Evidence map›Paper›PMID 25615449›Full record

ArticlePloS one2015

Prediction formulas for individual opioid analgesic requirements based on genetic polymorphism analyses.

Kaori Yoshida, Daisuke Nishizawa, Takashi Ichinomiya, Tatsuya Ichinohe, Masakazu Hayashida, Ken-ichi Fukuda, Kazutaka Ikeda

RetractedAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. A pharmacogenetics approach to pain management.Neuropsychopharmacology reports · 2018
    Review
  6. Article
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Kaori YoshidaAddictive Substance Project, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan; Department of Dental Anesthesiology, Tokyo Dental College, Tokyo, Japan.
Daisuke NishizawaAddictive Substance Project, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Takashi IchinomiyaDepartment of Biomedical Informatics, Gifu University Graduate School of Medicine, Gifu, Japan.
Tatsuya IchinoheDepartment of Dental Anesthesiology, Tokyo Dental College, Tokyo, Japan.
Masakazu HayashidaDepartment of Anesthesiology and Pain Medicine, Juntendo University School of Medicine, Tokyo, Japan.
Ken-ichi FukudaDepartment of Dental Anesthesiology, Tokyo Dental College, Tokyo, Japan.
Kazutaka IkedaAddictive Substance Project, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe analgesic efficacy of opioids is well known to vary widely among individuals, and various factors related to individual differences in opioid sensitivity have been identified. However, a prediction model to calculate appropriate opioid analgesic requirements has not yet been established. The present study sought to construct prediction formulas for individual opioid analgesic requirements based on genetic polymorphisms and clinical data from patients who underwent cosmetic orthognathic surgery and validate the utility of the prediction formulas in patients who underwent major open abdominal surgery.

methodsTo construct the prediction formulas, we performed multiple linear regression analyses using data from subjects who underwent cosmetic orthognathic surgery. The dependent variable was 24-h postoperative or perioperative fentanyl use, and the independent variables were age, gender, height, weight, pain perception latencies (PPL), and genotype data of five single-nucleotide polymorphisms (SNPs). To examine the utility of the prediction formulas, we performed simple linear regression analyses using subjects who underwent major open abdominal surgery. Actual 24-h postoperative or perioperative analgesic use and the predicted values that were calculated using the multiple regression equations were incorporated as dependent and independent variables, respectively.

resultsMultiple linear regression analyses showed that the four SNPs, PPL, and weight were retained as independent predictors of 24-h postoperative fentanyl use (R² = 0.145, P = 5.66 × 10⁻¹⁰) and the two SNPs and weight were retained as independent predictors of perioperative fentanyl use (R² = 0.185, P = 1.99 × 10⁻¹⁵). Simple linear regression analyses showed that the predicted values were retained as an independent predictor of actual 24-h postoperative analgesic use (R² = 0.033, P = 0.030) and perioperative analgesic use (R² = 0.100, P = 1.09 × 10⁻⁴), respectively.

conclusionsWe constructed prediction formulas, and the possible utility of these prediction formulas was found in another type of surgery.

Indexed as

Polymorphism, Single NucleotideAbdomenAdolescentAdultAnalgesics, OpioidDose-Response Relationship, DrugFemaleFentanylHumansLinear ModelsMaleMiddle AgedModels, StatisticalOrthognathic SurgeryPostoperative PainPrecision MedicineAnalgesics, OpioidFentanyl

Identifiers

PMID25615449
PMCPMC4304713

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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.