Evidence map›Paper›PMID 37724564›Full record

SynthesisRenal failure2023

An updated meta-analysis on the efficacy and safety of hypoxia-inducible factor prolyl hydroxylase inhibitor treatment of anemia in nondialysis-dependent chronic kidney disease.

Hanxue Zhao, Peiyun Li, Hong-Liang Zhang, Linpei Jia

Open access · goldAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Renal failure, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

9 citing papers in PubMed, 11 citations in OpenAlex.

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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

4 authors at 2 institutions in 1 country.

Hanxue ZhaoFirst Clinical Medical College, Xuanwu Hospital, Capital Medical University, Beijing, P.R. China.
Peiyun LiFirst Clinical Medical College, Xuanwu Hospital, Capital Medical University, Beijing, P.R. China.
Hong-Liang ZhangDepartment of Life Sciences, National Natural Science Foundation of China, Beijing, P.R. China.
Linpei JiaDepartment of Nephrology, Xuanwu Hospital, Capital Medical University, Beijing, P.R. China.ORCID 0000-0003-0348-7814
Capital Medical University · CNNational Natural Science Foundation of China · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRenal anemia, a common complication and threat factor of chronic kidney disease (CKD), has long been treated with injectable erythropoietin-stimulating agents (ESAs). As concerns regarding cardiovascular safety and erythropoietin resistance to ESAs have emerged, alternative therapies are urgently needed. Hypoxia-inducible factor prolyl hydroxylase inhibitor (HIF-PHI), an oral agent, has been proven to be effective in improving renal anemia. However, the effects of HIF-PHIs on nondialysis-dependent CKD (NDD-CKD) have yet to be supported by updated meta-analyses.

methodsA meta-analysis of clinical randomized controlled trials (RCTs) on HIF-PHI treatment of NDD-CKD patients based on PubMed, EMBASE, and Cochrane databases as of July 16th, 2023, was conducted. The primary outcomes were the level of hemoglobin (Hb) postintervention and the ratio of Hb responses. Most of the analysis was conducted

resultsTwenty-two studies with a total of 7178 subjects in the HIF-PHI group, 3501 subjects in the ESA group and 2533 subjects in the placebo group were enrolled. HIF-PHIs increased the level of Hb and improved iron metabolism but were not inferior to ESAs in terms of safety.

conclusionsHIF-PHIs may be a convenient and safe alternative to ESAs in patients with NDD-CKD and anemia.

Indexed as

AnemiaErythropoietinProlyl-Hydroxylase InhibitorsRenal Insufficiency, ChronicEpoetin AlfaHumansHypoxiaProlyl HydroxylasesEpoetin AlfaErythropoietinProlyl-Hydroxylase InhibitorsProlyl Hydroxylaseschronic kidney diseasehemoglobinHypoxia-inducible factor prolyl hydroxylase inhibitormeta-analysisrenal anemia

Identifiers

PMID37724564
PMCPMC10512776
OpenAlexW4386846104

What OpenQuestion holds

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LicenceCC BY-NC
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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.