Evidence map›Paper›PMID 39132282›Full record

ArticleDose-response : a publication of International Hormesis Society

Influence of Age, Gender and Body Mass Index on Intravenous Pharmacokinetics of Buprenorphine in Children Undergoing Orthopedic Surgery.

Liliana Rivera-Espinosa, Eréndira Vicencio-Rosas, Carmen Flores-Pérez, Janett Flores-Pérez, Ismael Lares-Asseff, Jesús Alonso Gándara Mireles, Edelmira Solorio-López, Juan Luis Chávez-Pacheco

Abstract read
In one paragraph

Article in Dose-response : a publication of International Hormesis Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Liliana Rivera-EspinosaLaboratorio de Farmacología, Instituto Nacional de Pediatría (INP), CP 04530, Ciudad de México, México.ORCID https://orcid.org/0000-0002-1334-0026
Eréndira Vicencio-RosasCoordinación Nacional Programa Institucional de Atención Paliativa (PALIATIVISSSTE), Dirección Médica, ISSSTE, Mexico City, Mexico.
Carmen Flores-PérezLaboratorio de Farmacología, Instituto Nacional de Pediatría (INP), CP 04530, Ciudad de México, México.ORCID https://orcid.org/0000-0001-8418-2718
Janett Flores-PérezLaboratorio de Farmacología, Instituto Nacional de Pediatría (INP), CP 04530, Ciudad de México, México.ORCID https://orcid.org/0000-0002-0546-730X
Ismael Lares-AsseffInstituto Politécnico Nacional, CIIDIR, Unidad Durango, México.
Jesús Alonso Gándara MirelesInstituto Politécnico Nacional, CIIDIR, Unidad Durango, México.ORCID https://orcid.org/0000-0002-5927-4992
Edelmira Solorio-LópezLaboratorio de Farmacología, Instituto Nacional de Pediatría (INP), CP 04530, Ciudad de México, México.ORCID https://orcid.org/0000-0003-2981-2347
Juan Luis Chávez-PachecoLaboratorio de Farmacología, Instituto Nacional de Pediatría (INP), CP 04530, Ciudad de México, México.ORCID https://orcid.org/0000-0001-6919-4497

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Buprenorphine (BPN) is a widely used analgesic in the pediatric population, although there are few studies on the pharmacokinetics and pharmacodynamics of this drug. Objective: The objective was to characterize the pharmacokinetics of BPN after intravenous administration and analyze the effect of age, gender, weight, height, body mass index (BMI), and drug-drug interactions as covariates. Methods: Ninety-nine children (2-10 years), who underwent orthopedic surgery under regional, general, or combined anesthesia were included. Patients evaluated according to the American Society of Anesthesiologists Physical Status Classification, who received intravenous BPN 2 μg/kg were enrolled. Blood was collected from 1-240 min. Drug plasma concentrations were determined by LC-MS/MS. Population pharmacokinetic parameters were obtained with Monolix 2021R1 software. Pearson's correlation and/or ANOVA were used for statistical analysis. Results: Age was associated with changes in clearance and central compartment volume and the female gender was associated with lower intercompartmental clearance, while BMI modified clearance, central and peripheral compartment volume. Concomitant administration of BPN with fentanyl and dexamethasone produced decreases in clearance. Conclusions: The covariates of sex, age, and BMI are directly related to the increase or decrease in BPN pharmacokinetic parameters.

Indexed as

analgesicbuprenorphinepediatricpharmacokineticspostsurgical pain

Identifiers

PMID39132282
PMCPMC11311171

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.