Evidence map›Paper›PMID 40901176›Full record

ArticleAnnals of medicine and surgery (2012)2025

Nicorandil in preventing contrast-induced nephropathy in patients undergoing cardiac catheterization procedures: a systematic review and meta-analysis.

Ramsha Waseem, Ajay Kumar, Simran Kumari, Sagar Kumar, Deepa Bai, Ganesh Kumar, Maheen Jabbar, Taimoor Ashraf, Fnu Nancy, Bibi Mariam and 5 more

Abstract read
In one paragraph

Article in Annals of medicine and surgery (2012), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

15 authors.

Ramsha WaseemDepartment of Medicine, Shaheed Mohtarma Benazir Bhutto Medical College Lyari, Karachi, Pakistan.
Ajay KumarDepartment of Medicine, Shaheed Mohtarma Benazir Bhutto Medical College Lyari, Karachi, Pakistan.
Simran KumariDepartment of Medicine, Ghulam Muhammad Mahar Medical College, Sukkur, Pakistan.
Sagar KumarDepartment of Medicine, Bahria University Medical and Dental Collage, Karachi, Pakistan.
Deepa BaiDepartment of Medicine, People's University of Medical & Health Sciences for Women, Pakistan.
Ganesh KumarDepartment of Medicine, Shaheed Mohtarma Benazir Bhutto Medical College Lyari, Karachi, Pakistan.
Maheen JabbarDepartment of Medicine, Bahria University Medical and Dental Collage, Karachi, Pakistan.
Taimoor AshrafDepartment of Medicine, Nishtar Medical University Multan, Pakistan.ORCID https://orcid.org/0000-0002-3100-2178
Fnu NancyDepartment of Medicine, Chandka Medical College, Larkana, Pakistan.
Bibi MariamDepartment of Medicine, People's University of Medical & Health Sciences for Women, Pakistan.
Shah DevDepartment of Medicine, Ghulam Muhammad Mahar Medical College, Sukkur, Pakistan.
Muskan TureshDepartment of Medicine, Ghulam Muhammad Mahar Medical College, Sukkur, Pakistan.
Muhammad Hamza YousufDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Umer EjazDepartment of Medicine, Rawalpindi Medical University, Rawalpindi, Pakistan.
Sayed JawadDepartment of Medicine, Kabul University of Medical Sciences, Kabul, Afghanistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Contrast-induced nephropathy (CIN) remains a significant complication in patients undergoing coronary angiography (CAG) and percutaneous coronary intervention (PCI). Methods: A comprehensive literature search was conducted across PubMed, MEDLINE, Embase, Google Scholar, and Web of Science up to May 2024 to identify randomized controlled trials (RCTs) evaluating the efficacy and safety of nicorandil in patients undergoing CAG or PCI. The primary outcome was CIN incidence, while secondary outcomes included, changes in serum creatinine, serum cystatin C, blood urea nitrogen (BUN), and estimated glomerular filtration rate (eGFR). Risk ratios (RRs) and standardized mean differences (SMDs) with corresponding 95% confidence intervals (CIs) were pooled using a random-effects model. Heterogeneity was assessed using the I Results: Eleven RCTs and one prospective cohort study involving 2910 patients were included. Nicorandil administration was associated with a significant reduction in CIN incidence (RR: 0.40 [0.31-0.52], Conclusion: Nicorandil administration reduces CIN incidence and improves renal biomarker profiles in patients undergoing CAG and PCI. Further large-scale trials are necessary to validate its renoprotective properties.

Indexed as

coronary angiographycreatininecystatin Chumansnicorandilpercutaneous coronary intervention

Identifiers

PMID40901176
PMCPMC12401430

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.