Evidence map›Paper›PMID 37341161›Full record

ReviewPaediatric anaesthesia2023

Pharmacokinetic pharmacodynamic modeling of analgesics and sedatives in children.

Maddlie Bardol, Shan Pan, Suellen M Walker, Joseph F Standing, Joy M Dawes

Open access · hybridAbstract readReview
In one paragraph

Review in Paediatric anaesthesia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.1field-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

7 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Optimizing Pediatric Drug Therapy: Pediatric Pharmacokinetics and Administration Routes.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. 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

5 authors at 1 institution in 2 countries.

Maddlie BardolInfection, Immunity and Inflammation, Great Ormond Street Institute of Child Health, University College London, London, UK.
Shan PanInfection, Immunity and Inflammation, Great Ormond Street Institute of Child Health, University College London, London, UK.
Suellen M WalkerDepartment of Anaesthesia and Pain Medicine, Great Ormond St Hospital NHS Foundation Trust, London, UK.ORCID 0000-0002-6086-9459
Joseph F StandingInfection, Immunity and Inflammation, Great Ormond Street Institute of Child Health, University College London, London, UK.ORCID 0000-0002-4561-7173
Joy M DawesInfection, Immunity and Inflammation, Great Ormond Street Institute of Child Health, University College London, London, UK.ORCID 0000-0003-0131-8670
Great Ormond Street Hospital · GB

Funding

Medical Research Council MR/M008665/1
6 · The paper itself

Abstract

Pharmacokinetic pharmacodynamic modeling is an important tool which uses statistical methodology to provide a better understanding of the relationship between concentration and effect of drugs such as analgesics and sedatives. Pharmacokinetic pharmacodynamic models also describe between-subject variability that allows identification of subgroups and dose adjustment for optimal pain management in individual patients. This approach is particularly useful in the pediatric population, where most drugs have received limited evaluation and dosing is extrapolated from adult practice. In children, the covariates of weight and age are used to describe size- and maturation-related changes in pharmacokinetics. It is important to consider both size and maturation in order to develop an accurate model and determine the optimal dose for different age groups. An adequate assessment of analgesic and sedative effect using pain scales or brain activity measures is essential to build reliable pharmacokinetic pharmacodynamic models. This is often challenging in children due to the multidimensional nature of pain and the limited sensitivity and specificity of some measurement tools. This review provides a summary of the pharmacokinetic and pharmacodynamic methodology used to describe the dose-concentration-effect relationship of analgesics and sedation in children, with a focus on the different pharmacodynamic endpoints and the challenges of pharmacodynamic modeling.

Indexed as

AnalgesicsHypnotics and SedativesAdultChildHumansModels, BiologicalPainPain ManagementPain MeasurementAnalgesicsHypnotics and Sedativeschildrenpainpharmacodynamicpharmacokineticsedation

Identifiers

PMID37341161
PMCPMC10947261
OpenAlexW4381469699

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.