Urea for management of the syndrome of inappropriate secretion of ADH: A systematic review
Endocrinol Nutr. 2014 Nov;61(9):486-92.
doi: 10.1016/j.endonu.2014.04.006.
Epub 2014 Jun 19.
[Article in
English,
Spanish]
Affiliations
- 1 Institut Investigació Sanitària Pere Virgili (IISPV), Reus, España; Health Institute for Technology Transfer (HITT), Barcelona, España. Electronic address: osola@hittinnova.com.
- 2 Institut Investigació Sanitària Pere Virgili (IISPV), Reus, España; Health Institute for Technology Transfer (HITT), Barcelona, España. Electronic address: mbel.riera@gmail.com.
Abstract
Urea has been recently proposed for the management of hyponatremia linked to the syndrome of inappropriate secretion of ADH (SIADH). The objective of the study was to review the levels of evidence for treatment of hyponatremia associated with SIADH with urea. We performed a: systematic review of experimental trials and grading according to SIGN. No clinical trials were found. The 6 studies analysed had methodological limitations and were prone to biases. In conclusion, there is no evidence to support the efficacy of urea for the treatment of hyponatremia following SIADH.
Keywords:
Hiponatremia; Hyponatremia; Revisión sistemática; Sindrome secreción inadecuada hormona antidiurètica; Syndrome of inappropriate secretion of antidiuretic hormone; Systematic review; Urea.
Copyright © 2014 SEEN. Published by Elsevier Espana. All rights reserved.
MeSH terms
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Disease Management
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Drug Evaluation
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Evidence-Based Medicine
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Humans
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Hypernatremia / chemically induced
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Hypokalemia / chemically induced
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Hyponatremia / drug therapy
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Hyponatremia / etiology
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Inappropriate ADH Syndrome / complications
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Inappropriate ADH Syndrome / drug therapy*
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Observational Studies as Topic
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Prospective Studies
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Research Design
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Treatment Outcome
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Urea / adverse effects
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Urea / therapeutic use*