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Anomaly detection of drug-adverse events from large-scale database: data-driven analysis with machine learning

Research Project

Project/Area Number 18K14950
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 47060:Clinical pharmacy-related
Research InstitutionKyoto University

Principal Investigator

Takeuchi Masato  京都大学, 医学研究科, 准教授 (80598714)

Project Period (FY) 2018-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2019: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2018: ¥2,990,000 (Direct Cost: ¥2,300,000、Indirect Cost: ¥690,000)
Keywords薬剤疫学 / 機械学習 / 時系列データ / 異常検知 / ビッグデータ / 薬剤有害事象 / データ駆動型
Outline of Final Research Achievements

We explored whether, using machine learning techniques, automated anomaly detection of drug-adverse events was feasible from large-scale database (eg, claims data). We selected two case examples; the first example was SGLT-2 inhibitor and its adverse events such as renal insufficiency or dehydration, and the second one was bisphosphonate and osteonecrosis of the jaw. Machine learning techniques successfully detected the anomaly points from a time-series data of large-scale database. However, the detected anomaly points were sensitive to the model or the administrative code selection of adverse event.

Academic Significance and Societal Importance of the Research Achievements

病名の入力に関しては医療機関・医師レベルにより方針が異なるのが日本の実情と思われる。機械学習を用いた検出においても、その精密さはこれら診療プラクティスの違いに大きく依存した。したがって、この技術を実用面で用いる前提として、病名入力の方針について何らかの統一的な指針を整備することが必要であることを示唆した研究である。

Report

(3 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • Research Products

    (11 results)

All 2020 2019 2018

All Journal Article (9 results) (of which Peer Reviewed: 9 results,  Open Access: 4 results) Presentation (2 results)

  • [Journal Article] Effectiveness of Sodium-Glucose Cotransporter-2 Inhibitors Versus Other Classes of Glucose-Lowering Medications on Renal Outcome in Type 2 Diabetes.2020

    • Author(s)
      Takeuchi M, Ogura M, Minoura T, Inagaki N, Kawakami K
    • Journal Title

      Mayo Clinic Proceedings

      Volume: 95 Issue: 2 Pages: 265-273

    • DOI

      10.1016/j.mayocp.2019.12.004

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Adherence and Concomitant Medication Use among Patients on Warfarin Therapy: Insight from a Large Pharmacy Dispensing Database in Japan2019

    • Author(s)
      Takeuchi Masato、Nakano Sayuri、Tanaka-Mizuno Sachiko、Nishiyama Chika、Doi Yuko、Arai Masaru、Fujii Yosuke、Matsunaga Toshiyuki、Kawakami Koji
    • Journal Title

      Biological and Pharmaceutical Bulletin

      Volume: 42 Issue: 3 Pages: 389-393

    • DOI

      10.1248/bpb.b18-00576

    • NAID

      130007606663

    • ISSN
      0918-6158, 1347-5215
    • Year and Date
      2019-03-01
    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Utilization of arterial pulse waveform analysis during non-cardiac surgery in Japan: a retrospective observational study using a nationwide claims database.2019

    • Author(s)
      Takeda C, Takeuchi M, Mizota T, Yonekura H, Nahara I, Kuwauchi A, Joo WJ, Kawasaki Y, Kawakami K
    • Journal Title

      Journal of anesthesia

      Volume: 33 Issue: 1 Pages: 159-162

    • DOI

      10.1007/s00540-018-02609-x

    • NAID

      40021813731

    • Related Report
      2019 Annual Research Report 2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Prophylactic sivelestat for esophagectomy and in-hospital mortality: a propensity score-matched analysis of claims database2019

    • Author(s)
      Takeda Chikashi、Takeuchi Masato、Kawasaki Yohei、Yonekura Hiroshi、Nahara Isao、Kuwauchi Aki、Yoshida Satomi、Tanaka Shiro、Kawakami Koji
    • Journal Title

      Journal of Anesthesia

      Volume: 33 Issue: 2 Pages: 230-237

    • DOI

      10.1007/s00540-018-2602-9

    • NAID

      40021867636

    • Related Report
      2019 Annual Research Report 2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Association between Hemoglobin and Hemoglobin A1c: A Data-Driven Analysis of Health Checkup Data in Japan2018

    • Author(s)
      Takeuchi Masato、Kawakami Koji
    • Journal Title

      Journal of Clinical Medicine

      Volume: 7 Issue: 12 Pages: 539-539

    • DOI

      10.3390/jcm7120539

    • NAID

      120006777068

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Current status of late and recurrent intraocular lens dislocation: analysis of real-world data in Japan2018

    • Author(s)
      Kawano Sumihiro、Takeuchi Masato、Tanaka Shiro、Yamashita Takehiro、Sakamoto Taiji、Kawakami Koji
    • Journal Title

      Japanese Journal of Ophthalmology

      Volume: 63 Issue: 1 Pages: 65-72

    • DOI

      10.1007/s10384-018-0637-y

    • NAID

      210000169911

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Changes in Hemoglobin Concentrations Post-immunoglobulin Therapy in Patients with Kawasaki Disease: A Population-Based Study Using a Claims Database in Japan2018

    • Author(s)
      Takeuchi Masato、Ito Shuichi、Nakamura Masaki、Kawakami Koji
    • Journal Title

      Pediatric Drugs

      Volume: 20 Issue: 6 Pages: 585-591

    • DOI

      10.1007/s40272-018-0316-y

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Follow-up tests and outcomes for patients undergoing percutaneous coronary intervention: analysis of a Japanese administrative database2018

    • Author(s)
      Seki Tomotsugu、Takeuchi Masato、Miki Ryusuke、Kawakami Koji
    • Journal Title

      Heart and Vessels

      Volume: 34 Issue: 1 Pages: 33-43

    • DOI

      10.1007/s00380-018-1224-3

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Prescription pattern and trend of oral contraceptives in Japan: A descriptive study based on pharmacy claims data (2006?-?2014)2018

    • Author(s)
      Kinoshita Takuya、Tanaka Shiro、Inagaki Mieko、Takeuchi Masato、Kawakami Koji
    • Journal Title

      Sexual & Reproductive Healthcare

      Volume: 17 Pages: 50-55

    • DOI

      10.1016/j.srhc.2018.06.004

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Presentation] 慢性腎臓病を合併した2型糖尿病患者における腎障害の進展: 実臨床データに基づくSGLT2阻害薬と他クラス薬剤の比較2018

    • Author(s)
      竹内正人、川上浩司
    • Organizer
      第24回日本薬剤疫学会学術総会
    • Related Report
      2018 Research-status Report
  • [Presentation] SGLT2 阻害薬の 2 型糖尿病患者に対する腎保護作用 : 日本人実臨床データを用いた予備的解析2018

    • Author(s)
      竹内正人、川上浩司
    • Organizer
      日本臨床疫学会第2回年次学術大会
    • Related Report
      2018 Research-status Report

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Published: 2018-04-23   Modified: 2021-02-19  

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