Table 1

Definition of specific maximum recommended therapeutic dose (MRTD) values

Type of MRTD valueCharacteristic of MRTD valueNumber of extracted values for the study
MRTDROAStandard MRTD value referring to a drug with a specific route of administration and dosage form170
MRTDAgeLower MRTD value applying to elderly patients (patient's age is automatically extracted from the patient's electronic chart)17
MRTDIndicationLower MRTD value applying to specific indications (encoded ICD-10 codes are automatically extracted from the patient's electronic chart)39
MRTDLiverLower MRTD value applying to patients with impaired liver function (if relevant, the physician was asked to specify the patient's liver function)13
MRTDDDI_downLower MRTD value due to interacting comedication increasing drug exposure (concurrently prescribed drugs are automatically extracted from the medication regimen)9
MRTDDDI_upHigher MRTD value due to interacting comedication reducing drug exposure (concurrently prescribed drugs are automatically extracted from the medication regimen)4
MRTDTimepointHigher MRTD value applying to substances given at higher dosages at the beginning of therapy (if relevant, the physician was asked to specify whether he intended to administer a loading dose)25
MRTDKidneyHigher MRTD value applying to substances that require dosage increase in case of renal impairment (laboratory values determining renal function were automatically extracted from the patient's electronic chart)3
  • ICD-10, International Statistical Classification of Diseases and Related Health Problems - 10th Revision.