Evidence map›Paper›PMID 25214776›Full record

ArticleClinical interventions in aging2014

Efficacy and safety of febuxostat in elderly female patients.

Tomohiro Mizuno, Takahiro Hayashi, Sayo Hikosaka, Yuka Shimabukuro, Maho Murase, Kazuo Takahashi, Hiroki Hayashi, Yukio Yuzawa, Tadashi Nagamatsu, Shigeki Yamada

Abstract read
In one paragraph

Article in Clinical interventions in aging, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Managing Gout in Women: Current Perspectives.Journal of inflammation research · 2022
    Review
  2. 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.

Tomohiro MizunoDepartment of Analytical Pharmacology, Graduate School of Pharmacy, Meijo University, Nagoya, Japan ; Department of Nephrology, School of Medicine, Fujita Health University, Toyoake, Japan.
Takahiro HayashiDepartment of Clinical Pharmacy, School of Medicine, Fujita Health University, Toyoake, Japan.
Sayo HikosakaDepartment of Analytical Pharmacology, Graduate School of Pharmacy, Meijo University, Nagoya, Japan.
Yuka ShimabukuroDepartment of Analytical Pharmacology, Graduate School of Pharmacy, Meijo University, Nagoya, Japan.
Maho MuraseDepartment of Analytical Pharmacology, Graduate School of Pharmacy, Meijo University, Nagoya, Japan.
Kazuo TakahashiDepartment of Nephrology, School of Medicine, Fujita Health University, Toyoake, Japan.
Hiroki HayashiDepartment of Nephrology, School of Medicine, Fujita Health University, Toyoake, Japan.
Yukio YuzawaDepartment of Nephrology, School of Medicine, Fujita Health University, Toyoake, Japan.
Tadashi NagamatsuDepartment of Analytical Pharmacology, Graduate School of Pharmacy, Meijo University, Nagoya, Japan.
Shigeki YamadaDepartment of Clinical Pharmacy, School of Medicine, Fujita Health University, Toyoake, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaintenance of low serum urate levels is important for the management of gout. Achieving the recommended serum urate levels of less than 6.0 mg/dL is difficult in elderly (65 years of age or older) patients with renal impairment. Xanthine oxidase inhibitors allopurinol and febuxostat are used for this purpose. Although febuxostat had been shown to be efficacious in elderly patients, its safety and efficacy in elderly female patients with hyperuricemia remain unclear.

objectiveThe aim of this study was to assess the efficacy and safety of febuxostat in elderly female patients.

methodsWe studied a retrospective cohort study. The study included elderly Japanese patients (65 years of age or older) who were treated with febuxostat at Fujita Health University Hospital from January 2012 to December 2013. The treatment goal was defined as achievement of serum urate levels of 6.0 mg/dL or lower within 16 weeks; this was the primary endpoint in the present study. Adverse events of febuxostat were defined as more than twofold increases in Common Terminology Criteria for adverse events scores from baseline.

resultsWe evaluated 82 patients treated with febuxostat during the observation period and classified them into male (n=53) and female (n=29) groups. The mean time to achievement of the treatment goal was significantly shorter in the female group (53 days) than in the male group (71 days). There were no significant differences in adverse events between the 2 groups.

conclusionOur findings suggest that the efficacy of febuxostat in elderly female patients is superior to that in elderly male patients and that the safety is equivalent.

Indexed as

AgedComorbidityFebuxostatFemaleGlomerular Filtration RateGoutGout SuppressantsHumansHyperuricemiaMaleRetrospective StudiesThiazolesTreatment OutcomeFebuxostatGout SuppressantsThiazoleselderly female patientsfebuxostathyperuricemia

Identifiers

PMID25214776
PMCPMC4158997

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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 OpenQuestion graph.