Evidence map›Paper›PMID 23377167›Full record

Trial reportThe American journal of the medical sciences2014

Design of the Blood Pressure Goals in Dialysis pilot study.

Ambreen Gul, Dana Miskulin, Jennifer Gassman, Antonia Harford, Bruce Horowitz, Joline Chen, Susan Paine, Edward Bedrick, John W Kusek, Mark Unruh and 2 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The American journal of the medical sciences, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 18% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. BP in Dialysis: Results of a Pilot Study.Journal of the American Society of Nephrology : JASN · 2018
    Trial
  4. Article
  5. Tight Blood Pressure Control in Chronic Kidney Disease.Journal of cardiovascular development and disease · 2022
    Review
  6. Comparison of Dialysis Unit and Home Blood Pressures: An Observational Cohort Study.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2021
    Observational
  7. Article
  8. Article
  9. Blood pressure in hemodialysis: targets?Current opinion in nephrology and hypertension · 2017
    Review
  10. Article
  11. Review
  12. Observational
  13. Observational
  14. Review
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

12 authors at 7 institutions in 1 country.

Ambreen GulDepartment of Medicine (AG, AH, BH, EB, PZ), University of New Mexico, Albuquerque, New Mexico; Department of Medicine (DM), Tufts University, Boston, Massachusetts; Department of Quantitative Health Sciences (JG), Cleveland Clinic Foundation, Cleveland, Ohio; Department of Medicine (JC), Boston University, Boston, Massachusetts; Dialysis Clinic, Inc (SP, PZ), Quality Management, Albuquerque, New Mexico; National Institutes of Health (JWK), NIDDK, Bethesda, Maryland; and Department of Medicine (MU), University of Pittsburgh, Pittsburgh, Pennsylvania.
Dana Miskulin
Jennifer Gassman
Antonia Harford
Bruce Horowitz
Joline Chen
Susan Paine
Edward Bedrick
John W Kusek
Mark Unruh
Philip Zager
BID Pilot Study Investigators
University of New Mexico · USRadiology Associates of Albuquerque · USBoston University · USCleveland Clinic · USNational Institutes of Health · USTufts University · USUniversity of Pittsburgh · US

Funding

Blood Pressure in Dialysis PatientsR01DK083424 · NIDDK · UNIVERSITY OF NEW MEXICO · PI MISKULIN, DANA C, PLOTH, DAVID W · 2010 to 2012
$1.6M
NIDDK NIH HHS R01 DK083424NIDDK NIH HHS R01 DK083424-01
6 · The paper itself

Abstract

backgroundCardiovascular disease (CVD) is markedly increased among hemodialysis (HD) patients. Optimizing blood pressure (BP) among HD patients may present an important opportunity to reduce the disparity in CVD rates between HD patients and the general population. The optimal target predialysis systolic BP (SBP) among HD patients is unknown. Current international guidelines, calling for a predialysis SBP < 140 mm Hg, are based on the opinion and extrapolation from the general population. Existing randomized controlled trials (RCTs) were small and did not include prespecified BP targets.

methodsThe authors described the design of the Blood Pressure in Dialysis (BID) Study, a pilot, multicenter RCT where HD patients are randomized to either a target-standardized predialysis SBP of 110 to 140 mm Hg or 155 to 165 mm Hg. This is the first study to randomize HD patients to 2 different SBP targets.

resultsPrimary outcomes are feasibility and safety. Feasibility parameters include recruitment and retention rates, adherence with prescribed BP measurements and achievement and maintenance of selected BP targets. Safety parameters include rates of hypotension and other adverse and serious adverse events. The authors obtained preliminary data on changes in left ventricular mass, aortic pulse wave velocity, vascular access thromboses and health-related quality of life across study arms, which may be the secondary outcomes in the full-scale study.

conclusionsThe data acquired in the pilot RCT will determine the feasibility and safety and inform the design of a full-scale trial, powered for hard outcomes, which may require 2000 participants.

Indexed as

Blood PressureRenal DialysisResearch DesignAntihypertensive AgentsHumansHypertensionPilot ProjectsAntihypertensive Agents

Identifiers

PMID23377167
PMCPMC3647384
OpenAlexW1987672527

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.