Evidence map›Paper›PMID 30426090›Full record

ArticleOpen medicine (Warsaw, Poland)2018

Pharmacokinetics of Vancomycin in Patients with Different Renal Function Levels.

Radica Zivkovic Zaric, Jasmina Milovanovic, Nikola Rosic, Dragan Milovanovic, Dejana Ruzic Zecevic, Marko Folic, Slobodan Jankovic

Abstract read
In one paragraph

Article in Open medicine (Warsaw, Poland), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed, 1 synthesis or guideline 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

7 authors.

Radica Zivkovic ZaricUniversity of Kragujevac, Faculty of Medical Sciences, Department of Pharmacology and Toxicology, Svetozara Markovica 69, 34000 Kragujevac, Serbia.
Jasmina MilovanovicFaculty of Medical Sciences, University of Kragujevac, Serbia, Department of Pharmacology and Toxicology Kragujevac, Serbia.
Nikola RosicClinical Center Kragujevac, Kragujevac, Serbia.
Dragan MilovanovicFaculty of Medical Sciences, University of Kragujevac, Serbia, Department of Pharmacology and Toxicology Kragujevac, Serbia.
Dejana Ruzic ZecevicFaculty of Medical Sciences, University of Kragujevac, Serbia, Department of Pharmacology and Toxicology Kragujevac, Serbia.
Marko FolicFaculty of Medical Sciences, University of Kragujevac, Serbia, Department of Clinical Pharmacy Kragujevac, Serbia.
Slobodan JankovicFaculty of Medical Sciences, University of Kragujevac, Serbia, Department of Pharmacology and Toxicology Kragujevac, Serbia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There are many determinants of vancomycin clearance, but these have not been analyzed separately in populations with different levels of renal function, which could be why some important factors have been missed. The aim of our study was to compare the pharmacokinetic parameters and factors that may affect vancomycin pharmacokinetics in groups of patients with normal renal function and in those with chronic kidney failure. The study used a population pharmacokinetic modeling approach, based on plasma vancomycin concentrations and other data from 78 patients with chronic kidney failure and 32 patients with normal renal function. The model was developed using NONMEM software and validated by bootstrapping. The final model for patients with impaired kidney function was described by the following equation: CL (L/h) = 0.284 + 0.000596 x DD + 0.00194 x AST, and that for the patients with normal kidney function by: CL (L/h) = 0.0727 + 0.205 x FIB. If our results are confirmed by new studies on two similar populations, these factors could be considered when dosing vancomycin in patients with chronically damaged kidneys, as well as in patients with normal kidneys who frequently require high doses of vancomycin.

Indexed as

Non-linear mixed effects model (NONMEM)Population pharmacokineticsRenal insufficiencyVancomycin

Identifiers

PMID30426090
PMCPMC6227840

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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.