Evidence map›Paper›PMID 26857961›Full record

ReviewThe Journal of pharmacology and experimental therapeutics2016

Could Biomarkers Direct Therapy for the Septic Patient?

Clark R Sims, Trung C Nguyen, Philip R Mayeux

Open access · bronzeAbstract readReview
In one paragraph

Review in The Journal of pharmacology and experimental therapeutics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Review
  3. Observational
  4. Article
  5. Physiology and technology for the ICU in vivo.Critical care (London, England) · 2019
    Review
  6. Review
  7. Review
  8. Observational
  9. Article
  10. Review
  11. A path to precision in the ICU.Critical care (London, England) · 2017
    Review
  12. Article
  13. 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

3 authors at 2 institutions in 1 country.

Clark R SimsDepartment of Pharmacology and Toxicology, University of Arkansas for Medical Sciences, Little Rock, Arkansas (C.R.S., P.R.M.); and Department of Pediatrics, Section of Critical Care Medicine, Baylor College of Medicine/Texas Children's Hospital, Houston, Texas (T.C.N.).
Trung C NguyenDepartment of Pharmacology and Toxicology, University of Arkansas for Medical Sciences, Little Rock, Arkansas (C.R.S., P.R.M.); and Department of Pediatrics, Section of Critical Care Medicine, Baylor College of Medicine/Texas Children's Hospital, Houston, Texas (T.C.N.).
Philip R MayeuxDepartment of Pharmacology and Toxicology, University of Arkansas for Medical Sciences, Little Rock, Arkansas (C.R.S., P.R.M.); and Department of Pediatrics, Section of Critical Care Medicine, Baylor College of Medicine/Texas Children's Hospital, Houston, Texas (T.C.N.) prmayeux@uams.edu.
Baylor College of Medicine · USTexas Children's Hospital · US

Funding

Arkansas Center for Clinical and Translational ResearchUL1TR000039 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI BECK, CORNELIA MARIE, JAMES, LAURA P · 2012 to 2014
$10.0M
Microvascular Thrombosis in systemic inflammationR01GM112806 · NIGMS · BAYLOR COLLEGE OF MEDICINE · PI CRUZ, MIGUEL ANGEL, NGUYEN, TRUNG CHANH · 2014 to 2022
$3.0M
Systems Pharmacology and Toxicology Training ProgramT32GM106999 · NIGMS · UNIV OF ARKANSAS FOR MED SCIS · PI PRATHER, PAUL L · 2013 to 2022
$1.4M
Mitochondrial injury and repair in sepsis-induced acute kidney injuryR01GM106419 · NIGMS · UNIV OF ARKANSAS FOR MED SCIS · PI MACMILLAN-CROW, LEE A, MAYEUX, PHILIP R. · 2014 to 2017
$1.1M
Targeting renal perfusion and mitochondrial oxidants in a model of infant sepsisF31DK104533 · NIDDK · UNIV OF ARKANSAS FOR MED SCIS · PI SIMS, CLARK RANEY · 2014 to 2016
$61k
NCATS NIH HHS UL1 TR000039NCATS NIH HHS UL1-TR000039NIDDK NIH HHS F31 DK104533NIGMS NIH HHS R01 GM106419NIGMS NIH HHS R01 GM112806NIGMS NIH HHS T32 GM106999
6 · The paper itself

Abstract

Sepsis is a serious medical condition caused by a severe systemic inflammatory response to a bacterial, fungal, or viral infection that most commonly affects neonates and the elderly. Advances in understanding the pathophysiology of sepsis have resulted in guidelines for care that have helped reduce the risk of dying from sepsis for both children and older adults. Still, over the past three decades, a large number of clinical trials have been undertaken to evaluate pharmacological agents for sepsis. Unfortunately, all of these trials have failed, with the use of some agents even shown to be harmful. One key issue in these trials was the heterogeneity of the patient population that participated. What has emerged is the need to target therapeutic interventions to the specific patient's underlying pathophysiological processes, rather than looking for a universal therapy that would be effective in a "typical" septic patient, who does not exist. This review supports the concept that identification of the right biomarkers that can direct therapy and provide timely feedback on its effectiveness will enable critical care physicians to decrease mortality of patients with sepsis and improve the quality of life of survivors.

Indexed as

AnimalsBiomarkersCritical CareDisease Models, AnimalHumansPrecision MedicineSepsisBiomarkers

Identifiers

PMID26857961
PMCPMC4851319
OpenAlexW2329935473

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.