Status: Bibliographieeintrag
Standort: ---
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| Online-Ressource |
Verfasst von: | Kaag, Dieter [VerfasserIn]  |
Titel: | Carboplatin dose calculation in lung cancer patients with low serum creatinine concentrations using CKD-EPI and Cockcroft-Gault with different weight descriptors |
Verf.angabe: | Dieter Kaag |
Jahr des Originals: | 2012 |
Umfang: | 5 S. |
Fussnoten: | Published online: 4 November 2012 ; Gesehen am 09.08.2018 |
Titel Quelle: | Enthalten in: Lung cancer |
Jahr Quelle: | 2013 |
Band/Heft Quelle: | 79(2013), 1, S. 54-58 |
ISSN Quelle: | 1872-8332 |
Abstract: | Study objectives: Carboplatin dosing using the Calvert and Cockcroft-Gault formulae in patients with low serum creatinine levels is discussed controversially. We conducted a retrospective analysis applying the CKD-EPI formula and the alternate size descriptors adjusted body weight and predicted normal weight in the Cockcroft-Gault equation for calculating the carboplatin dose. Methods: Data were collected retrospectively from 128 lung cancer patients with serum creatinine <0.8mg/dL (71μmol/L) who had received chemotherapy that was mostly platinum-based. Serum creatinine concentration for renal function estimation and measured creatinine clearance (24-h urine collection) were available on the same day from these patients. Actual doses were calculated based on the Cockcroft-Gault formula with total body weight. For the study purpose doses were recalculated using Cockcroft-Gault with adjusted body weight and predicted normal weight and CKD-EPI. Subgroup analyses were performed for gender and body mass index. Results: All alternate dose calculations were not inferior to the calculation based on Cockcroft-Gault using total body weight. In overweight and obese patients they were superior in reducing mean overdose from 24% to roughly 15% (predicted normal weight, CKD-EPI) and 10% (adjusted body weight) and from 25% to 9%, 8% and 4%, respectively. Best performed the combination of Cockcroft-Gault with adjusted body weight. Conclusion: The results show that application of the alternate size descriptor adjusted body weight in the Cockcroft-Gault equation can improve dosing accuracy especially in overweight and obese patients with low serum creatinine levels. |
DOI: | doi:10.1016/j.lungcan.2012.10.009 |
URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Verlag: http://dx.doi.org/10.1016/j.lungcan.2012.10.009 |
| Verlag: http://www.sciencedirect.com/science/article/pii/S0169500212005843 |
| DOI: https://doi.org/10.1016/j.lungcan.2012.10.009 |
Datenträger: | Online-Ressource |
Sprache: | eng |
K10plus-PPN: | 1578421675 |
Verknüpfungen: | → Zeitschrift |
Carboplatin dose calculation in lung cancer patients with low serum creatinine concentrations using CKD-EPI and Cockcroft-Gault with different weight descriptors / Kaag, Dieter [VerfasserIn] (Online-Ressource)
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