Evidence map›Paper›PMID 19101780›Full record

Trial reportClinical and experimental nephrology2009

Olmesartan clinical trial in Okinawan patients under OKIDS (OCTOPUS) study: design and methods.

Kunitoshi Iseki, Kiyoyuki Tokuyama, Yoshiki Shiohira, Akira Higa, Hiroshi Hirano, Shigeki Toma, Kentaro Kohagura, Shinichiro Ueda

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical and experimental nephrology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Kunitoshi IsekiDialysis Unit, University Hospital of The Ryukyus, 207 Uehara, Nishihara, Okinawa, 903-0215, Japan. chihokun@med.u-ryukyu.ac.jp.
Kiyoyuki TokuyamaTokuyama Clinic, Urasoe, Okinawa, Japan.
Yoshiki ShiohiraTomishiro-Chuo Hospital, Tomigusuku, Okinawa, Japan.
Akira HigaShuri Jokamachi Clinic, Naha, Okinawa, Japan.
Hiroshi HiranoChuraumi Clinic, Nago, Okinawa, Japan.
Shigeki TomaToma Naika Clinic, Nishihara, Okinawa, Japan.
Kentaro KohaguraDepartment of Cardiovascular Medicine, Nephrology and Neurology, University of The Ryukyus, Okinawa, Japan.
Shinichiro UedaClinical Pharmacology and Therapeutics, University of The Ryukyus, Okinawa, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGuidelines for treatment of hypertension are not available for chronic hemodialysis (HD) population, despite the high mortality rate due to cardiovascular disease (CVD). Survival is much better among hypertensive patients than normal to hypotensive patients. Target levels of blood pressure and the class of antihypertensive drugs have not been examined in prospective studies.

methodsWe designed a prospective randomized controlled study among hypertensive HD patients in Okinawa (Okinawa Dialysis Study, OKIDS). The outcomes will be compared between two treatment regimens, such as (1) renin-angiotensin system (RAS) inhibitor Olmesartan and others, and (2) antihypertensive drugs without RAS inhibitors, in a parallel fashion. The title of the study is Olmesartan Clinical Trial in Okinawan Patients under OKIDS (OCTOPUS). Outcomes are any cause of death and CVD in 3 years in a total of 462 patients. Subjects are age 20-79 years and ambulatory on thrice weekly HD treatment. Eligible patients have resistant hypertension: pre-HD session blood pressure 140/90 mmHg and over for more than 1 month regardless with the use of antihypertensive drugs. Patients treated with RAS drugs are eligible if they continue to be hypertensive for more than 1 month after switching to non-RAS antihypertensive drugs.

conclusionThis study provides evidence for the target levels of blood pressure at a pre-HD session and the impact of RAS inhibitors. We also evaluate the usefulness of home blood pressure monitoring in HD patients.

Indexed as

Angiotensin II Type 1 Receptor BlockersAntihypertensive AgentsBlood Pressure Monitoring, AmbulatoryHumansHypertension, RenalImidazolesJapanKidney Failure, ChronicRenal DialysisTetrazolesAngiotensin II Type 1 Receptor BlockersAntihypertensive AgentsImidazolesolmesartanTetrazoles

Identifiers

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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.