Evidence map›Paper›PMID 38256585›Full record

ReviewJournal of clinical medicine2024

Therapeutic Drug Monitoring in Patients with Systemic Lupus Erythematosus: Utility and Gaps.

Kar Mun Chong, He Jiang, Elaine Ah Gi Lo, Wei-Zhen Hong, Emmett Tsz-Yeung Wong, Gek Cher Chan, Jiacai Cho

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2024. 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
2.4field-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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. 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

7 authors at 2 institutions in 1 country.

Kar Mun ChongDivision of Rheumatology, Department of Medicine, National University Hospital, Singapore 119074, Singapore.
He JiangDepartment of Pharmacy, National University Hospital, Singapore 119074, Singapore.
Elaine Ah Gi LoDepartment of Pharmacy, National University Hospital, Singapore 119074, Singapore.
Wei-Zhen HongDivision of Nephrology, Department of Medicine, National University Hospital, Singapore 119074, Singapore.ORCID 0000-0002-4199-9354
Emmett Tsz-Yeung WongDivision of Nephrology, Department of Medicine, National University Hospital, Singapore 119074, Singapore.ORCID 0000-0002-5831-8420
Gek Cher ChanDivision of Nephrology, Department of Medicine, National University Hospital, Singapore 119074, Singapore.ORCID 0000-0002-4661-3350
Jiacai ChoDivision of Rheumatology, Department of Medicine, National University Hospital, Singapore 119074, Singapore.
National University of Singapore · SGNational University Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite advances in the treatment of patients with systemic lupus erythematous (SLE), outcomes have remained suboptimal. Persistent disease activity, patient comorbidities and drug toxicities contribute to the accrual of progressive irreversible damage and high rates of morbidity and mortality. Currently, similar drug doses and regimens are promulgated in the treatment guidelines for all SLE patients, despite the vast differences in patient and environmental factors that affect the drugs' metabolism and blood concentrations. This causes a disconnect between drug dosing and drug blood concentrations, which can then result in unpredictability in drug toxicities and therapeutic effects. In this review, we discuss commonly used oral immunosuppressive medications in SLE, their pharmacogenomics, and factors affecting their metabolism and blood concentrations. Further, we highlight the role of therapeutic drug monitoring in SLE, which is the first accessible step to individualising therapy.

Indexed as

azathioprinecyclosporinehydroxychloroquinemycophenolatepharmacogenomicssystemic lupus erythematosustacrolimustherapeutic drug monitoring

Identifiers

PMID38256585
PMCPMC10816431
OpenAlexW4390878544

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.