Evidence map›Paper›PMID 21364060›Full record

ArticleInternational journal of STD & AIDS2011

Utility of therapeutic drug monitoring in the management of HIV-infected pregnant women in receipt of lopinavir.

R J Caswell, D Phillips, M Chaponda, S H Khoo, G P Taylor, M Ghanem, M Poulton, J Welch, S Gibbons, V Jackson and 1 more

Open access · greenAbstract read
In one paragraph

Article in International journal of STD & AIDS, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 8 institutions in 4 countries.

R J CaswellDepartment of GU Medicine and Teaching Primary Care Trust, Coventry PCT, Coventry.
D Phillips
M Chaponda
S H Khoo
G P Taylor
M Ghanem
M Poulton
J Welch
S Gibbons
V Jackson
J S Lambert
Croydon University Hospital · GBRotunda Hospital · IEUniversity of Liverpool · GBCoventry and Warwickshire Partnership NHS Trust · GBImperial College Healthcare NHS Trust · GBKing's College Hospital · GBNorthampton Community College · USUniversity College Dublin · IE

Funding

Wellcome Trust 083851
6 · The paper itself

Abstract

The pharmacokinetics of antiretroviral drugs in pregnancy is poorly understood. We reviewed the use of therapeutic drug monitoring (TDM) in clinical settings to document plasma concentrations of lopinavir during pregnancy and investigated how clinicians acted upon TDM results. A retrospective review was carried out of all HIV-infected pregnant women taking boosted lopinavir-based highly active antiretroviral therapy (HAART) at five National Health Service (NHS) centres in the UK between May 2004 and March 2007. Seventy-three women in receipt of lopinavir were identified, of whom 89% had plasma lopinavir concentrations above the suggested minimum recommended for wild-type HIV. Initial TDM results prompted dosage change in 10% and assessment of adherence and/or pharmacist review in 11%. TDM was repeated in 29%. TDM can play an important role in the clinical management of HIV-positive pregnant women, allowing informed dose modification and an alternative measure of adherence.

Indexed as

AdolescentAdultAnti-HIV AgentsDrug MonitoringFemaleHIV InfectionsHumansLopinavirPlasmaPregnancyPregnancy Complications, InfectiousPyrimidinonesRetrospective StudiesTreatment OutcomeUnited KingdomYoung AdultAnti-HIV AgentsLopinavirPyrimidinones

Identifiers

PMID21364060
PMCPMC3594887
OpenAlexW2021955917

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.