Carboplatin dosing: gender bias and inaccurate estimates of glomerular filtration rate

被引:34
作者
Dooley, MJ
Poole, SG
Rischin, D
Webster, LK
机构
[1] Peter MacCallum Canc Inst, Pharmacol & Dev Therapeut Lab, Melbourne, Vic 3002, Australia
[2] Monash Univ, Victorian Coll Pharm, Dept Pharm Practice, Parkville, Vic 3052, Australia
[3] Peter MacCallum Canc Inst, Dept Haematol & Med Oncol, Melbourne, Vic 3002, Australia
关键词
carboplatin; dosage; glomerular filtration rate; pharmacokinetics; Calvert formula; Chatelut formula; AUC;
D O I
10.1016/S0959-8049(00)00455-X
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The aim as to compare doses of carboplatin calculated using the Calvert formula and Chatelut formula and also to compare doses calculated using Calvert formula, modified with non-isotopic estimation of GFR, using the Cockcroft and Gault formula or the Jelliffe formula. For formulae comparison. the doses were calculated to target an AUC of 7 mg ml.min. When compared with the dose derived from the Calvert formula, the doses calculated in 122 adult cancer patients using the Chatelut formula were significantly higher for males and significantly lower for females. There was a statistically significant difference between the dose per kg calculated for males and females (P < 0.0001). The mean percentage difference in dose calculated with substituted measures of renal function with the Cockcroft and Gault formula and Jelliffe formula was -8% (standard deviation (S.D.) 17%) and -14% (S.D. 16%). respectively. Further prospective evaluation of the Chatelut formula is required before it can be recommended for routine clinical application. (C) 2002 Elsevier Science Ltd. All rights reserved.
引用
收藏
页码:44 / 51
页数:8
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