Evidence map›Paper›PMID 27760998›Full record

Trial reportHypertension research : official journal of the Japanese Society of Hypertension2017

Effective uric acid-lowering treatment for hypertensive patients with hyperuricemia.

Yuko Ohta, Azusa Ishizuka, Hisatomi Arima, Shinichiro Hayashi, Yoshio Iwashima, Masatsugu Kishida, Fumiki Yoshihara, Satoko Nakamura, Yuhei Kawano

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Hypertension research : official journal of the Japanese Society of Hypertension, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 10% 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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Pharmacotherapy for hyperuricaemia in hypertensive patients.The Cochrane database of systematic reviews · 2020
    Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Which is more important, xanthine oxidase activity or uric acid itself, in the risk for cardiovascular disease?Hypertension research : official journal of the Japanese Society of Hypertension · 2021
    Article
  18. Article
  19. Article
  20. The effects of topiroxostat on vascular function in patients with hyperuricemia.Journal of clinical hypertension (Greenwich, Conn.) · 2019
    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

9 authors at 3 institutions in 1 country.

Yuko OhtaDivision of Hypertension and Nephrology, National Cerebral and Cardiovascular Center, Osaka, Japan.
Azusa IshizukaDivision of Hypertension and Nephrology, National Cerebral and Cardiovascular Center, Osaka, Japan.
Hisatomi ArimaCenter for Epidemiological Research in Asia, Shiga University of Medical Science, Shiga, Japan.
Shinichiro HayashiDivision of Hypertension and Nephrology, National Cerebral and Cardiovascular Center, Osaka, Japan.
Yoshio IwashimaDivision of Hypertension and Nephrology, National Cerebral and Cardiovascular Center, Osaka, Japan.
Masatsugu KishidaDivision of Hypertension and Nephrology, National Cerebral and Cardiovascular Center, Osaka, Japan.
Fumiki YoshiharaDivision of Hypertension and Nephrology, National Cerebral and Cardiovascular Center, Osaka, Japan.
Satoko NakamuraDivision of Hypertension and Nephrology, National Cerebral and Cardiovascular Center, Osaka, Japan.
Yuhei KawanoDivision of Hypertension and Nephrology, National Cerebral and Cardiovascular Center, Osaka, Japan.
National Cerebral and Cardiovascular Center · JPShiga University of Medical Science · JPTeikyo University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Uric acid (UA) has been associated with hypertension, renal disease and cardiovascular disease. The aim of the present study was to compare the UA-lowering effects of a standard dose of the UA synthesis inhibitor febuxostat to a standard dose of the uricosuric agent benzbromarone, and to investigate the effects of a low-dose combination of both agents in hypertensive patients with hyperuricemia. Twenty hypertensive patients with inadequate UA control were administered febuxostat 40 mg (Feb), benzbromarone 50 mg (Ben) and febuxostat 20 mg and benzbromarone 25 mg (feb/ben) for 3 months each in a randomized modified crossover manner. UA metabolism, blood pressure (BP) and the indices of organ damage were assessed at baseline and the end of each treatment period. No significant changes were observed in BP or estimated glomerular filtration rate (eGFR) after the treatment with each UA-lowering regimen. The change in UA was significantly greater with feb/ben than with Feb. The excretion of UA and clearance of UA were higher with Ben than with Feb and feb/ben. Urinary 8-hydroxydeoxyguanosine and liver-type fatty-acid-binding protein levels were slightly lower with Ben, whereas flow-mediated dilation was slightly higher with feb/ben and Ben. The UA-lowering effects of the low-dose combination of the UA synthesis inhibitor and uricosuric agent were greater than those of the standard dose of each agent alone. The uricosuric agent may be more effective at improving vascular function than the UA synthesis inhibitor. Thus, the appropriate management of hyperuricemia with uricosuric drugs appears to be useful for hypertensive patients with hyperuricemia.

Indexed as

AgedBenzbromaroneCross-Over StudiesDrug Therapy, CombinationFebuxostatFemaleGout SuppressantsHumansHypertensionHyperuricemiaMaleMiddle AgedTreatment OutcomeUric AcidBenzbromaroneFebuxostatGout SuppressantsUric Acid

Identifiers

PMID27760998
OpenAlexW2532946521

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.