Evidence map›Paper›PMID 33076736›Full record

ArticleRenal failure2020

Association of hyperuricemia and serum uric acid lowering therapy with mortality in hemodialysis patients.

Benjamin Rohn, Wiebke Jansing, Felix S Seibert, Thiemo Pfab, Okan Cinkilic, Jürgen Paßfall, Sven Schmidt, Nina Babel, Frederic Bauer, Timm H Westhoff

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Renal failure, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 32% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Urate-lowering therapy for patients with gout on hemodialysis.International journal of rheumatic diseases · 2022
    Article
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 at 4 institutions in 1 country.

Benjamin RohnMedical Department I, Universitätsklinikum Marien Hospital Herne, Ruhr-University, Bochum, Germany.
Wiebke JansingMedical Department I, Universitätsklinikum Marien Hospital Herne, Ruhr-University, Bochum, Germany.
Felix S SeibertMedical Department I, Universitätsklinikum Marien Hospital Herne, Ruhr-University, Bochum, Germany.
Thiemo PfabMVZ Diaverum Potsdam, Potsdam, Germany.
Okan CinkilicDialysezentrum Schwerte, Schwerte, Germany.
Jürgen PaßfallNierenzentrum Charlottenburg, Berlin, Germany.
Sven SchmidtDialysezentrum, Fürstenwalde, Germany.
Nina BabelMedical Department I, Universitätsklinikum Marien Hospital Herne, Ruhr-University, Bochum, Germany.
Frederic BauerMedical Department I, Universitätsklinikum Marien Hospital Herne, Ruhr-University, Bochum, Germany.
Timm H WesthoffMedical Department I, Universitätsklinikum Marien Hospital Herne, Ruhr-University, Bochum, Germany.
Universitätsklinik Marien Hospital Herne · DEPHV Dialysezentrum · DERuhr University Bochum · DENierenzentrum Heidelberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn the general population, hyperuricemia is associated with increased morbidity and mortality. Data on this association in hemodialysis patients is controversial. Moreover, it remains elusive whether serum uric acid (SUA) lowering therapy is associated with mortality.

methodsRetrospective analysis of 601 patients on chronic hemodialysis therapy in five outpatient centers with a maximum follow-up of 100 and a mean follow-up of 41 months. Death was defined as primary endpoint. Cumulative survival was analyzed by Kaplan-Meier analysis and Cox regressions adjusted for age.

findingsCumulative survival rates were higher for those subjects with a higher than median SUA concentration both based on mean annual and baseline measurements ( DISCUSSION: In contrast to the general population, hyperuricemia is not associated with increased mortality in patients undergoing hemodialysis. Moreover, xanthine oxidase inhibition was not associated with a survival benefit in this analysis. These data do not support the use of SUA lowering medication in hemodialysis patients with asymptomatic hyperuricemia.

Indexed as

Renal DialysisAgedAged, 80 and overAllopurinolEnzyme InhibitorsFebuxostatFemaleGermanyGoutGout SuppressantsHumansHyperuricemiaMaleMiddle AgedRenal Insufficiency, ChronicRetrospective StudiesAllopurinolEnzyme InhibitorsFebuxostatGout SuppressantsUric AcidChronic kidney diseasegouthemodialysishyperuricemiamortality

Identifiers

PMID33076736
PMCPMC7594866
OpenAlexW3092763528

What Socratic holds

Textmetadata
LicenceCC BY
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.