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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1989-7-18
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pubmed:abstractText |
A retrospective study was conducted in 282 patients with epilepsy to assess the predictive performance of pharmacokinetic methods for individualizing dosage of phenytoin. Two population-based dosing methods (population clearance method and bayesian feedback method) and one individual-based method (the so-called linearized Michaelis-Menten method) were evaluated, when applicable, for single-point and/or 2-point dose predictions of phenytoin. In single-point predictions, we found a generally low percentage of dose calculations falling inside the +/- 10% range (48.9% and 51.1% for the population clearance and the bayesian methods, respectively). In 2-point predictions, the bayesian method was 'accurate' (dose within the +/- 10% range) in approximately 54.3% or 55.0% of cases (depending on the particular method of implementation adopted). An even worse percentage of 'accurate' dose predictions (38.3%) was obtained by using the linearized Michaelis-Menten method. Our data do not confirm results from previous studies indicating a generally good performance of pharmacokinetic methods for predicting phenytoin dosage.
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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:issn |
0920-1211
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
3
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pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
253-61
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:2659322-Adolescent,
pubmed-meshheading:2659322-Adult,
pubmed-meshheading:2659322-Aged,
pubmed-meshheading:2659322-Dose-Response Relationship, Drug,
pubmed-meshheading:2659322-Epilepsy,
pubmed-meshheading:2659322-Female,
pubmed-meshheading:2659322-Humans,
pubmed-meshheading:2659322-Male,
pubmed-meshheading:2659322-Middle Aged,
pubmed-meshheading:2659322-Multicenter Studies as Topic,
pubmed-meshheading:2659322-Phenytoin,
pubmed-meshheading:2659322-Predictive Value of Tests,
pubmed-meshheading:2659322-Retrospective Studies
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pubmed:articleTitle |
Predictive performance of pharmacokinetic methods for phenytoin dosing: a multi-center evaluation in 282 patients with epilepsy.
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pubmed:affiliation |
Center for Epilepsy, University of Firenze, Florence, Italy.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, Non-U.S. Gov't,
Multicenter Study
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