Evidence map›Paper›PMID 33704350›Full record

ArticleJornal brasileiro de nefrologia

Hyperuricemia and chronic kidney disease: to treat or not to treat.

Federica Piani, Fumihiko Sasai, Petter Bjornstad, Claudio Borghi, Ashio Yoshimura, Laura G Sanchez-Lozada, Carlos Roncal-Jimenez, Gabriela E Garcia, Ana Andres Hernando, Gabriel Cara Fuentes and 3 more

Open access · diamondAbstract read
In one paragraph

Article in Jornal brasileiro de nefrologia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.4field-weighted citation impact, top 4% 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

22 citing papers in PubMed, 41 citations in OpenAlex.

  1. Article
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  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Role of gasdermins in chronic kidney disease.Frontiers in immunology · 2025
    Review
  10. Article
  11. Article
  12. Evaluation ofPharmaceuticals (Basel, Switzerland) · 2024
    Article
  13. Article
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  15. Article
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  17. Article
  18. Review
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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

13 authors at 6 institutions in 5 countries.

Federica PianiUniversity of Colorado School of Medicine, Division of Renal Diseases and Hypertension, Department of Medicine, Aurora, CO, USA.ORCID http://orcid.org/0000-0003-3338-1172
Fumihiko SasaiUniversity of Colorado School of Medicine, Division of Renal Diseases and Hypertension, Department of Medicine, Aurora, CO, USA.ORCID http://orcid.org/0000-0003-0487-0719
Petter BjornstadUniversity of Colorado School of Medicine, Division of Renal Diseases and Hypertension, Department of Medicine, Aurora, CO, USA.ORCID http://orcid.org/0000-0002-5160-2947
Claudio BorghiUniversity of Bologna, Department of Medical and Surgical Sciences, Bologna, Italy.ORCID http://orcid.org/0000-0001-8039-8781
Ashio YoshimuraShin-Yokohama Daiichi Hospital, Yokohama, Kanagawa, Japan.ORCID http://orcid.org/0000-0002-7875-0296
Laura G Sanchez-LozadaUniversity of Colorado School of Medicine, Division of Renal Diseases and Hypertension, Department of Medicine, Aurora, CO, USA.ORCID http://orcid.org/0000-0003-0348-9617
Carlos Roncal-JimenezUniversity of Colorado School of Medicine, Division of Renal Diseases and Hypertension, Department of Medicine, Aurora, CO, USA.ORCID http://orcid.org/0000-0001-7512-7776
Gabriela E GarciaUniversity of Colorado School of Medicine, Division of Renal Diseases and Hypertension, Department of Medicine, Aurora, CO, USA.ORCID http://orcid.org/0000-0002-6787-367X
Ana Andres HernandoUniversity of Colorado School of Medicine, Division of Renal Diseases and Hypertension, Department of Medicine, Aurora, CO, USA.ORCID http://orcid.org/0000-0002-0676-0188
Gabriel Cara FuentesUniversity of Colorado School of Medicine, Division of Renal Diseases and Hypertension, Department of Medicine, Aurora, CO, USA.ORCID http://orcid.org/0000-0002-4164-3251
Bernardo Rodriguez-IturbeHospital Universitario de Maracaibo, Instituto de Investigaciones Científicas, Ivic-Zulia, Maracaibo, Venezuela.ORCID http://orcid.org/0000-0002-5284-2440
Miguel A LanaspaUniversity of Colorado School of Medicine, Division of Renal Diseases and Hypertension, Department of Medicine, Aurora, CO, USA.ORCID http://orcid.org/0000-0002-1163-1831
Richard J JohnsonUniversity of Colorado School of Medicine, Division of Renal Diseases and Hypertension, Department of Medicine, Aurora, CO, USA.ORCID http://orcid.org/0000-0003-3312-8193
University of Colorado System · USDaiyukai General Hospital · JPGNA University · INHospital Universitario de Maracaibo · VEThe Medical Center of Aurora · USUniversity of Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hyperuricemia is common in chronic kidney disease (CKD) and may be present in 50% of patients presenting for dialysis. Hyperuricemia can be secondary to impaired glomerular filtration rate (GFR) that occurs in CKD. However, hyperuricemia can also precede the development of kidney disease and predict incident CKD. Experimental studies of hyperuricemic models have found that both soluble and crystalline uric acid can cause significant kidney damage, characterized by ischemia, tubulointerstitial fibrosis, and inflammation. However, most Mendelian randomization studies failed to demonstrate a causal relationship between uric acid and CKD, and clinical trials have had variable results. Here we suggest potential explanations for the negative clinical and genetic findings, including the role of crystalline uric acid, intracellular uric acid, and xanthine oxidase activity in uric acid-mediated kidney injury. We propose future clinical trials as well as an algorithm for treatment of hyperuricemia in patients with CKD.

Indexed as

HyperuricemiaRenal Insufficiency, ChronicGlomerular Filtration RateHumansRenal DialysisUric AcidUric Acid

Identifiers

PMID33704350
PMCPMC8940113
OpenAlexW3134521343

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.