Evidence map›Paper›PMID 29043297›Full record

ArticleOpen medicine (Warsaw, Poland)2017

Clinical Efficacy of Alprostadil Combined with α-lipoic Acid in the Treatment of Elderly Patients with Diabetic Nephropathy.

Yan Hong, Jianyun Peng, Xiaoping Cai, Xiaoru Zhang, Yifei Liao, Lejian Lan

Open access · goldAbstract read
In one paragraph

Article in Open medicine (Warsaw, Poland), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Alpha-lipoic acid: A promising pharmacotherapy seen through the lens of kidney diseases.Current research in pharmacology and drug discovery · 2024
    Review
  4. Article
  5. Article
  6. 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

6 authors at 3 institutions in 1 country.

Yan HongDepartment of Pharmacy, The fifth Affiliated Hospital of Wenzhou Medical University, Lishui Central Hospital, LishuiZhejiang Province 323000, PR China.
Jianyun PengDepartment of Nephrology, The sixth Affiliated Hospital of Wenzhou Medical University, People's Hospital of Lishui City, LishuiZhejiang Province 323000, PR China.
Xiaoping CaiDepartment of Respiratory, The sixth Affiliated Hospital of Wenzhou Medical University, People's Hospital, Lishui City, ZhejiangChina.
Xiaoru ZhangDepartment of Nephrology, The sixth Affiliated Hospital of Wenzhou Medical University, People's Hospital of Lishui City, LishuiZhejiang Province 323000, PR China.
Yifei LiaoDepartment of Nephrology, The sixth Affiliated Hospital of Wenzhou Medical University, People's Hospital of Lishui City, LishuiZhejiang Province 323000, PR China.
Lejian LanDepartment of Nephrology, The sixth Affiliated Hospital of Wenzhou Medical University, People's Hospital of Lishui City, LishuiZhejiang Province 323000, PR China.
Wenzhou Medical University · CNLishui City People's Hospital · CNLishui Central Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effect and toxicity of alprostadil combined with thioctic acid injection in the treatment of patients with diabetic nephropathy (DN).

methodsSixty two patients with DN were included in this study and randomly divided into control group (n=32) and experiment group (n=30). Patients in the control group were given alprostadil 20ug+NS 100ml ivgtt, qd and patients in the experiment group were given alprostadil 20ug+NS 100ml ivgtt combined with thioctic acid injection of 0.45g+100ml ivgtt, qd for 14 days. After treatment, the renal function and serum level of CRP, IL-6 and TNF-α were compared between the two groups.

resultsAfter two weeks of treatment, the serum level of CysC and UAER significant decreased for both control and experiment group with statistical difference of p<0.05. After treatment, the serum level of CysC were 1.40 ±0.46 mg/L and 1.02±0.33 for control and experiment group respectively (p<0.05). The post-treatment UAER in experiment group was significantly lower than those of control group with statistical difference (81.02±0.33 vs112.45±20.32, p<0.05) ug/min. The serum level of CRP, IL-6 and TNF-α were significantly decreased after treatment for both control and experiment group (p<0.05). And the post-treatment serum CRP, IL-6 and TNF-α in experiment group were significantly lower than those of control group with statistical difference (p<0.05). No significant side effects were found for the two groupsin the course of treatment.

conclusionAlprostadil combined with α-lipoic acid may improve renal function in patients with diabetic nephropathy by decreasing the levels of serum inflammatory factors.

Indexed as

AlprostadilDiabetic nephropathyInflammatory factorsα-lipoic acid

Identifiers

PMID29043297
PMCPMC5639393
OpenAlexW2762200120

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.