Evidence map›Paper›PMID 30345882›Full record

ReviewPharmacogenomics2018

Pharmacogenetics of warfarin dosing in patients of African and European ancestry.

Aditi Shendre, Chrisly Dillon, Nita A Limdi

Abstract readReview
In one paragraph

Review in Pharmacogenomics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Warfarin dosing algorithms: A systematic review.British journal of clinical pharmacology · 2021
    Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Ethnic Diversity and Warfarin Pharmacogenomics.Frontiers in pharmacology · 2022
    Review
  11. Article
  12. Prevalence of five pharmacologically most importantArhiv za higijenu rada i toksikologiju · 2021
    Article
  13. Review
  14. Article
  15. Issues in the Use of Human Tissues to Support Precision Medicine.Journal of health care for the poor and underserved · 2019
    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

3 authors.

Aditi ShendreDepartment of Epidemiology, Richard M Fairbanks School of Public Health, Indiana University Purdue University Indianapolis, IN 46202, USA.
Chrisly DillonDepartment of Neurology, School of Medicine, University of Alabama at Birmingham, AL 35294, USA.
Nita A LimdiDepartment of Neurology, School of Medicine, University of Alabama at Birmingham, AL 35294, USA.

Funding

Predictors of hemorrhage among patients on direct acting oral anticoagulantsR01HL092173 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LIMDI, NITA A · 2008 to 2023
$10.4M
UAB Center for Clinical and Translational Science (CCTS) UL1UL1TR000165 · NCATS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI KIMBERLY, ROBERT P. · 2012 to 2013
$9.6M
Genome Wide Haplotype Association AnalysisR01GM081488 · NIGMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LIU, NIANJUN · 2008 to 2012
$1.3M
Patient Oriented Research in Personalized Antithrombotic TherapyK24HL133373 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LIMDI, NITA A · 2016 to 2025
$1.2M
NCATS NIH HHS UL1 TR000165NHLBI NIH HHS K24 HL133373NHLBI NIH HHS R01 HL092173NIGMS NIH HHS R01 GM081488
6 · The paper itself

Abstract

Despite the introduction of direct acting oral anticoagulants, warfarin remains the most commonly prescribed oral anticoagulant. However, warfarin therapy is plagued by the large inter- and intrapatient variability. The variability in dosing fueled research to identify clinical and genetic predictors and develop more accurate dosing algorithms. Observational studies have demonstrated the significant impact of single nucleotide polymorphisms in CYP2C9 and VKORC1 on warfarin dose in patients of European ancestry and African-Americans. This evidence supported the design and conduct of clinical trials to assess whether genotype-guided dosing results in improved anticoagulation control and outcomes. The trial results have shown discordance by race, with pharmacogenetic algorithms improving dose and anticoagulation control among European ancestry patients compared with African-American patients. Herein, we review the evidence from observational and interventional studies, highlight the need for inclusion of minority race groups and propose the need to develop race specific dosing algorithms.

Indexed as

AnticoagulantsBlack or African AmericanBlack PeopleDose-Response Relationship, DrugGenotypeHumansPharmacogeneticsPolymorphism, Single NucleotideWarfarinWhite PeopleAnticoagulantsWarfarinpharmacogenetic dosing algorithmsracewarfarin

Identifiers

PMID30345882
PMCPMC6562764

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.