Chinese Journal of Pharmacovigilance ›› 2023, Vol. 20 ›› Issue (6): 651-654.
DOI: 10.19803/j.1672-8629.20230109

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Combination of zero-inflated model and Dirichlet process in detection of adverse reaction signals during post-marketing surveillance

CHEN Chenxin1, ZHANG Pengpeng2, LIU Yongmei2, YE Xiaofei1#, HE Jia1,*   

  1. 1Department of Health Statistics, Faculty of Health Service, Naval Medical University, Shanghai 200433, China;
    2Tianjin Rehabilitation Center of Joint Logistic Support Force, Tianjin 300191, China
  • Received:2023-02-27 Online:2023-06-15 Published:2023-06-15

Abstract: Objective To explore the possibility of the zero-inflated model being combined with Dirichlet process in optimizing the results of post-marketing safety signal detection of drugs. Methods By retrieving related literature, the principles of the zero-inflated model and Dirichlet process were reviewed. The current research on and strengths of the two methods were summarized. Thus, the combination of these two methods to extend technologies of signal detection was proposed. Results The zero-inflated model could minimize “excess zeros” and reduce the bias of signal detection results, while Dirichlet process could curb the false positive rate by enriching the selection of prior distribution of reporting rates of drug-adverse event pairs. Conclusion It is possible to combining the zero-inflated model with Dirichlet process to extend methods of Bayesian signal detection, and this approach deserves more study.

Key words: zero-inflated model, Dirichlet process, post-marketing surveillance, signal detection, adverse drug reaction

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