Evidence map›Paper›PMID 38559794›Full record

ArticleJournal of rheumatic diseases2024

Urate-lowering therapy is associated with a reduced risk of arrhythmias: a systematic review and meta-analysis.

Palapun Waitayangkoon, Thiratest Leesutipornchai, Witina Techasatian, Noppawit Aiumtrakul, Manasawee Tanariyakul, Chinnawat Arayangkool, Tatchaya Kanthajan, Todd Nagamine, Jakrin Kewcharoen

Open access · diamondAbstract read
In one paragraph

Article in Journal of rheumatic diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 9 pooled it
2.6field-weighted citation impact, top 10% 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, 9 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
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

9 authors at 4 institutions in 2 countries.

Palapun WaitayangkoonDepartment of Medicine, MetroWest Medical Center, Tufts University School of Medicine, Framingham, MA, USA.ORCID https://orcid.org/0000-0003-4447-4972
Thiratest Leesutipornchai *Department of Internal Medicine, University of Hawaii, Honolulu, HI, USA.ORCID https://orcid.org/0000-0001-8436-1142
Witina TechasatianDepartment of Internal Medicine, University of Hawaii, Honolulu, HI, USA.ORCID https://orcid.org/0009-0006-3404-8004
Noppawit AiumtrakulDepartment of Internal Medicine, University of Hawaii, Honolulu, HI, USA.ORCID https://orcid.org/0000-0003-0479-7785
Manasawee TanariyakulDepartment of Internal Medicine, University of Hawaii, Honolulu, HI, USA.ORCID https://orcid.org/0009-0007-1191-8780
Chinnawat ArayangkoolDepartment of Internal Medicine, University of Hawaii, Honolulu, HI, USA.ORCID https://orcid.org/0009-0002-5877-8651
Tatchaya KanthajanDepartment of Medicine, Srinakharinwirot University, Bangkok, Thailand.ORCID https://orcid.org/0009-0000-7145-3857
Todd NagamineDepartment of Internal Medicine, University of Hawaii, Honolulu, HI, USA.ORCID https://orcid.org/0000-0002-2472-8173
Jakrin KewcharoenDepartment of Cardiology, Loma Linda University Medical Center, Loma Linda, CA, USA.ORCID https://orcid.org/0000-0003-0959-5576
University of Hawaii System · USLoma Linda University Medical Center · USSrinakharinwirot University · THTufts University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: While urate-lowering therapy (ULT) is linked to increased cardioprotective benefits on primary prevention of cardiovascular events such myocardial infarction or heart failure, little is known regarding their effects on arrhythmia risk. The purpose of this study was to investigate the relationship between incident arrhythmias and ULT. Methods: We searched MEDLINE and Embase from inception to May 2023. Included studies were randomized controlled trials and cohort studies that compared the risk of cardiac arrhythmias among ULT users with non-ULT users. Results: A total of 12,420 patients from five studies were analyzed, comprising 7,359 subjects in the ULT group and 5,061 subjects in the non-ULT group. Our results showed that ULT users had significant reductions in the risk of arrhythmias (pooled relative risk [RR] 0.82, 95% confidence interval [CI] 0.74~0.92, p<0.001, I2=0.0%) compared to non-ULT users. Subgroup analysis did not show that ULT users had a significant reduced risk of atrial fibrillation (pooled RR 0.76, 95% CI 0.54~1.05, p=0.096 with I2=15.4%) compared to non-ULT users. Conclusion: ULT is associated with lower risk of overall arrhythmias. Further studies are warranted to confirm our findings.

Indexed as

AllopurinolArrhythmiascardiacFebuxostat

Identifiers

PMID38559794
PMCPMC10973354
OpenAlexW4390342362

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.