Evidence map›Paper›PMID 32366929›Full record

ArticleJournal of human hypertension2021

Urate-lowering therapy exerts protective effects against hypertension development in patients with gout.

Kuan-Hung Lin, Fu-Shun Yen, Hsin-Lun Li, James Cheng-Chung Wei, Chih-Cheng Hsu, Chen-Chang Yang, Chii-Min Hwu

Abstract read
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In one paragraph

Article in Journal of human hypertension, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 34% 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

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. 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

7 authors at 6 institutions in 1 country.

Kuan-Hung Lin *Department of Internal Medicine, National Yang-Ming University Hospital, Yilan, Taiwan.
Fu-Shun Yen *Dr. Yen's Clinic, Taoyuan City, Taiwan.
Hsin-Lun LiManagement Office for Health Data, China Medical University Hospital, Taichung City, Taiwan.
James Cheng-Chung WeiDivision of Allergy, Immunology and Rheumatology, Chung Shan Medical University Hospital, Taichung City, Taiwan.
Chih-Cheng HsuInstitute of Population Health Sciences, National Health Research Institutes, Zhunan, Miaoli, Taiwan.
Chen-Chang YangInstitute of Environmental & Occupational Health Sciences, School of Medicine, National Yang-Ming University, Taipei, Taiwan. ccyang@vghtpe.gov.tw.
Chii-Min HwuFaculty of Medicine, National Yang-Ming University School of Medicine, Taipei, Taiwan. chhwu@vghtpe.gov.tw.
China Medical University Hospital · TWChung Shan Medical University Hospital · TWNational Health Research Institutes · TWNational Yang Ming Chiao Tung University · TWNational Yang Ming Chiao Tung University · TWNational Yang Ming University Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Many studies have demonstrated that hyperuricemia is associated with hypertension (HTN) development, but few studies have explored whether urate-lowering therapy (ULT), which reverses hyperuricemia, decreases the risk of incident HTN. In this retrospective cohort study, we compared the risk of incident HTN of gout patients between those undergoing and not undergoing ULT. Risks of new-onset diabetes mellitus (DM) and chronic kidney disease (CKD) were also examined. In total, 2712 gout patients from 2000 to 2012 were enrolled. Overall incidence rates of HTN, DM, and CKD were compared between 1356 patients undergoing ULT recipients and 1356 matched control patients. After adjustment for sex, age, area, comorbidities, and drugs used, the incidence rates of HTN were 4.8 and 3.0 per 100 person years for non-ULT and ULT patients, respectively. ULT patients had a lower adjusted hazard ratio (aHR) of HTN (aHR: 0.64, 95% confidence interval [CI]: 0.54-0.75, p  <  0.001) than non-ULT patients. The lower risk of incident HTN after xanthine oxidase inhibitors exhibited a significant dose-response trend. ULT patients also had a lower risk of DM (aHR: 0.55, 95% CI: 0.43-0.70) than non-ULT patients. ULT patients exhibited no significant difference in CKD development (aHR: 1.04, 95% CI: 0.85-1.27) as compared with non-ULT patients. The present study revealed that ULT was associated with lower risks of incident HTN and DM, and the protective effect of xanthine oxidase inhibitors seemed to have a dose-response relationship.

Indexed as

GoutHypertensionAged, 80 and overGout SuppressantsHumansRetrospective StudiesUric AcidGout SuppressantsUric Acid

Identifiers

PMID32366929
OpenAlexW3022609866

What OpenQuestion holds

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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.