Evidence map›Paper›PMID 27075830›Full record

ArticleHypertension research : official journal of the Japanese Society of Hypertension2016

Effects of xanthine oxidase inhibitors on renal function and blood pressure in hypertensive patients with hyperuricemia.

Kentaro Kohagura, Takeshi Tana, Akira Higa, Masanobu Yamazato, Akio Ishida, Kazufumi Nagahama, Atsushi Sakima, Kunitoshi Iseki, Yusuke Ohya

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Hypertension research : official journal of the Japanese Society of Hypertension, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Oxidative stress in chronic kidney disease.Pediatric nephrology (Berlin, Germany) · 2019
    Review
  9. Hyperuricemia and Hypertension: Links and Risks.Integrated blood pressure control · 2019
    Review
  10. Observational
  11. Effects of uric acid on vascular endothelial function from bedside to bench.Hypertension research : official journal of the Japanese Society of Hypertension · 2018
    Article
  12. Article
  13. Dietary and commercialized fructose: Sweet or sour?International urology and nephrology · 2017
    Review
  14. Review
  15. Association of serum uric acid with subsequent arterial stiffness and renal function in normotensive subjects.Hypertension research : official journal of the Japanese Society of Hypertension · 2017
    Article
  16. Article
  17. Oxidative Stress and Hypertensive Diseases.The Medical clinics of North America · 2017
    Review
  18. Effects of uric-acid-lowering therapy on renal outcomes: the future looks promising.Hypertension research : official journal of the Japanese Society of Hypertension · 2016
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Kentaro KohaguraDialysis Unit, University Hospital of the Ryukyus, Okinawa, Japan.
Takeshi TanaShuri-Jokamachi Clinic, Naha city, Okinawa, Japan.
Akira HigaShuri-Jokamachi Clinic, Naha city, Okinawa, Japan.
Masanobu YamazatoDepartment of Cardiovascular Medicine, Nephrology and Neurology University of the Ryukyus Graduate School of Medicine, Okinawa, Japan.
Akio IshidaDepartment of Cardiovascular Medicine, Nephrology and Neurology University of the Ryukyus Graduate School of Medicine, Okinawa, Japan.
Kazufumi NagahamaDepartment of Cardiovascular Medicine, Nephrology and Neurology University of the Ryukyus Graduate School of Medicine, Okinawa, Japan.
Atsushi SakimaDepartment of Cardiovascular Medicine, Nephrology and Neurology University of the Ryukyus Graduate School of Medicine, Okinawa, Japan.
Kunitoshi IsekiClinical Research Center, Tomishiro Central Hospital, Tomigusuku city, Okinawa, Japan.
Yusuke OhyaDialysis Unit, University Hospital of the Ryukyus, Okinawa, Japan.
University of the Ryukyus · JPNaha City Hospital · JPRenal Association · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hyperuricemia may promote the progression of hypertension and renal dysfunction. However, the effects of hyperuricemia treatment on blood pressure and renal function in adult hypertensive patients with hyperuricemia remain unclear. A total of 137 hypertensive patients with hyperuricemia (96 men and 41 women; mean age of 67 years) who recently started taking xanthine oxidase inhibitors (allopurinol or febuxostat) as outpatients were recruited. Serum uric acid level, estimated glomerular filtration rate (eGFR, ml min(-1) per 1.73 m(2)) and blood pressure (mm Hg) were retrospectively compared immediately before and shortly after starting treatment with xanthine oxidase inhibitors. The mean blood pressure and the eGFR immediately before starting treatment were 128/71 mm Hg and 44.6 ml min(-1) per 1.73 m(2), respectively. Although the eGFR decreased from 46.6 to 44.6 ml min(-1) per 1.73 m(2) before starting treatment with xanthine oxidase inhibitors, it increased to 46.2 ml min(-1) per 1.73 m(2) (P=0.001, compared with immediately before treatment) without any significant changes in blood pressure after the administration of xanthine oxidase inhibitors. Multiple regression analysis revealed that the increase in eGFR after starting xanthine oxidase inhibitor treatment positively correlated with the changes in systolic blood pressure and negatively correlated with the changes in uric acid levels and the use of renin-angiotensin system inhibitors. These results suggest that xanthine oxidase inhibitors may delay the progression of renal dysfunction in adult hypertensive patients with hyperuricemia.

Indexed as

AgedAllopurinolBlood PressureEnzyme InhibitorsFebuxostatFemaleGlomerular Filtration RateHumansHypertensionHyperuricemiaKidneyMaleMiddle AgedRenin-Angiotensin SystemTreatment OutcomeUric AcidAllopurinolEnzyme InhibitorsFebuxostatUric AcidXanthine Oxidase

Identifiers

PMID27075830
OpenAlexW2338515370

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.