Evidence map›Paper›PMID 25204258›Full record

Observational studyInternational journal of clinical pharmacy2014

Pharmacoepidemiological study of drug-drug interactions in onco-hematological pediatric patients.

M Angeles Fernández de Palencia Espinosa, M Sacramento Díaz Carrasco, José Luis Fuster Soler, Guadalupe Ruíz Merino, M Amelia De la Rubia Nieto, Alberto Espuny Miró

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in International journal of clinical pharmacy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 27 citations in OpenAlex.

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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.

M Angeles Fernández de Palencia EspinosaServicio de Farmacia, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain, mafpe13@gmail.com.
M Sacramento Díaz Carrasco
José Luis Fuster Soler
Guadalupe Ruíz Merino
M Amelia De la Rubia Nieto
Alberto Espuny Miró
Hospital Universitario Virgen de la Arrixaca · ESFundación para la Formación e Investigación Sanitarias de la Región de Murcia · ESUniversidad de Murcia · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOnco-hematological patients are particularly susceptible to drug-drug interactions (DDIs) because they often undergo multiple combined treatments. Some studies have analyzed the frequency of DDIs in adult patients with cancer; however, the prevalence of DDIs in children, and especially among pediatric cancer patients, remains unknown.

objectiveTo determine the prevalence of DDIs in treatment sheets comparing two commonly used drug interaction databases, to describe the most common clinically relevant DDIs (CR-DDIs) and to investigate the risk factors associated with them.

settingAn onco-hematological pediatric unit from a tertiary hospital in Spain.

methodA prospective, observational and descriptive study was carried out from November 2012 to February 2013. Twice a week, every patient's treatment sheet was collected. Each medication list was screened through two databases: Thomson Micromedex™ and Drug Interaction Facts™. All identified DDIs were graded by their level of severity. Summary statistics were used to describe patient and disease characteristics, most often prescribed drugs, and frequency, types and classification of CR-DDIs. Multivariate analysis was used to identify risk factors associated with CRDDIs.

main outcome measurePrevalence of CR-DDIs was measured as percentage.

resultsA total of 506 potential DDIs were detected in 150 treatment sheets. The prevalence of CR-DDIs by Micromedex database and Drug Interaction Facts database were 44.7 and 51.3% respectively. Amikacin, azole antifungals, antiemetics and cyclosporine were the most frequent drugs involved in CR-DDIs. In multivariate analysis, the main risk factor associated with increased odds for CR-DDIs was a higher number of drugs.

conclusionThe frequency of potential DDIs was related to a higher number of drugs, being immunosuppressant and azole antifungal agents the most commonly involved drugs. The lack of agreement between different databases enhances the complexity to detect drug interactions in clinical practice.

Indexed as

Adverse Drug Reaction Reporting SystemsDrug InteractionsOncology Service, HospitalAntifungal AgentsChildChild, PreschoolDrug-Related Side Effects and Adverse ReactionsFemaleHematologic NeoplasmsHumansImmunosuppressive AgentsInfantMalePharmacoepidemiologyProspective StudiesAntifungal AgentsImmunosuppressive Agents

Identifiers

PMID25204258
OpenAlexW2002547235

What OpenQuestion holds

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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.