Evidence map›Paper›PMID 32307008›Full record

ArticleBMC cancer2020

Prevalence and significance of potential drug-drug interactions among cancer patients receiving chemotherapy.

Mohammad Ismail, Sehrash Khan, Fahadullah Khan, Sidra Noor, Hira Sajid, Shazia Yar, Irum Rasheed

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 4% 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

45 citing papers in PubMed, 2 syntheses or guidelines pooled it, 87 citations in OpenAlex.

  1. 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 at 2 institutions in 1 country.

Mohammad IsmailDepartment of Pharmacy, University of Peshawar, Peshawar, Khyber Pakhtunkhwa, Pakistan. ismailrph@uop.edu.pk.ORCID https://orcid.org/0000-0001-7227-3399
Sehrash KhanDepartment of Pharmacy, University of Peshawar, Peshawar, Khyber Pakhtunkhwa, Pakistan.
Fahadullah KhanDepartment of Pharmacy, University of Peshawar, Peshawar, Khyber Pakhtunkhwa, Pakistan.
Sidra NoorDepartment of Pharmacy, University of Peshawar, Peshawar, Khyber Pakhtunkhwa, Pakistan.
Hira SajidDepartment of Pharmacy, University of Peshawar, Peshawar, Khyber Pakhtunkhwa, Pakistan.
Shazia YarDepartment of Pharmacy, University of Peshawar, Peshawar, Khyber Pakhtunkhwa, Pakistan.
Irum RasheedDepartment of Pharmacy, University of Peshawar, Peshawar, Khyber Pakhtunkhwa, Pakistan.
University of Peshawar · PKThe University of Agriculture, Peshawar · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCancer patients often receive multiple drugs to maximize their therapeutic benefit, treat co-morbidities and counter the adverse effects of chemotherapy. Concomitant administration of multiple drugs increases the risk of drug interactions leading to compromised therapeutic efficacy or safety of therapy. The purpose of this study was to identify the prevalence, levels and predictors of potential drug-drug interactions (pDDIs) among cancer patients.

methodsSix hundred and 78 patients receiving chemotherapy from two tertiary care hospitals were included in this cross-sectional study. Patient medication profiles were screened for pDDIs using the Micromedex® database. Logistic regression analysis was performed to identify the predictors of pDDIs.

resultsThe overall prevalence of pDDIs was 78%, majority of patients had 1-2 pDDIs (39.2%). A total of 1843 pDDIs were detected. Major-pDDIs were most frequent (67.3%) whereas, a significant association of pDDIs was found between > 7 all prescribed drugs (p < 0.001) and ≥ 3 anti-cancer drugs (p < 0.001). Potential adverse outcomes of these interactions include reduced therapeutic effectiveness, QT interval prolongation, tendon rupture, bone marrow suppression and neurotoxicity.

conclusionsMajor finding of this study is the high prevalence of pDDIs signifying the need of strict patient monitoring for pDDIs among cancer patients. Patients at higher risk to pDDIs include those prescribed with > 7 any types of drugs or ≥ 3 anticancer drugs. Moreover, list of most frequently identified major and moderate interactions will aid health care professional in timely identification and prevention of pDDIs.

Indexed as

Drug InteractionsAdultAge FactorsAntineoplastic Combined Chemotherapy ProtocolsComorbidityCross-Sectional StudiesDatabases, FactualDrug-Related Side Effects and Adverse ReactionsFemaleFollow-Up StudiesHumansMaleMiddle AgedNeoplasmsPakistanPrognosisCancerPatient safetyPolypharmacyPotential drug-drug interactionsSupportive therapy

Identifiers

PMID32307008
PMCPMC7168989
OpenAlexW3016862200

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.