Evidence map›Paper›PMID 41798185›Full record

SynthesisFrontiers in endocrinology2026

Relation of serum uric acid with the risk of coronary heart disease: an updated systematic review and dose-response meta-analysis of epidemiologic studies.

Zhen Zhou, Guancheng Ye, Xiaoqiao Ren, Yaxing Cheng, Yuzhen Cang, Jingbo Zhao, Huihui Zhao

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Frontiers in endocrinology, 2026. 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
–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

1 citing paper in PubMed.

  1. 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

7 authors.

Zhen Zhou *School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Guancheng Ye *Department of Rheumatology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.
Xiaoqiao RenSchool of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Yaxing ChengSchool of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Yuzhen CangSchool of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Jingbo ZhaoSchool of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Huihui ZhaoSchool of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Over the past decade, multiple recent studies have investigated the relationship between serum uric acid(SUA) levels and the risk of coronary heart disease (CHD). This meta-analysis aims to assess the dose-response relationship between SUA levels and CHD by integrating the latest relevant studies from the past decade. Methods: Epidemiological studies such as cohort studies, which aim to explore the association between SUA levels and the risk of CHD, were included. Papers unrelated to the aforementioned topics, non-original works or studies, were not conducted with humans, were not published between 2015 to 2025 or that could not provide the specific numerical data required for analysis were excluded. We systematically searched the PubMed, Web of Science, EMBASE, and Cochrane Library databases until September 2025 for relevant studies. We performed a systematic review of relevant original studies and conducted both overall analysis and dose-response analysis. Data were pooled using a random-effects model, heterogeneity was assessed with the I² statistic, and the robustness of findings was evaluated via model comparison and sequential exclusion. Results: 8 cohort studies were included. Among 574, 815 participants, there were 11,009 cases of CHD. An increased risk of CHD was associated with elevated SUA (HR = 1.38 95% CI = 1.30-1.47) in the overall meta-analysis. In the subgroup analysis, a consistent positive correlation was observed between SUA and the risk of CHD in all the pre-defined subgroups (including gender, sample size, publication year and outcome type). The dose-response meta-analysis demonstrated that elevated SUA levels were associated with increased CHD risk in a dose-dependent manner, with a non-linear pattern in males and a linear pattern in females. Conclusion: Dose-response analysis showed a positive, non-linear association between SUA and CHD in males, and a linear association in females, highlighting its role as a risk marker. Definitive evidence for causality requires future randomized controlled trials. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/recorddashboard, identifier CRD420251240886.

Indexed as

Coronary DiseaseUric AcidBiomarkersEpidemiologic StudiesHumansRisk FactorsBiomarkersUric Acidcoronary heart diseasedose-response meta-analysismeta-analysisserum uric acidsystematic review

Identifiers

PMID41798185
PMCPMC12963226

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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.