Evidence map›Paper›PMID 33959888›Full record

ArticleEuropean journal of drug metabolism and pharmacokinetics2021

Influence of the Obesity Phenotype on the Adequacy of Antibiotic Prophylaxis with Cefoxitin for Obese Patients Undergoing Bariatric Surgery: Lessons Learnt and Future Considerations.

Thibaut Belveyre, Julien Scala-Bertola, Mathieu Esposito, Amandine Luc, Jeffrey Lipman, Emmanuel Novy

Open access · greenAbstract read
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In one paragraph

Article in European journal of drug metabolism and pharmacokinetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
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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

6 authors at 4 institutions in 2 countries.

Thibaut BelveyreDepartment of Anaesthesiology, critical care and peri-operative medicine, Surgical Intensive Care Unit JM Picard, University Hospital of Nancy, 54511, Vandœuvre-Lès-Nancy, France. thibaut.belveyre@gmail.com.ORCID http://orcid.org/0000-0003-4978-4152
Julien Scala-BertolaDepartment of Clinical Pharmacology and Toxicology, University Hospital of Nancy, 54000, Nancy, France.
Mathieu EspositoDepartment of Anaesthesiology, critical care and peri-operative medicine, Surgical Intensive Care Unit JM Picard, University Hospital of Nancy, 54511, Vandœuvre-Lès-Nancy, France.
Amandine LucDRCI, MPI department, Methodology, Data Management and Statistic Unit, University Hospital of Nancy, 54511, Vandœuvre-Lès-Nancy, France.
Jeffrey LipmanUniversity of Queensland Centre of Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia.
Emmanuel NovyDepartment of Anaesthesiology, critical care and peri-operative medicine, Surgical Intensive Care Unit JM Picard, University Hospital of Nancy, 54511, Vandœuvre-Lès-Nancy, France.
Centre Hospitalier Régional et Universitaire de Nancy · FRCentre National de la Recherche Scientifique · FRStress, immunité, pathogènesThe University of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesA high inter-individual variability in pharmacokinetic parameters in obese patients is observed. The objective of this study was to evaluate the effect of obesity parameters on the pharmacokinetics of cefoxitin administered for antibiotic prophylaxis during bariatric surgery.

methodsThis a secondary analysis of a pharmacokinetic study involving 174 obese patients scheduled for bariatric surgery and receiving a 4-g dose of cefoxitin. Blood samples were collected at incision and wound closure. The total plasma concentrations were assessed utilising a validated high-performance liquid chromatography-tandem mass spectrometry method. The pharmacokinetic and pharmacodynamic target was defined as an estimated free concentration of cefoxitin at the time of wound closure >8 mg/L. Specific evaluated obesity parameters were fat body mass, fat body mass/height

resultsA total of 174 patients (median age 47 years) with a majority of women (75.3%) and a median BMI of 44 kg/m

conclusionObese patients with a higher lean mass and a metabolic syndrome could constitute a subgroup at risk for cefoxitin under-dosage.

Indexed as

Bariatric SurgeryAdultAnti-Bacterial AgentsAntibiotic ProphylaxisBody Mass IndexCefoxitinChromatography, High Pressure LiquidCohort StudiesFemaleHumansMaleMetabolic SyndromeMiddle AgedObesityPhenotypeProspective StudiesAnti-Bacterial AgentsCefoxitin

Identifiers

PMID33959888
OpenAlexW3157738424

What OpenQuestion holds

Textmetadata
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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.