Evidence map›Paper›PMID 33426394›Full record

ArticleKidney international reports2021

A Randomized, Controlled Trial of the Effect of Allopurinol on Left Ventricular Mass Index in Hemodialysis Patients.

Elaine Rutherford, Sheila Ireland, Kenneth Mangion, Graham A Stewart, Mark S MacGregor, Giles Roditi, Rosemary Woodward, Stephen J Gandy, J Graeme Houston, Alan G Jardine and 4 more

Open access · goldAbstract read
In one paragraph

Article in Kidney international reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% 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

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

  1. Pooled it
  2. Trial
  3. Review
  4. Endothelial dysfunction in chronic kidney disease: a clinical perspective.American journal of physiology. Heart and circulatory physiology · 2025
    Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. 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

14 authors at 6 institutions in 1 country.

Elaine RutherfordInstitute of Cardiovascular and Medical Sciences, BHF Clinical Research Centre, University of Glasgow, UK.
Sheila IrelandDivision of Molecular & Clinical Medicine, School of Medicine, Ninewells Hospital, University of Dundee, Dundee, UK.
Kenneth MangionInstitute of Cardiovascular and Medical Sciences, BHF Clinical Research Centre, University of Glasgow, UK.
Graham A StewartRenal Unit, Ninewells Hospital, NHS Tayside, Dundee, UK.
Mark S MacGregorRenal Unit, Crosshouse Hospital, NHS Ayrshire & Arran, Kilmarnock, UK.
Giles RoditiInstitute of Cardiovascular and Medical Sciences, BHF Clinical Research Centre, University of Glasgow, UK.
Rosemary WoodwardInstitute of Cardiovascular and Medical Sciences, BHF Clinical Research Centre, University of Glasgow, UK.
Stephen J GandyDepartment of Radiology, Ninewells Hospital, NHS Tayside, Dundee, UK.
J Graeme HoustonMedical Physics, Ninewells Hospital, NHS Tayside, Dundee, UK.
Alan G JardineInstitute of Cardiovascular and Medical Sciences, BHF Clinical Research Centre, University of Glasgow, UK.
Petra RauchhausTayside Clinical Trials Unit, School of Medicine, Ninewells Hospital, University of Dundee, Dundee, UK.
Miles D WithamNIHR Newcastle Biomedical Research Centre, Newcastle University and Newcastle upon Tyne Hospitals Trust, Campus for Ageing and Vitality, Newcastle upon Tyne, UK.
Patrick B MarkInstitute of Cardiovascular and Medical Sciences, BHF Clinical Research Centre, University of Glasgow, UK.
Allan D StruthersDivision of Molecular & Clinical Medicine, School of Medicine, Ninewells Hospital, University of Dundee, Dundee, UK.
Ninewells Hospital · GBUniversity of Glasgow · GBNHS Greater Glasgow and Clyde · GBNHS Ayrshire and Arran · GBNIHR Newcastle Biomedical Research Centre · GBQueen Elizabeth University Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIncreased left ventricular mass index (LVMI) is associated with mortality in end-stage renal disease. LVMI regression may improve outcomes. Allopurinol has reduced LVMI in randomized controlled trials in chronic kidney disease, diabetes, and ischemic heart disease. This study investigated whether allopurinol would regress LVMI in hemodialysis patients.

methodsThis was a randomized placebo-controlled double-blind multicenter trial funded by the British Heart Foundation (PG/12/72/29743). A total of 80 patients undergoing regular maintenance hemodialysis were recruited from NHS Tayside, NHS Greater Glasgow and Clyde and NHS Ayrshire and Arran in Scotland, UK. Participants were randomly assigned on a 1:1 ratio to 12 months of therapy with allopurinol 300 mg or placebo after each dialysis session. The primary outcome was change in LVMI, as assessed by cardiac magnetic resonance imaging (CMRI) at baseline and 12 months. Secondary outcomes were change in BP, flow-mediated dilation (FMD), augmentation indices (AIx), and pulse wave velocity (PWV).

resultsA total of 53 patients, with a mean age of 58 years, completed the study and had CMRI follow-up data for analysis. Allopurinol did not regress LVMI (change in LVMI: placebo +3.6 ± 10.4 g/m

conclusionCompared with placebo, treatment with allopurinol did not regress LVMI in this trial.

Indexed as

allopurinolhemodialysisleft ventricular massmagnetic resonance imagingrandomized controlled trial

Identifiers

PMID33426394
PMCPMC7783562
OpenAlexW3110657067

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.