Evidence map›Paper›PMID 23132368›Full record

ReviewCurrent opinion in nephrology and hypertension2013

Renal microvascular dysfunction, hypertension and CKD progression.

Anil K Bidani, Aaron J Polichnowski, Rodger Loutzenhiser, Karen A Griffin

Abstract readReview
In one paragraph

Review in Current opinion in nephrology and hypertension, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 2 pooled it
6.1field-weighted citation impact, top 3% 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

84 citing papers in PubMed, 2 syntheses or guidelines pooled it, 164 citations in OpenAlex.

  1. Pooled it
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  15. Regulation of nitric oxide generation and consumption.International journal of biological sciences · 2025
    Review
  16. Article
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  18. Article
  19. Efficacy of Dynamics-based Features for Machine Learning Classification of Renal Hemodynamics.Proceedings of the ... European Signal Processing Conference (EUSIPCO). EUSIPCO (Conference) · 2023
    Article
  20. Review

24 more citing papers are in PubMed but not listed here.

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

4 authors at 3 institutions in 2 countries.

Anil K BidaniLoyola University and Hines VA Hospital, Maywood, Illinois 60153, USA. abidani@lumc.edu
Aaron J Polichnowski
Rodger Loutzenhiser
Karen A Griffin
Loyola Medicine · USLoyola University Medical Center · USUniversity of Calgary · CA

Funding

PATHOLOGY OF HYPERTENSIVE INJURY IN REMNANT KIDNEYSR01DK040426 · NIDDK · RUSH UNIVERSITY MEDICAL CENTER · PI BIDANI, ANIL K · 1990 to 2011
$2.8M
Dynamic BP load and diabetic nephropathy phenotype.R01DK061653 · NIDDK · LOYOLA UNIVERSITY CHICAGO · PI GRIFFIN, KAREN A. · 2002 to 2014
$2.1M
Nitric Oxide Deficiency in Hypertensive NephropathiesIK2BX001285 · VA · EDWARD HINES JR VA HOSPITAL · PI POLICHNOWSKI, AARON JAMES · 2011 to 2015
–
BLRD VA IK2 BX001285CIHRNIDDK NIH HHS DK-40426NIDDK NIH HHS DK-61653NIDDK NIH HHS R01 DK040426NIDDK NIH HHS R01 DK061653
6 · The paper itself

Abstract

purpose of reviewDespite apparent blood pressure (BP) control and renin-angiotensin system (RAS) blockade, the chronic kidney disease (CKD) outcomes have been suboptimal. Accordingly, this review is addressed to renal microvascular and autoregulatory impairments that underlie the enhanced dynamic glomerular BP transmission in CKD progression. RECENT

findingsClinical data suggest that failure to achieve adequate 24-h BP control is likely contributing to the suboptimal outcomes in CKD. Whereas evidence continues to accumulate regarding the importance of preglomerular autoregulatory impairment to the dynamic glomerular BP transmission, emerging data indicate that nitric oxide-mediated efferent vasodilation may play an important role in mitigating the consequences of glomerular hypertension. By contrast, the vasoconstrictor effects of angiotensin II are expected to potentially reduce glomerular barotrauma and possibly enhance ischemic injury. When adequate BP measurement methods are used, the evidence for BP-independent injury initiating mechanisms is considerably weaker and the renoprotection by RAS blockade largely parallels its antihypertensive effectiveness. SUMMARY: Adequate 24-h BP control presently offers the most feasible intervention for reducing glomerular BP transmission and improving suboptimal outcomes in CKD. Investigations addressed to improving myogenic autoregulation and/or enhancing nitric oxide-mediated efferent dilation in addition to the more downstream mediators may provide additional future therapeutic targets.

Indexed as

HomeostasisAngiotensin IIBlood PressureDisease ProgressionHumansHypertension, RenalKidney GlomerulusMicrovesselsNitric OxideRenal Insufficiency, ChronicAngiotensin IINitric Oxide

Identifiers

PMID23132368
PMCPMC3942995
OpenAlexW2034578084

What OpenQuestion holds

Textmetadata
LicenceTDM
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.