Evidence map›Paper›PMID 28393327›Full record

ArticleInternational journal of bipolar disorders2017

An observational study of 110 elderly lithium-treated patients followed up for 6 years with particular reference to renal function.

Alberto Bocchetta, Francesca Cabras, Martina Pinna, Antonio Poddighe, Claudia Sardu, Raffaella Ardau, Caterina Chillotti, Maria Del Zompo

Open access · goldAbstract read
In one paragraph

Article in International journal of bipolar disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
7.6field-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.

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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Pooled it
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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 2 institutions in 1 country.

Alberto BocchettaUnit of Clinical Pharmacology, Azienda Ospedaliero-Universitaria di Cagliari, "San Giovanni di Dio" Hospital, Via Ospedale 54, 09124, Cagliari, Italy.
Francesca CabrasSection of Neurosciences and Clinical Pharmacology, Department of Biomedical Sciences, University of Cagliari, Cagliari, Italy.
Martina PinnaSection of Neurosciences and Clinical Pharmacology, Department of Biomedical Sciences, University of Cagliari, Cagliari, Italy.
Antonio PoddigheNeurology Outpatient Unit, Local Health Agency, Cagliari, Italy.
Claudia SarduDepartment of Medical Science and Public Health, University of Cagliari, Cagliari, Italy.
Raffaella ArdauUnit of Clinical Pharmacology, Azienda Ospedaliero-Universitaria di Cagliari, "San Giovanni di Dio" Hospital, Via Ospedale 54, 09124, Cagliari, Italy.
Caterina ChillottiUnit of Clinical Pharmacology, Azienda Ospedaliero-Universitaria di Cagliari, "San Giovanni di Dio" Hospital, Via Ospedale 54, 09124, Cagliari, Italy.
Maria Del ZompoUnit of Clinical Pharmacology, Azienda Ospedaliero-Universitaria di Cagliari, "San Giovanni di Dio" Hospital, Via Ospedale 54, 09124, Cagliari, Italy. delzompo@unica.it.
University of Cagliari · ITAzienda Ospedaliero-Universitaria Cagliari · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent observational studies have focused on lithium treatment in the elderly, with particular reference to safety in terms of thyroid and renal functions. The purpose of this study was to compare the clinical characteristics of patients starting lithium treatment before (N = 79) or after (N = 31) the age of 65 years. Patients were followed up for 6 years with focus on renal function and prescription of levothyroxine and methimazole.

resultsAt baseline, median lithium serum concentration was 0.55 mmol/l. The estimated glomerular filtration rate was lower than 60 ml/min/1.73 m

conclusionsMedian lithium serum concentration in this cohort of elderly patients with mainly bipolar disorders was lower than the therapeutic range indicated for younger adults. The decline in glomerular filtration rate may be accelerated by long-term lithium use. Thyroid and renal functions continue to require close monitoring throughout the course of lithium treatment. Trial registration NP/2013/3836. Registered 24 June 2013.

Indexed as

Bipolar disordersCreatinineDepressionElderlyKidneyLithiumMood disordersNephrotoxicityThyroid

Identifiers

PMID28393327
PMCPMC5457744
OpenAlexW2604111078

What OpenQuestion holds

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LicenceCC BY
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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.