Evidence map›Paper›PMID 36998628›Full record

ArticleOpen forum infectious diseases2023

Insufficient Representation of Patients With Obesity in Randomized Controlled Trials Evaluating the Efficacy and Safety of Antimicrobials for Treatment of Skin and Skin Structure Infections: A Scoping Review.

Hay S Lee, Jamie L Wagner, Margaret Vugrin, Rebecca T Brandenburg, Jeremy Lee, Lindsey Miller, Stephen Rayborn, Ronald G Hall

Abstract readScoping Review
In one paragraph

Article in Open forum infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. Review
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

8 authors.

Hay S LeeDepartment of Pharmacy Practice, Texas Tech University Health Sciences Center, Jerry H. Hodge School of Phramacy, Dallas, Texas, USA.ORCID https://orcid.org/0000-0002-6006-7894
Jamie L WagnerDepartment of Pharmacy Practice, University of Mississippi School of Pharmacy, Jackson, Mississippi, USA.
Margaret VugrinTexas Tech University Health Sciences Center, Lubbock, Texas, USA.
Rebecca T BrandenburgTexas Tech University Health Sciences Center, Odessa, Texas, USA.ORCID https://orcid.org/0000-0002-0649-9450
Jeremy LeeDepartment of Pharmacy Practice, Texas Tech University Health Sciences Center, Jerry H. Hodge School of Phramacy, Dallas, Texas, USA.
Lindsey MillerMoose Pharmacy, University of North Carolina at Chapel Hill, Concord, North Carolina, USA.
Stephen RaybornNorth Mississippi Medical Center, Tupelo, Mississippi, USA.
Ronald G HallDepartment of Pharmacy Practice, Texas Tech University Health Sciences Center, Jerry H. Hodge School of Phramacy, Dallas, Texas, USA.ORCID https://orcid.org/0000-0002-5616-8246

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Persons with obesity (PwO) represent approximately 50% of acute bacterial skin and skin structure infections (ABSSSIs) in the United States (US). There are currently insufficient data in PwO for drugs used for ABSSSIs. We conducted a scoping review of randomized controlled trials (RCTs) published between 2000 and 2022 to describe how frequently body size measures were reported. Weight and/or body mass index (BMI) were recorded in approximately 50% of the 69 RCTs. The average weights or BMIs were lower than US averages for most RCTs reporting data. None evaluated the impact of body size on outcomes in the original publication. Only 30% of newly approved drugs mention PwO representation in the prescribing information. More representative recruitment of PwO into RCTs is needed to help clinicians evaluate efficacy in these patients. We suggest that the Food and Drug Administration require companies to submit plans to ensure adequate PwO inclusion and that authors of RCTs report subgroup results based on body size.

Indexed as

antibioticsdrug approvalsFDAobesityskin infections

Identifiers

PMID36998628
PMCPMC10043132

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.