Source:http://linkedlifedata.com/resource/pubmed/id/20818444
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2011-6-9
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pubmed:abstractText |
Rasburicase was administered at a fixed dose of 3?mg to treat 287 episodes of elevated serum uric acid levels (>7?mg/dL) in 247 adult patients with hematological malignancies. The median total dose of 36??g/kg (range: 18-65) was a fraction of the recommended total pediatric dose of 0.75-1.0?mg/kg. The median change in uric acid levels at 24?h was -4.1?mg/dL (range: -12 to +1) and -45% (range: -95 to +9). Uric acid levels normalized at 24?h in 72% of patients. There was no relationship between the weight-based dose and uric acid decline. The only predictor of success was the baseline uric acid; the failure rate was 84% with baseline level >12?mg/dL and 18% if it was ? 12. Uric acid levels continued to decline beyond 24?h in most patients without additional treatment. Serum creatinine remained stable over 24?h, and declined over 48?h and 7 days. There was no relationship between the extent of reduction in uric acid levels and serum creatinine. We conclude that a single 3-mg dose of rasburicase, used with close monitoring, is sufficient to treat most adults with uric acid levels up to 12?mg/dL.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
1476-5365
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
46
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
800-5
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pubmed:meshHeading |
pubmed-meshheading:20818444-Adult,
pubmed-meshheading:20818444-Aged,
pubmed-meshheading:20818444-Aged, 80 and over,
pubmed-meshheading:20818444-Gout Suppressants,
pubmed-meshheading:20818444-Hematologic Neoplasms,
pubmed-meshheading:20818444-Humans,
pubmed-meshheading:20818444-Hyperuricemia,
pubmed-meshheading:20818444-Middle Aged,
pubmed-meshheading:20818444-Prognosis,
pubmed-meshheading:20818444-Retrospective Studies,
pubmed-meshheading:20818444-Time Factors,
pubmed-meshheading:20818444-Treatment Outcome,
pubmed-meshheading:20818444-Urate Oxidase,
pubmed-meshheading:20818444-Uric Acid,
pubmed-meshheading:20818444-Young Adult
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pubmed:year |
2011
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pubmed:articleTitle |
Effectiveness of a single 3-mg rasburicase dose for the management of hyperuricemia in patients with hematological malignancies.
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pubmed:affiliation |
Northwestern Memorial Hospital, and The Robert H Lurie Comprehensive Cancer Center of Northwestern University, Chicago, IL, USA.
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pubmed:publicationType |
Journal Article
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