Evidence map›Paper›PMID 34524970›Full record

ArticleEndocrine connections2021

Association between serum uric acid and renal outcome in patients with biopsy-confirmed diabetic nephropathy.

Yutong Zou, Lijun Zhao, Junlin Zhang, Yiting Wang, Yucheng Wu, Honghong Ren, Tingli Wang, Rui Zhang, Jiali Wang, Yuancheng Zhao and 7 more

Abstract read
In one paragraph

Article in Endocrine connections, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

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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

7 citing papers in PubMed.

  1. Review
  2. Article
  3. Observational
  4. Article
  5. Article
  6. A cohort study on the correlation between serum uric acid trajectory and the progression of renal function in patients with Type 2 diabetes mellitus.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2023
    Article
  7. 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

17 authors.

Yutong ZouDivision of Nephrology, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Lijun ZhaoDivision of Nephrology, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Junlin ZhangDivision of Nephrology, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Yiting WangDivision of Nephrology, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Yucheng WuDivision of Nephrology, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Honghong RenDivision of Nephrology, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Tingli WangDivision of Nephrology, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Rui ZhangDivision of Nephrology, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Jiali WangDivision of Nephrology, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Yuancheng ZhaoDivision of Nephrology, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Chunmei QinDivision of Nephrology, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Huan XuDivision of Pathology, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Lin LiDivision of Pathology, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Zhonglin ChaiDepartment of Diabetes, Central Clinical School, Monash University, Melbourne, Australia.
Mark E CooperDepartment of Diabetes, Central Clinical School, Monash University, Melbourne, Australia.
Nanwei TongDivision of Endocrinology, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Fang LiuDivision of Nephrology, West China Hospital of Sichuan University, Chengdu, Sichuan, China.ORCID 0000-0003-1121-3004

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the relationship between serum uric acid (SUA) level and renal outcome in patients with type 2 diabetes mellitus (T2DM) and diabetic nephropathy (DN).

methodsA total of 393 Chinese patients with T2DM and biopsy-proven DN and followed at least 1 year were enrolled in this study. Patients were stratified by the quartiles of baseline level of SUA: Q1 group: 286.02 ± 46.66 μmol/L (n = 98); Q2 group: 358.23 ± 14.03 μmol/L (n = 99); Q3 group: 405.50 ± 14.59 μmol/L (n = 98) and Q4 group: 499.14 ± 56.97μmol/L (n = 98). Renal outcome was defined by progression to end-stage renal disease (ESRD). Kaplan-Meier survival analysis and Cox proportional hazards model were used to analyze the association between SUA quartiles and the renal outcomes.

resultsDuring the median 3-year follow-up period, there were 173 ESRD outcome events (44.02%). No significant difference between SUA level and the risk of progression of DN (P = 0.747) was shown in the Kaplan-Meier survival analysis. In multivariable-adjusted model, hazard ratios for developing ESRD were 1.364 (0.621-2.992; P = 0.439), 1.518 (0.768-3.002; P = 0.230) and 1.411 (0.706-2.821; P = 0.330) for the Q2, Q3 and Q4, respectively, in comparison with the Q1 (P = 0.652).

conclusionsNo significant association between SUA level and renal outcome of ESRD in Chinese patients with T2DM and DN was found in our study. Besides, the role of uric acid-lowering therapy in delaying DN progression and improving ESRD outcome had not yet been proven. Further study was needed to clarify the renal benefit of the uric acid-lowering therapy in the treatment of DN.

Indexed as

diabetic nephropathyrenal outcomeserum uric acidtype 2 diabetes mellitus

Identifiers

PMID34524970
PMCPMC8558902

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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.