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Better data needed from pregnancy registries
Authors:Gerald G Briggs  Janine Polifka  and OTIS Research Committee
Institution:1. Perinatal Support Service, MemorialCare Center for Women, Miller Children's Hospital, Long Beach Memorial Medical Center, Long Beach, California;2. Department of Pediatrics, University of Washington, Seattle, Washington;3. Organization of Teratology Information Specialists Research Committee: Liz Balken, Anick Berard, Stephen Braddock, Gerald Briggs (Co‐Chair), Christina Chambers, Adrienne Einarson, Cecilia Lyons Gaffaney, Mara Gaudette, Gideon Koren, Kenneth Jones, Steve Lamm, Richard Miller, Janine Polifka (Co‐Chair), Sara Riordan, Luther Robinson, Offie Soldin, Katherine Wisner, and Lori Wolfe.
Abstract:This article is a consensus position statement from the Research Committee of the Organization of Teratology Information Specialists (OTIS). The Committee believes that more specific information on the timing and dose of drug exposures from pregnancy birth defect registries sponsored by pharmaceutical companies (herein called pregnancy registries) would improve the estimation of risk for developmental toxicity (i.e., growth alteration, structural anomalies, functional/neurobehavioral deficits, or death). Specifically, the Committee believes that the exposure timing should be stated in gestational weeks and days rather than simply weeks. In addition, the Committee believes that the exposure dose should be stated in patient‐specific terms, such as body weight (mg/kg) or body surface area (mg/m2) rather than simply dose strength. Although the focus of this position is pregnancy registries, it also is applicable to any source of medication‐induced embryo‐fetal toxicity. Birth Defects Research (Part A), 2009. © 2008 Wiley‐Liss, Inc.
Keywords:pregnancy registries  exposure timing  exposure dose
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