Evidence map›Paper›PMID 28451709›Full record

Observational studyEuropean journal of clinical pharmacology2017

A dosing algorithm for metformin based on the relationships between exposure and renal clearance of metformin in patients with varying degrees of kidney function.

Janna K Duong, M Y A M Kroonen, S S Kumar, H L Heerspink, C M Kirkpatrick, G G Graham, K M Williams, R O Day

Open access · bronzeAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in European journal of clinical pharmacology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
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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 5 institutions in 2 countries.

Janna K DuongSchool of Medical Sciences, Medicine, University of New South Wales, Sydney, Australia. jkduong@gmail.com.
M Y A M KroonenDepartment of Pharmacy and Pharmacology, University of Groningen, Groningen, The Netherlands.
S S KumarSchool of Medical Sciences, Medicine, University of New South Wales, Sydney, Australia.
H L HeerspinkDepartment of Pharmacy and Pharmacology, University of Groningen, Groningen, The Netherlands.
C M KirkpatrickCentre for Medicine Use and Safety, Monash University, Parkville, Australia.
G G GrahamSchool of Medical Sciences, Medicine, University of New South Wales, Sydney, Australia.
K M WilliamsSchool of Medical Sciences, Medicine, University of New South Wales, Sydney, Australia.
R O DaySchool of Medical Sciences, Medicine, University of New South Wales, Sydney, Australia.
St Vincent's Hospital Sydney · AUUniversity of Groningen · NLUNSW Sydney · AUMonash University · AUSt Vincent's Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aims of this study were to investigate the relationship between metformin exposure, renal clearance (CL

methodsPlasma and urine samples were collected from three studies consisting of patients with varying degrees of kidney function (creatinine clearance, CL

resultsThe data (66 patients, 327 observations) were best described by a two-compartment model, and CL

conclusionsThe proposed dosing algorithm can be used to dose metformin in patients with various degrees of kidney function to maintain consistent drug exposure. However, there is still marked IIV and therapeutic drug monitoring of metformin plasma concentrations is recommended.

Indexed as

Models, BiologicalAdultAgedAged, 80 and overAlgorithmsDiabetes Mellitus, Type 2Dose-Response Relationship, DrugFemaleHumansHypoglycemic AgentsKidneyKidney DiseasesMaleMetforminMiddle AgedHypoglycemic AgentsMetforminKidney diseaseMetforminPharmacokineticsPopulation modellingRenal clearanceType 2 diabetes mellitus

Identifiers

PMID28451709
OpenAlexW2609912243

What OpenQuestion holds

Texttitle and abstract
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.