Evidence map›Paper›PMID 27020704›Full record

SynthesisPharmacogenomics2016

Thiopurine S-methyltransferase testing for averting drug toxicity in patients receiving thiopurines: a systematic review.

Lilla M Roy, Richard M Zur, Elizabeth Uleryk, Chris Carew, Shinya Ito, Wendy J Ungar

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Pharmacogenomics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 7% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Mechanism of Action and Efficacy of Immunosupressors in Lupus Nephritis.International journal of nephrology and renovascular disease · 2021
    Review
  5. Article
  6. The Identification of a Novel Thiopurine S-Methyltransferase Allele,Pharmacogenomics and personalized medicine · 2020
    Article
  7. ThiopurineTherapeutic advances in gastroenterology · 2020
    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 2 institutions in 1 country.

Lilla M RoyChild Health Evaluative Sciences, The Hospital for Sick Children Research Institute, Toronto, Canada.
Richard M ZurChild Health Evaluative Sciences, The Hospital for Sick Children Research Institute, Toronto, Canada.
Elizabeth UlerykLibrary Services, The Hospital for Sick Children, Toronto, Canada.
Chris CarewInstitute for Health Policy, Management & Evaluation, University of Toronto, Canada.
Shinya ItoCentre for Genetic Medicine, The Hospital for Sick Children, Toronto, Canada.
Wendy J UngarChild Health Evaluative Sciences, The Hospital for Sick Children Research Institute, Toronto, Canada.
Hospital for Sick Children · CAUniversity of Toronto · CA

Funding

CIHR 132050-1
6 · The paper itself

Abstract

aimThiopurine S-methyltransferase (TPMT) testing is used in patients receiving thiopurines to identify enzyme deficiencies and risk for adverse drug reactions. It is uncertain whether genotyping is superior to phenotyping. The objectives were to conduct a systematic review of TPMT-test performance studies. MATERIALS &

methodsElectronic and grey literature sources were searched for studies reporting test performance compared with a reference standard. Sixty-six eligible studies were appraised for quality.

resultsThirty phenotype-genotype and six phenotype-phenotype comparisons were of high quality. The calculated sensitivity and specificity for genotyping to identify a homozygous mutation ranged from 0.0-100.0% and from 97.8-100.0%, respectively.

conclusionClinical decision-makers require high-quality evidence of clinical validity and clinical utility of TPMT genotyping to ensure appropriate use in patients.

Indexed as

AdolescentAdultDrug-Related Side Effects and Adverse ReactionsFemaleGenetic TestingGenotypeHumansMaleMethyltransferasesMutationPhenotypeSensitivity and SpecificityMethyltransferasesthiopurine methyltransferaseenzyme deficiencygenetic testphenotypeQUADAS-2quality appraisalsensitivityspecificitysystematic reviewthiopurine S-methyltransferase

Identifiers

PMID27020704
PMCPMC4931919
OpenAlexW2327055331

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.