Evidence map›Paper›PMID 28258392›Full record

ArticleClinical pharmacokinetics2012

Propofol Clearance in Morbidly Obese Children and Adolescents : Influence of Age and Body Size.

Jeroen Diepstraten, Vidya Chidambaran, Senthilkumar Sadhasivam, Hope R Esslinger, Shareen L Cox, Thomas H Inge, Catherijne A J Knibbe, Alexander A Vinks

Registry-linked trialAbstract read
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Article in Clinical pharmacokinetics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00948597 (A Non-Interventional Study to Develop a Pharmacokinetic - Pharmacodynamic Model for Individualized Propofol Dosing), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
8.3field-weighted citation impact, top 2% 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.

NCT00948597 completednot on this map

A Non-Interventional Study to Develop a Pharmacokinetic - Pharmacodynamic Model for Individualized Propofol Dosing

TypeobservationalSponsorChildren's Hospital Medical Center, CincinnatiRan2009 to 2013Enrolled26ConditionsObesity, Elective Surgery
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 60 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

8 authors at 3 institutions in 2 countries.

Jeroen DiepstratenDepartment of Clinical Pharmacy, St. Antonius Hospital, Nieuwegein, the Netherlands.
Vidya ChidambaranDivision of Pediatric Anesthesia, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Senthilkumar SadhasivamDivision of Pediatric Anesthesia, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Hope R EsslingerDivision of Pediatric Anesthesia, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Shareen L CoxDivision of Clinical Pharmacology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Thomas H IngeDepartment of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA.
Catherijne A J KnibbeDepartment of Clinical Pharmacy, St. Antonius Hospital, Nieuwegein, the Netherlands.
Alexander A VinksDepartment of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA. Sander.Vinks@cchmc.org.
Cincinnati Children's Hospital Medical Center · USSt. Antonius Ziekenhuis · NLUniversity of Cincinnati Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveGiven the alarming increase in obesity among children undergoing surgery, the main aim of this study was to characterize propofol clearance in a cohort of morbidly obese children and adolescents in relation to their age and body weight characteristics.

methodsA prospective pharmacokinetic study in morbidly obese children and adolescents undergoing elective surgery was conducted. Serial blood samples were collected and nonlinear mixed-effects modelling using NONMEM® was performed to characterize propofol pharmacokinetics with subsequent evaluation of age and body size descriptors.

resultsTwenty obese and morbidly obese children and adolescents with a mean age of 16 years (range 9-18 years), a mean total body weight (TBW) of 125 kg (range 70-184 kg) and a mean body mass index of 46kg/m

conclusionIn the population pharmacokinetic model for propofol in morbidly obese children and adolescents, TBW proved to be the most significant determinant for clearance. As a result, it is anticipated that dosage of propofol for maintenance of anaesthesia in morbidly obese children and adolescents should be based on TBW using an allometric function. TRIAL REGISTRATION NUMBER (CLINICALTRIALS.GOV): NCT00948597.

Identifiers

PMID28258392
OpenAlexW2237177468

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Registered trials

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.