Evidence map›Paper›PMID 32793871›Full record

ArticleMayo Clinic proceedings. Innovations, quality & outcomes2020

Effects of Febuxostat on Mortality and Cardiovascular Outcomes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Ahmad Al-Abdouh, Safi U Khan, Mahmoud Barbarawi, Sireesha Upadhrasta, Srajum Munira, Anas Bizanti, Hadi Elias, Asadulla Jat, Di Zhao, Erin D Michos

Abstract read
In one paragraph

Article in Mayo Clinic proceedings. Innovations, quality & outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Comparative Cardiovascular Risks of Febuxostat and Allopurinol in Patients with Diabetes Mellitus and Chronic Kidney Disease.Medical science monitor : international medical journal of experimental and clinical research · 2024
    Observational
  3. Review
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Ahmad Al-AbdouhDepartment of Medicine, Saint Agnes Hospital, Baltimore, MD.
Safi U KhanDepartment of Medicine, West Virginia University, Morgantown, WV.
Mahmoud BarbarawiDepartment of Medicine, Hurley Medical Center, Flint, MI.
Sireesha UpadhrastaDepartment of Medicine, Saint Agnes Hospital, Baltimore, MD.
Srajum MuniraDepartment of Medicine, Saint Agnes Hospital, Baltimore, MD.
Anas BizantiDepartment of Medicine, Saint Agnes Hospital, Baltimore, MD.
Hadi EliasDepartment of Medicine, Saint Agnes Hospital, Baltimore, MD.
Asadulla JatDepartment of Medicine, Saint Agnes Hospital, Baltimore, MD.
Di ZhaoThe Ciccarone Center for the Prevention of Cardiovascular Disease, Johns Hopkins School of Medicine, Baltimore, MD.
Erin D MichosThe Ciccarone Center for the Prevention of Cardiovascular Disease, Johns Hopkins School of Medicine, Baltimore, MD.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the association between using febuxostat and cardiovascular events.

methodsSystematic search of randomized controlled trials was performed using PubMed/MEDLINE, Cochrane review, and EMBASE databases through April 17, 2019. Meta-analysis was performed using random effect model and estimates were reported as risk difference (RD) with 95% CIs. The certainty of evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation approach. The main outcomes of interest were cardiovascular mortality and all-cause mortality.

resultsA total of 15 randomized controlled trials (16,070 participants) were included. The mean ± SD age was 58.1±11.7 years. At the median follow-up of 6.4 months, use of febuxostat was not associated with statistically significant risk of cardiovascular mortality (RD, 0.12%; 95% CI, -0.25% to 0.49%;

conclusionThis meta-analysis suggested that use of febuxostat was not associated with higher risk of mortality or adverse cardiovascular outcomes in patients with gout and hyperuricemia. The results were limited by low to moderate certainty of evidence.

Indexed as

CARES trial, The Cardiovascular Safety of Febuxostat and Allopurinol in Patients with Gout and Cardiovascular MorbiditiesCVD, cardiovascular diseaseMACE, major adverse cardiovascular eventsMI, myocardial infarctionRCT, randomized controlled trialsRD, risk difference

Identifiers

PMID32793871
PMCPMC7411164

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.