Building an Active Medical Product Safety Surveillance System in Taiwan: Adaptation of the U.S. Sentinel System Common Data Model Structure to the National Health Insurance Research Database in Taiwan.

View Abstract

PURPOSE

Using real-world data to support regulatory decision has become a global movement. However, a robust platform for active surveillance of medical product safety has not been established in Taiwan.

METHODS

Following the common data model structure of the U.S. Food and Drug Administration's Sentinel System, we built the Taiwan Sentinel Data Model (TSDM) using the National Health Insurance Research Database with longitudinal claims data from 23 million individuals, linked death and cause of death data from a national registry, and linked electronic health record data from a delivery system. We examined the conversion of the TSDM using the Sentinel Data Quality Review and Characterization Programs in a sample of sex- and age-stratified cohort of three million individuals.

RESULTS

The TSDM fulfilled the requirements of data quality assurance. Only about six percent of sex and 0.0007% of birth year were missing, and <0.001% of date data had illogical values.

CONCLUSIONS

The TSDM-converted database could be a valuable data resource for domestic pharmacovigilance analysis in Taiwan and cross-country evaluation.

Investigators
Abbreviation
Pharmacoepidemiol Drug Saf
Publication Date
2020-11-04
Pubmed ID
33146908
Medium
Print-Electronic
Full Title
Building an Active Medical Product Safety Surveillance System in Taiwan: Adaptation of the U.S. Sentinel System Common Data Model Structure to the National Health Insurance Research Database in Taiwan.
Authors
Huang K, Lin FJ, Ou HT, Hsu CN, Huang LY, Wang CC, Toh S