Evidence map›Paper›PMID 30850987›Full record

ReviewClinical pharmacokinetics2019

Revisiting the Pharmacology of Unfractionated Heparin.

Abdallah Derbalah, Stephen Duffull, Fiona Newall, Katie Moynihan, Hesham Al-Sallami

Abstract readReview
PubMed Publisher
In one paragraph

Review in Clinical pharmacokinetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Trial
  2. Heparin Resistance - A Reality or Fallacy.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2026
    Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. 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

5 authors.

Abdallah DerbalahSchool of Pharmacy, University of Otago, Dunedin, New Zealand. Abdallah.Derbalah@postgrad.otago.ac.nz.ORCID 0000-0003-1841-9646
Stephen DuffullSchool of Pharmacy, University of Otago, Dunedin, New Zealand.ORCID 0000-0002-6545-9408
Fiona NewallDepartment of Nursing, The University of Melbourne, Parkville, VIC, Australia.
Katie MoynihanDepartment of Cardiology, Boston Children's Hospital, Boston, MA, USA.ORCID 0000-0003-2515-2951
Hesham Al-SallamiSchool of Pharmacy, University of Otago, Dunedin, New Zealand.ORCID 0000-0002-0685-327X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Unfractionated heparin (UFH) is a commonly used anticoagulant therapy for the acute treatment and prevention of thrombosis. Its short duration of action, reversibility of effect by protamine sulfate, and extensive clinical experience are some of the advantages that support its use. However, the choice of dose and dosing regimen of UFH remains challenging for several reasons. First, UFH has a narrow therapeutic window and wide variability in the dose-response relationship. Second, its pharmacodynamic (PD) properties are difficult to characterise owing to the complex multidimensional mechanisms of interaction with the haemostatic system. Third, the complex heterogeneous chemical composition of UFH precludes precise characterisation of its pharmacokinetic (PK) properties. This review provides a comprehensive mechanistic approach to the interaction of UFH with the haemostatic system. The effect of chemical structure on its PK and PD properties is quantitatively described, and a framework for characterisation of the dose-response relationship of UFH for the purpose of dose optimisation is proposed.

Indexed as

AnticoagulantsDose-Response Relationship, DrugEvaluation Studies as TopicHeparinHumansProtaminesThrombosisAnticoagulantsHeparinProtamines

Identifiers

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.