Evidence map›Paper›PMID 34483679›Full record

ArticlePharmacogenomics and personalized medicine2021

Genetic and Non-Genetic Factors Impact on INR Normalization in Preprocedural Warfarin Management.

Islam Eljilany, Mohamed Elarref, Nabil Shallik, Abdel-Naser Elzouki, Loulia Bader, Ahmed El-Bardissy, Osama Abdelsamad, Daoud Al-Badriyeh, Larisa H Cavallari, Hazem Elewa

Open access · goldAbstract read
In one paragraph

Article in Pharmacogenomics and personalized medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 30% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Observational
  3. Article
  4. Derivation and Validation of a Genotype- Guided Warfarin Dosing Model in a Mixed Arab Population.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

10 authors at 5 institutions in 3 countries.

Islam EljilanyCollege of Pharmacy, QU Health, Qatar University, Doha, Qatar.ORCID 0000-0001-6387-5419
Mohamed ElarrefDepartment of Anesthesia, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Nabil ShallikDepartment of Anesthesia, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.ORCID 0000-0002-8247-4394
Abdel-Naser ElzoukiDepartment of Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.ORCID 0000-0002-9132-1752
Loulia BaderCollege of Pharmacy, QU Health, Qatar University, Doha, Qatar.
Ahmed El-BardissyDepartment of Pharmacy, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Osama AbdelsamadDepartment of Pharmacy, Al Wakra Hospital, Hamad Medical Corporation, Doha, Qatar.
Daoud Al-BadriyehCollege of Pharmacy, QU Health, Qatar University, Doha, Qatar.
Larisa H CavallariDepartment of Pharmacotherapy and Translation Research, Center for Pharmacogenomics and Precision Medicine, College of Pharmacy, University of Florida, Gainesville, FL, USA.
Hazem ElewaCollege of Pharmacy, QU Health, Qatar University, Doha, Qatar.ORCID 0000-0003-1594-1199
Hamad General Hospital · QAQatar University · QAHamad Medical Corporation · QATanta University · EGUniversity of Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnnually, 10% of warfarin patients will likely need to stop warfarin prior to elective surgery to achieve a baseline international normalization ratio (INR) level (INR ≤ 1.2) at the time of the procedure. This study explores the influence of genetic and non-genetic factors on INR normalization in the Arab (major part of Near Eastern) population in preprocedural warfarin management.

methodsAn observational prospective cohort study was designed to recruit Arab patients taking warfarin and scheduled for an elective procedure. Two INR readings were recorded. DNA extraction and genotyping of variants in

resultsData from 116 patients were included in the analysis.

conclusionDespite the confirmed effect of genetic factors on warfarin maintenance dose, the study was not able to find a significant effect of any genetic factor on the rate of INR normalization possibly due to the small sample size. Index INR and interacting medications showed to be significant predictors of INR decline rate.

Indexed as

INRperiproceduralpharmacogeneticspharmacogenomicswarfarin

Identifiers

PMID34483679
PMCPMC8409603
OpenAlexW3196807029

What OpenQuestion holds

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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.