Evidence map›Paper›PMID 33555393›Full record

ArticleWiener klinische Wochenschrift2021

Beneficial effect of ACE inhibitors on kidney function in polycythemia vera.

Ivan Krečak, Martina Morić Perić, Ivan Zekanović, Hrvoje Holik, Božena Coha, Velka Gverić-Krečak, Marko Lucijanić

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Wiener klinische Wochenschrift, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 24% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
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  5. 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 4 institutions in 1 country.

Ivan KrečakDepartment of Internal Medicine, General Hospital of Šibenik-Knin County, Stjepana Radića 83, 22000, Šibenik, Croatia. krecak.ivan@gmail.com.
Martina Morić PerićDepartment of Internal Medicine, General Hospital Zadar, Zadar, Croatia.
Ivan ZekanovićDepartment of Internal Medicine, General Hospital Zadar, Zadar, Croatia.
Hrvoje HolikDepartment of Internal Medicine, "Dr. Josip Benčević" General Hospital, Slavonski Brod, Croatia.
Božena CohaDepartment of Internal Medicine, "Dr. Josip Benčević" General Hospital, Slavonski Brod, Croatia.
Velka Gverić-KrečakDepartment of Internal Medicine, General Hospital of Šibenik-Knin County, Stjepana Radića 83, 22000, Šibenik, Croatia.
Marko LucijanićDepartment of Hematology, University Hospital Dubrava, Zagreb, Croatia.
College of Slavonski Brod · HRPolytechnics of Šibenik · HRUniversity of Zadar · HRUniversity of Zagreb · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReduced kidney function has been associated with worse clinical outcomes in patients with myeloproliferative neoplasms (MPN). Statins and angiotensin-converting enzyme inhibitors (ACE-i) have renoprotective properties and their pleiotropic effects might also affect the malignant MPN clone; however, whether concomitant use of statins and ACE‑i has a positive effect on estimated glomerular filtration rate (eGFR) in polycythemia vera (PV) patients is currently unknown.

methodsThis multicenter retrospective study investigated effects of statins and ACE‑i on 12-month eGFR dynamics in 75 PV patients.

resultsOf the patients 25 (33.3%) had a 10% or more increase in eGFR at 12 months. Univariately, statins (55.5% vs. 16.3%; p = 0.022), ACE‑i (61% vs. 24.6%; p = 0.004), male sex (54.3%, vs. 15%; p < 0.001) and the absence of chronic kidney disease (CKD, 45.5% vs. 16.1%; p = 0.008) were statistically significantly associated with an improvement in eGFR. ACE‑i (p = 0.008), CKD (p < 0.001), male sex (p = 0.004) and higher baseline eGFR (p = 0.007) remained statistically significantly associated with an improvement in eGFR in the multivariate logistic regression model also including statins, hydroxyurea, high-risk disease, cardiovascular risk factors, chronic heart failure and baseline hematocrit.

conclusionThe ACE‑i might have renoprotective properties in PV. Further studies are needed to elucidate whether the use of these drugs could also affect other MPN-related outcomes.

Indexed as

Angiotensin-Converting Enzyme InhibitorsPolycythemia VeraAngiotensin Receptor AntagonistsGlomerular Filtration RateHumansKidneyMaleRetrospective StudiesAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsAngiotensin-converting enzyme inhibitorsArterial hypertensionHyperlipidemiaRenoprotectionStatins

Identifiers

PMID33555393
OpenAlexW3126675903

What OpenQuestion holds

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Registered trials

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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.