Evidence map›Paper›PMID 31592297›Full record

ArticlePharmacy practice

Impact of select risk factors on treatment outcome in adults with candidemia.

Brandon Hill, Richard H Drew, Dustin Wilson

Open access · diamondAbstract read
In one paragraph

Article in Pharmacy practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 88% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. 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 at 2 institutions in 1 country.

Brandon HillDepartment of Pharmacy Clinical Services, University of Virginia Medical Center. Charlottesville, VA (United States). bkh6rn@virginia.edu.ORCID 0000-0001-6509-9302
Richard H DrewDepartment of Pharmacy Practice, College of Pharmacy & Health Sciences, Campbell University. Buies Creek, NC.; & Department of Pharmacy, Duke University Hospital. Durham, NC (United States). richard.drew@duke.edu.ORCID 0000-0003-0406-0804
Dustin WilsonDepartment of Pharmacy Practice, College of Pharmacy & Health Sciences, Campbell University. Buies Creek, NC.; & Department of Pharmacy, Duke University Hospital. Durham, NC (United States). dustin.wilson@duke.edu.ORCID 0000-0001-8053-8473
Campbell University · USUniversity of Virginia Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies examining relationships between patient-related factors and treatment outcome in patients with candidemia are limited and often based on all-cause mortality.

objectiveOur purpose was to examine the impact of concurrent renal replacement therapy (RRT) and other pre-specified factors on treatment outcome among adults with candidemia.

methodsThis Institutional Review Board (IRB)-approved, single-center, case-cohort study included patients over 18 years of age admitted to Duke University Hospital between Jun 1, 2013 and Jun 1, 2017 with a blood culture positive for Candida spp. Treatment-, patient-, and disease-specific data were collected, and outcome (success/failure) determined 90 days after the index culture. An odds ratio (OR) and 95% confidence interval (95%CI) were calculated for the following during therapy: receipt of RRT, fluconazole monotherapy regimen, intensive care unit (ICU) stay, and neutropenia.

resultsAmong the 112 encounters (from 110 unique patients) included, treatment failure occurred in 8/112 (7.1%). Demographics were comparable between outcome groups. Among 12 patients receiving concomitant RRT, only 1 patient failed therapy. With regard to treatment failure, no significant differences were observed with RRT (OR, 1.21; 95%CI, 0.14 - 10.75), fluconazole monotherapy regimen (OR, 1.59; 95%CI, 0.3-8.27), ICU stay (OR, 1.43; 95%CI, 0.32-6.29), and neutropenia (0 treatment failures).

conclusionsTreatment failure, receipt of concomitant RRT, and neutropenia were infrequent in patients undergoing treatment for candidemia. In our cohort, exposure to RRT, a fluconazole monotherapy regimen, ICU stay, or neutropenia during treatment did not impact treatment outcome.

Indexed as

CandidaCandidemiaCohort StudiesFluconazoleHospitalsIntensive Care UnitsNeutropeniaNorth CarolinaRenal Replacement TherapyTreatment FailureTreatment OutcomeUniversity

Identifiers

PMID31592297
PMCPMC6763308
OpenAlexW2977913535

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.