RT info:eu-repo/semantics/article T1 Revealing the reporting disparity: vigiBase highlights underreporting of clozapine in other Western European countries compared to the UK. A1 Cuevas Castresana, Carlos de las A1 Sanz Álvarez, Emilio José A1 Gross, Jason A. A1 Verdoux, Hélène A1 Corell, Christoph U. A1 Lally, John A1 Filippis, Renato de A1 Schulte, Peter F. J. A1 Molden, Espen A1 Arrojo Romero, Manuel A1 Bostrom, Adrián D. A1 Schoretsanitis, Georgios A1 Fernández Egea, Emilio A1 León, José de K1 Clozapine, adverse effects K1 Clozapine, administration and dosage K1 Clozapine, therapeutic use K1 Drug labeling K1 Europe K1 Schizophrenia AB Pharmacovigilance studies indicate clozapine history is marked by adverse drug reactions (ADRs). Objective: In a 2021 article, the United Kingdom (UK) had >90 % of European clozapine-related fatal outcomes in VigiBase, the World Health Organization's pharmacovigilance database. Two possibly opposing hypotheses could explain this disparity: 1) fewer reported fatal outcomes in other Western European countries mainly reflect underreporting to VigiBase, and 2) the higher number of UK reports reflects higher real relative mortality. Methods: VigiBase reports from clozapine's introduction to December 31, 2022, were studied for ADRs and the top 10 causes of fatal outcomes. The UK was compared with 11 other top reporting Western countries (Germany, Denmark, France, Finland, Ireland, Italy, Netherlands, Norway, Spain, Sweden and Switzerland). Nine countries (except Ireland and Switzerland) were compared after controlling for population and clozapine prescriptions. SN 1573-2509 YR 2023 FD 2023 LK http://riull.ull.es/xmlui/handle/915/39634 UL http://riull.ull.es/xmlui/handle/915/39634 LA en DS Repositorio institucional de la Universidad de La Laguna RD 27-mar-2025