Evidence map›Paper›PMID 28456346›Full record

ArticleAmerican journal of kidney diseases : the official journal of the National Kidney Foundation2017

Management of Gout and Hyperuricemia in CKD.

Ana Beatriz Vargas-Santos, Tuhina Neogi

Open access · greenAbstract readCase Reports
In one paragraph

Article in American journal of kidney diseases : the official journal of the National Kidney Foundation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 96 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
96citing papers in PubMed, 3 pooled it
9.3field-weighted citation impact, top 1% 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

96 citing papers in PubMed, 3 syntheses or guidelines pooled it, 220 citations in OpenAlex.

  1. Pooled it
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  14. Microbiota and kidney disease: the road ahead.Nature reviews. Nephrology · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Hyperuricemia predicts adverse clinical outcomes after arthroscopic microfracture of osteochondral lesions of the talus.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2025
    Article
  19. Article
  20. Triple-Probiotic-Fermented Goji (Microorganisms · 2025
    Article

36 more citing papers are in PubMed but not listed here.

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

2 authors at 2 institutions in 2 countries.

Ana Beatriz Vargas-SantosRheumatology, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil.
Tuhina NeogiClinical Epidemiology Research and Training Unit, Boston University School of Medicine, Boston, MA. Electronic address: tneogi@bu.edu.
Boston University · USUniversidade do Estado do Rio de Janeiro · BR

Funding

WORK DISABILITY-- PERSONS WITH RHEUMATOID ARTHRITISP60AR047785 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI FELSON, DAVID TOBIN · 2001 to 2016
$18.0M
The Role of Urate in Knee Osteoarthritis-Related Inflammation, Pathology and PainK24AR070892 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI TUHINA NEOGI · 2017 to 2026
$1.1M
NIAMS NIH HHS K24 AR070892NIAMS NIH HHS P60 AR047785
6 · The paper itself

Abstract

Hyperuricemia and gout, the clinical manifestation of monosodium urate crystal deposition, are common in patients with chronic kidney disease (CKD). Although the presence of CKD poses additional challenges in gout management, effective urate lowering is possible for most patients with CKD. Initial doses of urate-lowering therapy are lower than in the non-CKD population, whereas incremental dose escalation is guided by regular monitoring of serum urate levels to reach the target level of <6mg/dL (or <5mg/dL for patients with tophi). Management of gout flares with presently available agents can be more challenging due to potential nephrotoxicity and/or contraindications in the setting of other common comorbid conditions. At present, asymptomatic hyperuricemia is not an indication for urate-lowering therapy, though emerging data may support a potential renoprotective effect.

Indexed as

GoutHyperuricemiaRenal DialysisRenal Insufficiency, ChronicAllopurinolAnti-Inflammatory Agents, Non-SteroidalDiet TherapyDisease ManagementFebuxostatGout SuppressantsHumansMaleMiddle AgedSymptom Flare UpTreatment OutcomeUric AcidAllopurinolAnti-Inflammatory Agents, Non-SteroidalFebuxostatGout SuppressantsUric Acidacute goutallopurinolchronic goutchronic kidney diseasecolchicinefebuxostatglucocorticoidsgoutgout flarehemodialysisHyperuricemiakidney transplantmanagementnonsteroidal anti-inflammatory drugsrenal failurereviewtherapytreatmenturate-lowering therapyuricaseuricosurics

Identifiers

PMID28456346
PMCPMC5572666
OpenAlexW2607903621

What OpenQuestion holds

Textmetadata
LicenceTDM
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.