Evidence in pharmacovigilance: extracting Adverse Drug Reactions articles from MEDLINE to link them to case databases

Literature, specifically MEDLINE, is among the main sources of information used to detect whether a drug may be responsible for Adverse Drug Reactions cases. The aim of our work is to automate the search of publications that correspond to a given Adverse Drug Reactions case: (i) by defining a general pattern for the queries used to search MEDLINE and (ii) by determining the threshold number of publications capable to confirm or infirm the Adverse Drug Reaction. We applied our algorithm to a set of 620 cases from a French pharmacovigilance database. We obtained a precision of 93%, recall 70%. We determined a threshold of 3 publications to confirm an Adverse Drug Reaction case.