Evidence map›Paper›PMID 34269840›Full record

ArticleEuropean journal of clinical pharmacology2021

Serum concentrations of antidepressants, antipsychotics, and antiepileptics over the bariatric surgery procedure.

Susanna M Wallerstedt, Karin Nylén, Magnus A B Axelsson

Open access · hybridAbstract read
In one paragraph

Article in European journal of clinical pharmacology, 2021. 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
2.0field-weighted citation impact, top 13% 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

12 citing papers in PubMed, 26 citations in OpenAlex.

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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

3 authors at 2 institutions in 1 country.

Susanna M WallerstedtDepartment of Pharmacology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. susanna.wallerstedt@pharm.gu.se.ORCID http://orcid.org/0000-0001-7238-1680
Karin NylénDepartment of Pharmacology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Magnus A B AxelssonDepartment of Pharmacology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Sahlgrenska University Hospital · SEUniversity of Gothenburg · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAs a substantial proportion of bariatric surgery patients use psychotropic/antiepileptic drugs, we investigated the impact of this procedure on serum concentrations.

methodsIn a naturalistic, longitudinal, prospective case series, we compared dose-adjusted trough concentrations of antidepressants, antipsychotics, or antiepileptics in consecutive patients before and after bariatric surgery. Adherence to treatment over 2 weeks preceding each sampling was considered.

resultsIn all, 85 participants were included (86% female, median age 45 years, median body mass index 42 kg/m

conclusionsSerum concentrations of psychotropic/antiepileptic drugs vary after bariatric surgery and can be hard to predict in individual patients, suggesting that therapeutic drug monitoring is of value. Conversely, effects of the pre-surgery, low-calorie diet appear generalizable, with decreased concentrations of highly lipophilic drugs and increased concentrations of highly hydrophilic drugs. Interaction effects (surgery/dose/concentration) were not evident but cannot be excluded.

Indexed as

AdultAnticonvulsantsAntidepressive AgentsAntipsychotic AgentsBariatric SurgeryDietDrug MonitoringFemaleHumansLongitudinal StudiesMaleMiddle AgedProspective StudiesAnticonvulsantsAntidepressive AgentsAntipsychotic AgentsAntidepressantsAntiepilepticsAntipsychoticsBariatric surgeryPharmacotherapyTherapeutic drug monitoring

Identifiers

PMID34269840
PMCPMC8585833
OpenAlexW3181038902

What OpenQuestion holds

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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.