Evidence map›Paper›PMID 34588603›Full record

Observational studyJournal of human hypertension2022

Identification of a plausible serum uric acid cut-off value as prognostic marker of stroke: the Uric Acid Right for Heart Health (URRAH) study.

Valérie Tikhonoff, Edoardo Casiglia, Paolo Spinella, Carlo M Barbagallo, Michele Bombelli, Arrigo F G Cicero, Massimo Cirillo, Pietro Cirillo, Giovambattista Desideri, Lanfranco D'elia and 27 more

Abstract readObservational StudyMulticenter Study
PubMed Publisher
In one paragraph

Observational study in Journal of human hypertension, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

17 citing papers in PubMed.

  1. Article
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  9. Review
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  15. Article
  16. Gout and hyperuricaemia: modifiable cardiovascular risk factors?Frontiers in cardiovascular medicine · 2023
    Review
  17. Serum Uric Acid Levels and Cardiometabolic Profile in Middle-Aged, Treatment-Naïve Hypertensive Patients.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2022
    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

37 authors.

Valérie Tikhonoff *Department of Medicine, University of Padua, Padua, Italy. valerie.tikhonoff@unipd.it.ORCID http://orcid.org/0000-0001-7846-0101
Edoardo Casiglia *Studium Patavinum, Department of Medicine, University of Padua, Padua, Italy.ORCID http://orcid.org/0000-0002-0003-3289
Paolo SpinellaDepartment of Medicine, University of Padua, Padua, Italy.
Carlo M BarbagalloBiomedical Department of Internal Medicine and Specialistics, University of Palermo, Palermo, Italy.
Michele BombelliClinica Medica, Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Arrigo F G CiceroDepartment of Medical and Surgical Science, Alma Mater Studiorum University of Bologna, Bologna, Italy.
Massimo CirilloDepartment of Public Health, "Federico II" University of Naples, Naples, Italy.
Pietro CirilloNephrology, Dialysis and Transplantation Unit, Department of Emergency and Organ Transplantation, "Aldo Moro" University of Bari, Bari, Italy.
Giovambattista DesideriDepartment of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.
Lanfranco D'eliaDepartment of Clinical Medicine and Surgery, "Federico II" University of Naples Medical School, Naples, Italy.ORCID http://orcid.org/0000-0002-1782-0211
Claudio FerriDepartment of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.
Ferruccio GallettiDepartment of Clinical Medicine and Surgery, "Federico II" University of Naples Medical School, Naples, Italy.ORCID http://orcid.org/0000-0001-7556-0254
Loreto GesualdoNephrology, Dialysis and Transplantation Unit, Department of Emergency and Organ Transplantation, "Aldo Moro" University of Bari, Bari, Italy.
Cristina GiannattasioCardiology IV, "A.De Gasperi's" Department, Niguarda Ca' Granda Hospital, Milan, Italy.
Guido IaccarinoDepartment of Advanced Biomedical Sciences, "Federico II" University of Naples, Naples, Italy.
Francesca MallamaciCNR-IFC, Clinical Epidemiology of Renal Diseases and Hypertension, Reggio Cal Unit, Reggio Calabria, Italy.
Alessandro MalobertiCardiology IV, "A.De Gasperi's" Department, Niguarda Ca' Granda Hospital, Milan, Italy.ORCID http://orcid.org/0000-0002-2612-6264
Stefano MasiDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Alberto MazzaDepartment of Internal Medicine, Hypertension Unit, General Hospital, Rovigo, Italy.
Maria Lorenza MuiesanDepartment of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.ORCID http://orcid.org/0000-0002-4007-9441
Pietro NazzaroDepartment of Medical Basic Sciences, Neurosciences and Sense Organs, University of Bari Medical School, Bari, Italy.
Paolo PalatiniStudium Patavinum, Department of Medicine, University of Padua, Padua, Italy.ORCID http://orcid.org/0000-0001-5402-4946
Gianfranco ParatiIstituto Auxologico Italiano, IRCCS, Department of Cardiovascular, Neural and Metabolic Sciences, San Luca Hospital, Milan, Italy.ORCID http://orcid.org/0000-0001-9402-7439
Roberto PontremoliDepartment of Internal Medicine, University of Genoa and IRCCS Ospedale Policlinico San Martino, Genoa, Italy.ORCID http://orcid.org/0000-0003-1238-872X
Fosca Quarti-TrevanoClinica Medica, Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Marcello RattazziDepartment of Medicine, University of Padua, Padua, Italy.
Giulia RivasiDepartment of Geriatric and Intensive Care Medicine, Careggi Hospital and University of Florence, Florence, Italy.
Massimo SalvettiDepartment of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.ORCID http://orcid.org/0000-0001-8101-1374
Giuliano TocciHypertension Unit, Division of Cardiology, Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, University of Rome Sapienza, Sant'Andrea Hospital, Rome, Italy.ORCID http://orcid.org/0000-0002-0635-4921
Andrea UngarDepartment of Geriatric and Intensive Care Medicine, Careggi Hospital and University of Florence, Florence, Italy.
Paolo VerdecchiaHospital S. Maria della Misericordia, Perugia, Italy.ORCID http://orcid.org/0000-0002-4135-8936
Francesca ViazziDepartment of Internal Medicine, University of Genoa and IRCCS Ospedale Policlinico San Martino, Genoa, Italy.ORCID http://orcid.org/0000-0003-4219-7043
Agostino VirdisDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Massimo VolpeHypertension Unit, Division of Cardiology, Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, University of Rome Sapienza, Sant'Andrea Hospital, Rome, Italy.ORCID http://orcid.org/0000-0002-9642-8380
Guido GrassiClinica Medica, Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Claudio BorghiDepartment of Medical and Surgical Science, Alma Mater Studiorum University of Bologna, Bologna, Italy.
Working Group on Uric Acid and Cardiovascular Risk of the Italian Society of Hypertension (SIIA)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Working Group on Uric Acid and Cardiovascular Risk of the Italian Society of Hypertension conceived and designed an ad hoc study aimed at searching for prognostic cut-off values of serum uric acid (SUA) in predicting combined (fatal and non-fatal) cerebrovascular (CBV) events in the whole database. The URic acid Right for heArt Health study is a nationwide, multicenter, observational cohort study involving data on subjects aged 18-95 years recruited on a regional community basis from all the territory of Italy under the patronage of the Italian Society of Hypertension with a mean follow-up period of 120.7 ± 61.8 months. A total of 14,588 subjects were included in the analysis. A prognostic cut-off value of SUA able to discriminate combined CBV events (>4.79 mg/dL or >284.91 µmol/L) was identified by means of receiver operating characteristic curve in the whole database. Multivariate Cox regression analysis adjusted for confounders (age, sex, arterial hypertension, diabetes, chronic kidney disease, smoking habit, ethanol intake, body mass index, low-density lipoprotein cholesterol, and use of diuretics) identified an independent association between SUA and combined CBV events in the whole database (HR 1.249, 95% confidence interval, 1.041-1.497, p = 0.016). The results of the present study confirm that SUA is an independent risk marker for CBV events after adjusting for potential confounding variables, including arterial hypertension, and demonstrate that >4.79 mg/dL is a valid prognostic cut-off value.

Indexed as

HypertensionStrokeHumansPrognosisRisk FactorsUric AcidUric Acid

Identifiers

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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.