Evidence map›Paper›PMID 24601977›Full record

ArticleBritish journal of haematology2014

The impact of age and CYP2C9 and VKORC1 variants on stable warfarin dose in the paediatric population.

Susan I Vear, Gregory D Ayers, Sara L Van Driest, Robert F Sidonio, Charles Michael Stein, Richard H Ho

Open access · greenAbstract read
In one paragraph

Article in British journal of haematology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 5% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. The impact of child-specific characteristics on warfarin dosing requirements.Research and practice in thrombosis and haemostasis · 2024
    Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Prediction of Warfarin Dose in Pediatric Patients: An Evaluation of the Predictive Performance of Several Models.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG
    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

6 authors at 3 institutions in 1 country.

Susan I VearDepartment of Pediatrics, Monroe Carell Jr Children's Hospital at Vanderbilt, Nashville, TN, USA.
Gregory D Ayers
Sara L Van Driest
Robert F Sidonio
Charles Michael Stein
Richard H Ho
Monroe Carell Jr. Children's Hospital · USMonroe Carell Jr. Children's Hospital · USVanderbilt University Medical Center · US

Funding

VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Pharmacogenomics of Arrhythmia TherapyU19HL065962 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RODEN, DAN M · 2010 to 2014
$17.4M
CLINICAL PHARMACOLOGY TRAINING PROGRAMT32GM007569 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Bjorn C Knollmann · 1985 to 2026
$12.4M
VESPA: Vanderbilt Electronic Systems for Pharmacogenomic AssessmentRC2GM092618 · NIGMS · VANDERBILT UNIVERSITY · PI DENNY, JOSHUA C., RODEN, DAN M · 2009 to 2010
$6.4M
Hepatic OATP Drug Transporters and Chemotherapy DispositionR01GM099924 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HO, RICHARD HSINSHIN · 2012 to 2017
$2.0M
Drug Metabolism Genotypes in Clinical PracticeR01GM109145 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI STEIN, CHARLES M. · 2014 to 2018
$1.1M
NCATS NIH HHS UL1 TR000445NCATS NIH HHS UL1TR000445NCRR NIH HHS UL1 RR024975NHLBI NIH HHS U19 HL065962NHLBI NIH HHS U19-HL065962NIGMS NIH HHS 5T32 GM007569-33NIGMS NIH HHS R01 GM099924NIGMS NIH HHS R01 GM109145NIGMS NIH HHS R01 GM10945NIGMS NIH HHS RC2 GM092618NIGMS NIH HHS T32 GM007569
6 · The paper itself

Abstract

The influence of genetic variation on warfarin dose requirement is limited for paediatric patients. We performed a retrospective, cross-sectional study to examine the effect of variant CYP2C9 and VKORC1 genotypes on warfarin dose in 100 children. Those with VKORC1 genotype AA required 48% of the dose of homozygous wild-type (GG, P < 0·0001). Patients with any variant CYP2C9 allele required 71% of the dose for wild-type (P = 0·001). The effect of variant VKORC1 alleles tended to vary with age, suggesting developmental ontogeny may influence warfarin sensitivity. Age, CYP2C9 genotype, VKORC1 genotype and age:VKORC1 interaction accounted for 53% of warfarin dose variability.

Indexed as

Genetic VariationAdolescentAge FactorsAllelesAnticoagulantsAryl Hydrocarbon HydroxylasesChildChild, PreschoolCross-Sectional StudiesCytochrome P-450 CYP2C9GenotypeHumansInfantPharmacogeneticsRetrospective StudiesVitamin K Epoxide ReductasesAnticoagulantsAryl Hydrocarbon HydroxylasesCYP2C9 protein, humanCytochrome P-450 CYP2C9Vitamin K Epoxide ReductasesVKORC1 protein, humanWarfarinCYP2C9paediatricspharmacogenomicsVKORC1warfarin

Identifiers

PMID24601977
PMCPMC4043918
OpenAlexW2085427580

What OpenQuestion holds

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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.