Evaluation of the predictive performance of Bayesian dosing for warfarin in Chinese patients

被引:8
|
作者
Dong, Jing [1 ]
Shi, Guo-Hua [1 ]
Lu, Man [1 ]
Huang, Shu [2 ]
Liu, Yan-Hui [1 ]
Yao, Jia-Chen [1 ]
Li, Wen-Yan [1 ]
Li, Long-Xuan [2 ]
机构
[1] Second Mil Med Univ, Gongli Hosp, Dept Pharm, 219 Miaopu Rd, Shanghai 200135, Peoples R China
[2] Second Mil Med Univ, Gongli Hosp, Dept Neurol, 219 Miaopu Rd, Shanghai 200135, Peoples R China
关键词
Bayesian method; multiple linear regression algorithm; warfarin maintenance dose; INTERNATIONAL NORMALIZED RATIO; DOSE-INDIVIDUALIZATION; ORAL ANTICOAGULATION; CYP2C9; VKORC1; THERAPY; ALGORITHMS; INTENSITY; PHARMACOGENETICS; GENOTYPE;
D O I
10.2217/pgs-2018-0127
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Aim: To evaluate the accuracy and predictive performance of Bayesian dosing for warfarin in Chinese patients. Materials & methods: Six multiple linear regression algorithms (Wei, Lou, Miao, Huang, Gage and IWPC) and a Bayesian method implemented in Warfarin Dose Calculator were compared with each other. Results: Six multiple linear regression warfarin dosing algorithms had similar predictive ability, except Miao and Lou. The mean prediction error of Bayesian priori and posteriori method were 0.01mg/day (95% CI: -0.18 to 0.19) and 0.17mg/day (95% CI: -0.05 to 0.29), respectively, and Bayesian posteriori method demonstrated better performance in all dose ranges. Conclusion: The Bayesian method showed a good potential for warfarin maintenance dose prediction in Chinese patients requiring less than 6mg/day.
引用
收藏
页码:167 / 177
页数:11
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