Evidence map›Paper›PMID 29632017›Full record

ArticleAntimicrobial agents and chemotherapy2018

Measurement of Skeletal Muscle Area Improves Estimation of Aminoglycoside Clearance across Body Size.

Ryan L Crass, Brian E Ross, Brian A Derstine, Matt Lichty, June A Sullivan, Grace L Su, Stewart C Wang, Manjunath P Pai

Abstract read
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Article in Antimicrobial agents and chemotherapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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.

  1. 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.

Ryan L CrassDepartment of Clinical Pharmacy, University of Michigan College of Pharmacy, Ann Arbor, Michigan, USA.ORCID 0000-0001-5403-4730
Brian E RossDepartment of Surgery, University of Michigan, Ann Arbor, Michigan, USA.
Brian A DerstineDepartment of Surgery, University of Michigan, Ann Arbor, Michigan, USA.
Matt LichtyDepartment of Clinical Pharmacy, University of Michigan College of Pharmacy, Ann Arbor, Michigan, USA.
June A SullivanDepartment of Surgery, University of Michigan, Ann Arbor, Michigan, USA.
Grace L SuDepartment of Surgery, University of Michigan, Ann Arbor, Michigan, USA.
Stewart C WangDepartment of Surgery, University of Michigan, Ann Arbor, Michigan, USA.
Manjunath P PaiDepartment of Clinical Pharmacy, University of Michigan College of Pharmacy, Ann Arbor, Michigan, USA amitpai@med.umich.edu.ORCID 0000-0001-7119-5034

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A consistent approach to the dosing of aminoglycosides across the modern body size distribution has been elusive. We evaluated whether radiologically derived measures of body composition could explain more of the interpatient variability in aminoglycoside pharmacokinetics (PK) than standard body size metrics. This retrospective study included adult patients treated with gentamicin or tobramycin with at least three drug concentrations and computed tomography (CT) imaging available. Aminoglycoside volume and clearance (CL) estimates were computed using a two-compartment model by Bayesian analysis. Morphomic data were extracted from CT images using a custom algorithm. Bivariable and multivariable linear regression were used to assess relationships between PK parameters and covariates. A total of 335 patients were included with a median (minimum, maximum) of 4 (3, 16) aminoglycoside concentrations per patient. The median (minimum, maximum) age, height, and weight of included patients were 57 (21, 93) years, 170 (145, 203) centimeters, and 81 (42, 187) kilograms. Both standard and morphomic measures poorly explained variability in volume (

Indexed as

AdultAgedAged, 80 and overAminoglycosidesBody SizeFemaleGentamicinsHumansMaleMiddle AgedMuscle, SkeletalObesityPrecision MedicineRetrospective StudiesTobramycinYoung AdultAminoglycosidesGentamicinsTobramycinadjusted body weightdrug dosinggentamicinlean body weightmorphomicsobesepharmacodynamicspharmacokineticspharmacomorphomicsprecision medicinetobramycin

Identifiers

PMID29632017
PMCPMC5971580

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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.