Evidence map›Paper›PMID 32095192›Full record

ArticleCardiology research2020

Polypharmacy Is Associated With Accelerated Deterioration of Renal Function in Cardiovascular Outpatients.

Jun-Ichi Sakamoto, Toshiyuki Shikata, Satoyasu Ito, Takeshi Kimura, Kojiro Takamoto, Eri Manabe, Masanori Asakura, Masaharu Ishihara, Takeshi Tsujino

Open access · diamondAbstract read
In one paragraph

Article in Cardiology research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 39% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
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  5. Review
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  7. 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 4 institutions in 1 country.

Jun-Ichi SakamotoGraduate School of Pharmacy, Hyogo University of Health Sciences, Kobe, Japan.
Toshiyuki ShikataDepartment of Pharmacy, Hyogo College of Medicine Sasayama Medical Center, Sasayama, Japan.
Satoyasu ItoGraduate School of Pharmacy, Hyogo University of Health Sciences, Kobe, Japan.
Takeshi KimuraDepartment of Pharmacy, Hyogo College of Medicine Hospital, Nishinomiya, Japan.
Kojiro TakamotoGraduate School of Pharmacy, Hyogo University of Health Sciences, Kobe, Japan.
Eri ManabeCardiovascular Division and Division of Coronary Heart Disease, Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya, Japan.
Masanori AsakuraCardiovascular Division and Division of Coronary Heart Disease, Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya, Japan.
Masaharu IshiharaCardiovascular Division and Division of Coronary Heart Disease, Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya, Japan.
Takeshi TsujinoGraduate School of Pharmacy, Hyogo University of Health Sciences, Kobe, Japan.
Hyogo Medical University · JPHyogo University of Health Sciences · JPToyama College · JPUniversity of Health Sciences

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPolypharmacy is associated with poor prognosis of patients with various diseases. However, it has not been precisely addressed how polypharmacy affects the clinical characteristics of the cardiovascular outpatients. The aim of this study is to search for the clinical characteristics related to the number of prescribed drugs in the cardiovascular outpatients. Also, we examine whether the number of the prescribed drugs affects the worsening of renal function.

methodsThis retrospective study was conducted using the data of 259 continuous cardiovascular outpatients who were examined complete blood count (CBC) and serum creatinine.

resultsIn the univariate analysis, the number of prescribed drugs were associated with the number of cardiovascular diseases or their risk factors, age, white blood cells, platelet, body mass index, anemia, and chronic kidney disease stage 3b or higher. In the multivariable analysis, independent variables that significantly correlated with the number of prescribed drugs were the number of cardiovascular diseases or their risk factors, anemia, and chronic kidney disease stage 3b or higher. Among 259 patients, 208 patients received follow-up examination of serum creatinine. The number of prescribed drugs was the only factor that was associated with accelerated deterioration of renal function.

conclusionsPolypharmacy is associated not only with poor renal function but with accelerated deterioration of renal function. Polypharmacy may be causally related with renal dysfunction.

Indexed as

AnemiaChronic kidney diseasePolypharmacyRenal function

Identifiers

PMID32095192
PMCPMC7011922
OpenAlexW3003941247

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LicenceCC BY-NC
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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.