatening adverse drug reaction (ADR). Statins are the common drugs causing RM and weakness as well as a combination with other drugs, which increase the level of statins. The estimated cost per QALY of supportive treatment for RM was 69,742.50 USD per year, but the early detection of ADRs can reduce the cost of approximately 1,400.00 USD per patient. RM has a problem of under-reporting in spontaneous reporting systems (SRSs). Detecting RM at the early stage is the crucial task by finding the relationship between drugs and RM from electronic health records (EHRs). The aim of this study is to propose a predictive model for RM analysis by predicting the probability of RM or weakness in patients who used statin alone or combined with other drugs. The proposed model can predict the probability occurrence of RM or weakness with sensitivity equal to 0.66.

[1]  Ying Li,et al.  A method for controlling complex confounding effects in the detection of adverse drug reactions using electronic health records , 2014, J. Am. Medical Informatics Assoc..

[2]  Glenn M. Chertow,et al.  The Economic Consequences of Acute Kidney Injury , 2017, Nephron.

[3]  H. Tobi,et al.  Studying co‐medication patterns: the impact of definitions , 2007, Pharmacoepidemiology and drug safety.

[4]  Carol Friedman,et al.  Combing signals from spontaneous reports and electronic health records for detection of adverse drug reactions , 2013, J. Am. Medical Informatics Assoc..

[5]  A. Kaye,et al.  Rhabdomyolysis: pathogenesis, diagnosis, and treatment. , 2015, Ochsner Journal.

[6]  D. Owens,et al.  Cost-effectiveness of statins for primary cardiovascular prevention in chronic kidney disease. , 2013, Journal of the American College of Cardiology.

[7]  B. Schoser,et al.  A systematic review on the definition of rhabdomyolysis , 2019, Journal of Neurology.

[8]  A. Khera,et al.  2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. , 2019, Journal of the American College of Cardiology.

[9]  Predicting adverse drug reaction outcomes with machine learning , 2018 .

[10]  Yong Hu,et al.  Data mining methodologies for pharmacovigilance , 2012, SKDD.

[11]  Nigam H. Shah,et al.  Mining clinical text for signals of adverse drug-drug interactions , 2014, J. Am. Medical Informatics Assoc..

[12]  Y. Oshima Characteristics of drug-associated rhabdomyolysis: analysis of 8,610 cases reported to the U.S. Food and Drug Administration. , 2011, Internal medicine.