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Measure of disproportionality: (a/(a+b)) / (c/(c+d)) where a=drug+event, b=drug+other, c=other+event, d=other. Thresholds often ≥2 used as screening.
PRR 3.5 for drug X and hepatic failure suggests possible signal.
Evans et al., GVP Module IX
Using PRR alone without case count or clinical review.
What PRR threshold do you use and how do you handle small numbers?