Evidence map›Paper›PMID 33674949›Full record

SynthesisInternational urology and nephrology2021

Association of microalbuminuria and adverse outcomes in hypertensive patients: a meta-analysis.

Zhibin Hong, Yabao Jiang, Peijun Liu, Li Zhang

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in International urology and nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Observational
  6. Article
  7. Review
  8. Chokeberry (Nutrients · 2022
    Review
  9. Article
  10. 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

4 authors at 1 institution in 1 country.

Zhibin HongDepartment of Second Cardiovascular Medicine, The First People's Hospital of Tianshui, No. 105 Jianshe Road, Qinzhou District, Tianshui, 741000, GansuProvince, China. hongzhibin01@126.com.ORCID http://orcid.org/0000-0002-0289-7750
Yabao JiangDepartment of Second Cardiovascular Medicine, The First People's Hospital of Tianshui, No. 105 Jianshe Road, Qinzhou District, Tianshui, 741000, GansuProvince, China.
Peijun LiuDepartment of Second Cardiovascular Medicine, The First People's Hospital of Tianshui, No. 105 Jianshe Road, Qinzhou District, Tianshui, 741000, GansuProvince, China.
Li ZhangDepartment of Second Cardiovascular Medicine, The First People's Hospital of Tianshui, No. 105 Jianshe Road, Qinzhou District, Tianshui, 741000, GansuProvince, China.
The First People's Hospital of Tianmen · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies on the association of microalbuminuria with adverse outcomes in patients with hypertension remain controversial. This meta-analysis aimed to assess the predictive value of microalbuminuria in hypertensive patients.

methodsPubMed and Embase databases were comprehensively searched for studies that published from their inceptions to July 10, 2020. Observational studies reporting the association of microalbuminuria (defined as urinary albumin excretion 30 and 300 mg/24 h urine or albumin/creatinine ratio 30-300 mg/g from a spot urine or equivalent value) with all-cause mortality or major adverse cardiovascular events (MACEs) in hypertensive patients were selected.

resultsNine studies with a total of 19,893 hypertensive patients were included. When compared with those without microalbuminuria, hypertensive patients with microalbuminuria had an increased risk of all-cause mortality (risk ratio [RR] 1.68; 95% confidence interval [CI] 1.46-1.93) and MACEs (RR 1.40; 95% CI 1.22-1.62), respectively. Gender-specific analysis indicated that microalbuminuria was significantly associated with an increased risk of all-cause mortality (RR 1.61; 95% CI 1.17-2.21) in men but not in women (RR 1.18; 95% CI 0.78-1.80).

conclusionThis meta-analysis suggests that microalbuminuria is independently associated with higher risk of MACEs and all-cause mortality in hypertensive patients. Determination of microalbuminuria has potential to improve the risk classification of hypertension.

Indexed as

AlbuminuriaHumansHypertensionRisk AssessmentAll-cause mortalityHypertensionMajor adverse cardiovascular eventsMeta-analysisMicroalbuminuria

Identifiers

PMID33674949
OpenAlexW3135274387

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.