Evidence map›Paper›PMID 30499100›Full record

GuidelineClinical pharmacology and therapeutics2019

Clinical Pharmacogenetics Implementation Consortium (CPIC) Guideline for the Use of Potent Volatile Anesthetic Agents and Succinylcholine in the Context of RYR1 or CACNA1S Genotypes.

Stephen G Gonsalves, Robert T Dirksen, Katrin Sangkuhl, Rebecca Pulk, Maria Alvarellos, Teresa Vo, Keiko Hikino, Dan Roden, Teri E Klein, S Mark Poler and 5 more

Erratum issuedOpen access · bronzeAbstract readPractice Guideline
In one paragraph

Guideline in Clinical pharmacology and therapeutics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
3.2field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 85 citations in OpenAlex.

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  15. Decoding Pharmacogenomic Test Interpretation and Application to Patient Care.Journal of the American College of Clinical Pharmacy : JACCP · 2024
    Article
  16. Review
  17. Current Practices in Pharmacogenomics.Pediatric clinics of North America · 2023
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 12 institutions in 1 country.

Stephen G GonsalvesMedical Genomics and Metabolic Genetics Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland, USA.
Robert T DirksenDepartment of Pharmacology & Physiology, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA.
Katrin SangkuhlDepartment of Biomedical Data Science, Stanford University, Stanford, California, USA.
Rebecca PulkCenter for Pharmacy Innovation and Outcomes, Geisinger Medical Center, Danville, Pennsylvania, USA.
Maria AlvarellosDepartment of Biomedical Data Science, Stanford University, Stanford, California, USA.
Teresa VoDepartment of Pharmacy Practice, College of Medicine Internal Medicine, College of Pharmacy, University of South Florida, Tampa, Florida, USA.
Keiko HikinoCommittee on Clinical Pharmacology and Pharmacogenomics, The University of Chicago, Chicago, Illinois, USA.
Dan RodenDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Teri E KleinDepartment of Biomedical Data Science, Stanford University, Stanford, California, USA.
S Mark PolerDepartments of Anesthesiology, Geisinger Medical Center, Danville, Pennsylvania, USA.
Sephalie PatelDepartment of Anesthesiology, H. Lee Moffitt Cancer Center, Tampa, Florida, USA.
Kelly E CaudleDepartment of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Ronald GordonDepartment of Anesthesiology, University of California San Diego, San Diego, California, USA.
Barbara BrandomDepartment of Anesthesiology, Mercy Hospital UPMC, North American MH Registry of MHAUS, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Leslie G BieseckerMedical Genomics and Metabolic Genetics Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland, USA.
Stanford University · USGeisinger Medical Center · USJohns Hopkins University · USMercy Medical Center · USMoffitt Cancer Center · USNational Human Genome Research Institute · USSt. Jude Children's Research Hospital · USUniversity of California, San Diego · USUniversity of Chicago · USUniversity of Rochester · USUniversity of South Florida · USVanderbilt University Medical Center · US

Funding

PharmGKB: pharmacogenomics knowledge for precision medicineR24GM061374 · NIGMS · STANFORD UNIVERSITY · PI ALTMAN, RUSS BIAGIO, KLEIN, TERI ELLEN · 2010 to 2018
$25.2M
Genomic Ascertainment - Molecular and Genetic AspectsZIAHG200359 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI BIESECKER, LESLIE · 2009 to 2025
$19.7M
Genomic Ascertainment - Clinical and Behavioral AspectsZIAHG200387 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI BIESECKER, LESLIE · 2013 to 2025
$15.5M
Basis of Muscle Dysfunction in Malignant Hyperthermia & Central Core DiseaseR01AR053349 · NIAMS · BAYLOR COLLEGE OF MEDICINE · PI DIRKSEN, ROBERT T, HAMILTON, SUSAN L · 2006 to 2020
$8.0M
Clinical Pharmacogenetics Implementation Consortium (CPIC)R24GM115264 · NIGMS · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI KLEIN, TERI ELLEN, RELLING, MARY V · 2015 to 2017
$3.6M
Intramural NIH HHS ZIA HG200359Intramural NIH HHS ZIA HG200387NIAMS NIH HHS R01 AR053349NIGMS NIH HHS R24 GM061374NIGMS NIH HHS R24 GM115264
6 · The paper itself

Abstract

The identification in a patient of 1 of the 50 variants in the RYR1 or CACNA1S genes reviewed here should lead to a presumption of malignant hyperthermia susceptibility (MHS). MHS can lead to life-threatening reactions to potent volatile anesthetic agents or succinylcholine. We summarize evidence from the literature supporting this association and provide therapeutic recommendations for the use of these agents in patients with these RYR1 or CACNA1S variants (updates at https://cpicpgx.org/guidelines and www.pharmgkb.org).

Indexed as

Anesthetics, InhalationCalcium Channels, L-TypeGenotypeHumansMalignant HyperthermiaNeuromuscular Depolarizing AgentsPharmacogeneticsRyanodine Receptor Calcium Release ChannelSuccinylcholineVolatilizationAnesthetics, InhalationCACNA1S protein, humanCalcium Channels, L-TypeNeuromuscular Depolarizing AgentsRyanodine Receptor Calcium Release ChannelRYR1 protein, humanSuccinylcholine

Identifiers

PMID30499100
PMCPMC6513720
OpenAlexW2903311717

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.