Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=26371029
&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215
Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\26371029
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Int+J+Environ+Res+Public+Health
2015 ; 12
(9
): 11227-40
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Drug-Induced Nephrotoxicity and Dose Adjustment Recommendations: Agreement Among
Four Drug Information Sources
#MMPMID26371029
Bicalho MD
; Soares DB
; Botoni FA
; Reis AM
; Martins MA
Int J Environ Res Public Health
2015[Sep]; 12
(9
): 11227-40
PMID26371029
show ga
: Hospitalized patients require the use of a variety of drugs, many of which
individually or in combination have the potential to cause kidney damage. The use
of potentially nephrotoxic drugs is often unavoidable, and the need for dose
adjustment should be evaluated. This study is aimed at assessing concordance in
information on drug-induced nephrotoxicity and dose adjustment recommendations by
comparing four drug information sources (DRUGDEX(®), UpToDate(®), Medscape(®) and
the Brazilian Therapeutic Formulary) using the formulary of a Brazilian public
hospital. A total of 218 drugs were investigated. The global Fleiss' kappa
coefficient was 0.265 for nephrotoxicity (p < 0.001; CI 95%, 0.211-0.319) and
0.346 for recommendations (p < 0.001; CI 95%, 0.292-0.401), indicating fair
concordance among the sources. Anti-infectives and anti-hypertensives were the
main drugs cited as nephrotoxic by the different sources. There were no clear
definitions for qualitative data or quantitative values for dose adjustments
among the four information sources. There was no advice for dosing for a large
number of the drugs in the international databases. The National Therapeutic
Formulary offered imprecise dose adjustment recommendations for many nephrotoxic
drugs. Discrepancies among information sources may have a clinical impact on
patient care and contribute to drug-related morbidity and mortality.
|*Drug Dosage Calculations
[MESH]
|Anti-Infective Agents/*toxicity
[MESH]
|Antihypertensive Agents/*toxicity
[MESH]
|Brazil
[MESH]
|Drug Information Services/*standards
[MESH]
|Drug-Related Side Effects and Adverse Reactions/*prevention & control
[MESH]
|Female
[MESH]
|Humans
[MESH]
|Kidney Diseases/chemically induced/*prevention & control
[MESH]