Evidence map›Paper›PMID 37941684›Full record

ArticleJMA journal2023

Comparison of Recommendations Made by Committee Members with and without Financial Conflict of Interest on Japanese Guideline of Treatment of Hyperuricemia and Gout, Third Edition.

Ichiro Hisatome, Toshihiro Hamada, Einosuke Mizuta, Akira Ohtahara, Masanari Kuwabara, Kazuhide Ogino, Haruaki Ninomiya, Yasuto Sato, Takeo Nakayama, Hisashi Yamanaka

Open access · diamondAbstract read
In one paragraph

Article in JMA journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. [Colchicine-Phoenix from the ashes].Wiener klinische Wochenschrift · 2025
    Review
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

10 authors at 7 institutions in 1 country.

Ichiro HisatomeDepartment of Cardiology, National Hospital Organization, Yonago Medical Center, Yonago, Japan.
Toshihiro HamadaDepartment of Community-based Family Medicine, Tottori University Faculty of Medicine, Yonago, Japan.
Einosuke MizutaDepartment of Cardiology, Sanin Rosai Hospital, Yonago, Japan.
Akira OhtaharaDepartment of Cardiology, Sanin Rosai Hospital, Yonago, Japan.
Masanari KuwabaraDepartment of Cardiology, Toranomon Hospital, Tokyo, Japan.
Kazuhide OginoDepartment of Cardiology, Japanese Red Cross Tottori Hospital, Tottori, Japan.
Haruaki NinomiyaDepartment of Biological Regulation, Tottori University Faculty of Medicine, Yonago, Japan.
Yasuto SatoGraduate School of Public Health, Shizuoka Graduate University of Public Health, Shizuoka, Japan.
Takeo NakayamaDepartment of Health Informatics, Graduate School of Medicine & School of Public Health, Kyoto University, Kyoto, Japan.
Hisashi YamanakaDepartment of Rheumatology, Sanno Medical Center, Tokyo, Japan.
Sanin Rosai Hospital · JPTottori University · JPKyoto University · JPNational Institute of Technology, Yonago College · JPSanno Medical Center · JPToranomon Hospital · JPTottori Prefectural Central Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical practice guidelines (CPGs) consist of clinical questions (CQs) and corresponding recommendations. Considering the estimation of body of evidence, patients' opinions, and medical economics, recommendations can vary depending on the votes of the committee members of CPGs. Taking this into consideration, concerns have already been raised on how financial conflict of interest (COI) potentially influences recommendations. In this study, we developed the third edition of guideline for the management of hyperuricemia and gout. This CPG was composed of seven CQs and recommendations. The direction and strength of the recommendations were determined by votes. There are three CQs. Individual questions asked whether uric acid-lowering-agents (ULAs) could be applied to hyperuricemic patients with chronic kidney disease (CKD) (CQ A), hypertension (CQ B), or heart failure (CQ C) to prevent organ damage. We examined whether the absence (18 members) or presence (8 members) of COIs of committee members could influence the votes. In total, 26 committee members with and without COI have equally determined the direction and strength of recommendations. In CQ A, members without financial COIs and those with financial COI selected conditional recommendation for the use of ULAs in patients with CKD (without COI, 17/18; with COI, 7/8). In CQ B, members without financial COIs and those with financial COI selected conditional recommendation against the use of ULAs in hypertensive patients (without COI, 14/18; with COI, 5/8). In CQ C, members without financial COIs and those with financial COIs have selected conditional recommendation against the use of ULAs in patients suffering from heart failure (without COI, 15/18; with COI, 4/8). We found that members with financial COIs have determined their recommendations in the same direction and strength as those without financial COIs.

Indexed as

clinical guidelineconflict of interestgouthyperuricemia

Identifiers

PMID37941684
PMCPMC10628237
OpenAlexW4387546966

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.