Evidence map›Paper›PMID 25189923›Full record

GuidelineClinical journal of the American Society of Nephrology : CJASN2015

Pharmacokinetic assessment in patients receiving continuous RRT: perspectives from the Kidney Health Initiative.

Thomas D Nolin, George R Aronoff, William H Fissell, Lokesh Jain, Rajnikanth Madabushi, Kellie Reynolds, Lei Zhang, Shiew Mei Huang, Rajnish Mehrotra, Michael F Flessner and 7 more

Abstract readPractice Guideline
In one paragraph

Guideline in Clinical journal of the American Society of Nephrology : CJASN, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

21 citing papers in PubMed, 55 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. Interaction of milrinone with extracorporeal life support.The journal of extra-corporeal technology · 2024
    Article
  8. Review
  9. Meropenem extraction by ex vivo extracorporeal life support circuits.The journal of extra-corporeal technology · 2023
    Article
  10. Article
  11. Cefepime Extraction by Extracorporeal Life Support Circuits.The journal of extra-corporeal technology · 2022
    Article
  12. Remdesivir and GS-441524 Extraction by Ex Vivo Extracorporeal Life Support Circuits.ASAIO journal (American Society for Artificial Internal Organs : 1992) · 2022
    Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. The future of critical care: renal support in 2027.Critical care (London, England) · 2017
    Review
  19. What Do We Know about Opioids and the Kidney?International journal of molecular sciences · 2017
    Review
  20. Review
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

17 authors at 1 institution in 1 country.

Thomas D NolinDue to the number of contributing authors, the affiliations are provided in the Supplemental Material. nolin@pitt.edu.
George R AronoffDue to the number of contributing authors, the affiliations are provided in the Supplemental Material.
William H FissellDue to the number of contributing authors, the affiliations are provided in the Supplemental Material.
Lokesh JainDue to the number of contributing authors, the affiliations are provided in the Supplemental Material.
Rajnikanth MadabushiDue to the number of contributing authors, the affiliations are provided in the Supplemental Material.
Kellie ReynoldsDue to the number of contributing authors, the affiliations are provided in the Supplemental Material.
Lei ZhangDue to the number of contributing authors, the affiliations are provided in the Supplemental Material.
Shiew Mei HuangDue to the number of contributing authors, the affiliations are provided in the Supplemental Material.
Rajnish MehrotraDue to the number of contributing authors, the affiliations are provided in the Supplemental Material.
Michael F FlessnerDue to the number of contributing authors, the affiliations are provided in the Supplemental Material.
John K LeypoldtDue to the number of contributing authors, the affiliations are provided in the Supplemental Material.
Jennifer W WitcherDue to the number of contributing authors, the affiliations are provided in the Supplemental Material.
Issam ZinehDue to the number of contributing authors, the affiliations are provided in the Supplemental Material.
Patrick ArchdeaconDue to the number of contributing authors, the affiliations are provided in the Supplemental Material.
Prabir Roy-ChaudhuryDue to the number of contributing authors, the affiliations are provided in the Supplemental Material.
Stuart L GoldsteinDue to the number of contributing authors, the affiliations are provided in the Supplemental Material.
Kidney Health Initiative
United Nations · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The effect of AKI and modern continuous RRT (CRRT) methods on drug disposition (pharmacokinetics) and response has been poorly studied. Pharmaceutical manufacturers have little incentive to perform pharmacokinetic studies in patients undergoing CRRT because such studies are neither recommended in existing US Food and Drug Administration (FDA) guidance documents nor required for new drug approval. Action is urgently needed to address the knowledge deficit. The Kidney Health Initiative has assembled a work group composed of clinicians and scientists representing academia, the FDA, and the pharmaceutical and dialysis industries with expertise related to pharmacokinetics, AKI, and/or CRRT. The work group critically evaluated key considerations in the assessment of pharmacokinetics and drug dosing in CRRT, practical constraints related to conducting pharmacokinetic studies in critically ill patients, and the generalizability of observations made in the context of specific CRRT prescriptions and specific patient populations in order to identify efficient study designs capable of addressing the knowledge deficit without impeding drug development. Considerations for the standardized assessment of pharmacokinetics and development of corresponding drug dosing recommendations in critically ill patients with AKI receiving CRRT are proposed.

Indexed as

Drug Dosage CalculationsPharmacokineticsRenal Replacement TherapyAcute Kidney InjuryCritical IllnessHumansNephrologyPharmaceutical PreparationsPharmaceutical Preparationsacute renal failuredialysispharmacokinetic

Identifiers

PMID25189923
PMCPMC4284416
OpenAlexW2125652257

What OpenQuestion holds

Textmetadata
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.