Evidence map›Paper›PMID 30783949›Full record

GuidelineHuman cell2019

Clinical practice guideline for renal hypouricemia (1st edition).

Akiyoshi Nakayama, Hirotaka Matsuo, Akira Ohtahara, Kazuhide Ogino, Masayuki Hakoda, Toshihiro Hamada, Makoto Hosoyamada, Satoshi Yamaguchi, Ichiro Hisatome, Kimiyoshi Ichida and 1 more

Open access · hybridAbstract readPractice Guideline
In one paragraph

Guideline in Human cell, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% 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

53 citing papers in PubMed, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Editorial: Case reports in nephrology.Frontiers in nephrology · 2025
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Dysuricemia.Biomedicines · 2023
    Review
  19. NewGenes · 2023
    Article
  20. 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

11 authors at 7 institutions in 1 country.

Akiyoshi NakayamaDepartment of Integrative Physiology and Bio-Nano Medicine, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan.
Hirotaka MatsuoDepartment of Integrative Physiology and Bio-Nano Medicine, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan.
Akira OhtaharaDivision of Cardiology, Sanin Rosai Hospital, Yonago, Japan.
Kazuhide OginoDepartment of Cardiology, Japanese Red Cross Tottori Hospital, Tottori, Japan.
Masayuki HakodaDepartment of Nutritional Sciences, Faculty of Human Ecology, Yasuda Women's University, Hiroshima, Japan.
Toshihiro HamadaDepartment of Regional Medicine, Tottori University Faculty of Medicine, Tottori, Japan.
Makoto HosoyamadaDepartment of Human Physiology and Pathology, Faculty Pharma-Science, Teikyo University, Tokyo, Japan.
Satoshi YamaguchiDepartment of Urology, The Urinary Stone Medical Center, Kitasaito Hospital, Asahikawa, Japan.
Ichiro HisatomeDepartment of Genetic Medicine and Regenerative Therapeutics, Institute of Regenerative Medicine and Biofunction, Tottori University Graduate School of Medical Science, Tottori, Japan.
Kimiyoshi IchidaDepartment of Pathophysiology, Tokyo University of Pharmacy and Life Sciences, Tokyo, Japan.
Nariyoshi ShinomiyaDepartment of Integrative Physiology and Bio-Nano Medicine, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama, 359-8513, Japan. shinomi@ndmc.ac.jp.
National Defense Medical College · JPTottori University · JPSanin Rosai Hospital · JPTeikyo University · JPTokyo University of Pharmacy and Life Sciences · JPTottori Prefectural Central Hospital · JPYasuda Women's University · JP

Funding

Ministry of Health, Labour and Welfare 2014-2016
6 · The paper itself

Abstract

Renal hypouricemia (RHUC) is a disease caused by dysfunction of renal urate reabsorption transporters; however, diagnostic guidance and guidelines for RHUC have been lacking, partly due to the low evidence level of studies on RHUC. This review describes a world-first clinical practice guideline (CPG) and its first version in English for this condition. It was developed following the "MINDS Manual for Guideline Development" methodology, which prioritizes evidence-based medicine. It was published in Japanese in 2017 and later translated into English. The primary goal of this CPG is to clarify the criteria for diagnosing RHUC; another aim is to work towards a consensus on clinical decision-making. One of the CPG's unique points is that it contains textbook descriptions at the expert consensus level, in addition to two clinical questions and recommendations derived from a systematic review of the literature. The guidance shown in this CPG makes it easy to diagnose RHUC from simple blood and urine tests. This CPG contains almost all of the clinical foci of RHUC: epidemiology, pathophysiology, diagnostic guidance, clinical examinations, differential diagnosis, and complications, including exercise-induced acute kidney injury and urolithiasis. A CPG summary as well as a clinical algorithm to assist healthcare providers with a quick reference and notes from an athlete for both physicians and patients are included. We hope that this CPG will help healthcare providers and patients to make clinical decisions, and that it will promote further research on RHUC.

Indexed as

Renal Tubular Transport, Inborn ErrorsUrinary CalculiAcute Kidney InjuryAlgorithmsClinical Decision-MakingDiagnosis, DifferentialEvidence-Based MedicineExerciseHealth PersonnelHumansUrolithiasisAcute renal failure with severe loin pain and patchy renal ischemia after anaerobic exercise (ALPE)Clinical practice guideline (CPG)Evidence-based medicine (EBM)Exercise-induced acute kidney injury (EIAKI)Renal hypouricemia (RHUC)

Identifiers

PMID30783949
PMCPMC6437292
OpenAlexW2917668384

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.