Evidence map›Paper›PMID 35410947›Full record

Trial reportRMD open2022

Association between serum urate level and carotid atherosclerosis: an insight from a post hoc analysis of the PRIZE randomised clinical trial.

Atsushi Tanaka, Shigeru Toyoda, Toru Kato, Hisako Yoshida, Shuichi Hamasaki, Masato Watarai, Tomoko Ishizu, Shinichiro Ueda, Teruo Inoue, Koichi Node and 1 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in RMD open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 24% 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, 8 citations in OpenAlex.

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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

11 authors at 8 institutions in 1 country.

Atsushi TanakaDepartment of Cardiovascular Medicine, Saga University, Saga, Japan tanakaa2@cc.saga-u.ac.jp.ORCID 0000-0003-3352-7661
Shigeru ToyodaDepartment of Cardiovascular Medicine, Dokkyo Medical University, Mibu, Japan.
Toru KatoDepartment of Cardiovascular Medicine, National Hospital Organisation Tochigi Medical Center, Utsunomiya, Japan.
Hisako YoshidaDepartment of Medical Statistics, Osaka City University Graduate School of Medicine, Osaka, Japan.
Shuichi HamasakiDepartment of Cardiology, Imakiire General Hospital, Kagoshima, Japan.
Masato WataraiCardiovascular Center, Anjo Kosei Hospital, Anjo, Japan.
Tomoko IshizuDepartment of Cardiology, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Shinichiro UedaDepartment of Clinical Pharmacology and Therapeutics, University of the Ryukyus, Nishihara, Japan.
Teruo InoueCenter for Advanced Medical Science Research, Dokkyo Medical University, Mibu, Japan.
Koichi NodeDepartment of Cardiovascular Medicine, Saga University, Saga, Japan.
PRIZE study investigators
Dokkyo Medical University · JPSaga University · JPAnjo Kosei Hospital · JPImakiire General Hospital · JPOsaka City University · JPTochigi Medical Center · JPUniversity of the Ryukyus · JPUniversity of Tsukuba · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesElevated serum urate (SU) levels are associated with arterial atherosclerosis and subsequent cardiovascular events. However, an optimal therapeutic target SU level for delaying atherosclerotic progression in patients with hyperuricaemia remains uncertain. The aim of this analysis was to assess an association between changes in SU level and carotid intima-media thickness (IMT) to examine whether an optimal SU concentration exists to delay atherosclerotic progression.

methodsThis was a post hoc analysis of the PRIZE (programme of vascular evaluation under uric acid control by xanthine oxidase inhibitor, febuxostat: multicentre, randomised controlled) study of Japanese adults with asymptomatic hyperuricaemia. The primary endpoint of this analysis was an association between changes in SU levels and mean common carotid artery IMT (CCA-IMT) after 24 months of febuxostat treatment.

resultsAmong subjects treated with febuxostat (n=239), a total of 204 who had both data on SU and mean CCA-IMT at baseline and 24 months were included in this analysis. The mean baseline SU level was 7.7±1.0 mg/dL, and febuxostat treatment significantly reduced SU concentrations at 24 months (estimated mean change ‒3.051 mg/dL, 95% CI ‒3.221 to ‒2.882). A multivariable linear regression analysis revealed that a reduction in SU level was associated with changes in mean CCA-IMT values at 24 months (p=0.025). In contrast, the achieved SU concentrations were not associated with changes in mean CCA-IMT at 24 months.

conclusionA greater reduction in SU, but not its achieved concentrations, may be associated with delayed progression of carotid IMT in patients with asymptomatic hyperuricaemia treated with febuxostat. TRIAL REGISTRATION NUMBER: UMIN000012911.

Indexed as

Awards and PrizesCarotid Artery DiseasesHyperuricemiaAdultCarotid Intima-Media ThicknessFebuxostatHumansUric AcidFebuxostatUric AcidAtherosclerosisCardiovascular DiseasesGout

Identifiers

PMID35410947
PMCPMC9003608
OpenAlexW4223540057

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.