Evidence map›Paper›PMID 23609565›Full record

ReviewNature reviews. Nephrology2013

Chronotherapy improves blood pressure control and reduces vascular risk in CKD.

Ramón C Hermida, Diana E Ayala, Michael H Smolensky, Artemio Mojón, José R Fernández, Juan J Crespo, Ana Moyá, María T Ríos, Francesco Portaluppi

Open access · greenAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Nephrology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
5.7field-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

31 citing papers in PubMed, 61 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Three-Year Longitudinal Evaluation of Timing Effects on Subcutaneous Immunotherapy Efficacy and Safety in Allergic Rhinitis.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2025
    Article
  5. Article
  6. Review
  7. A wrinkle in time: circadian biology in pulmonary vascular health and disease.American journal of physiology. Lung cellular and molecular physiology · 2022
    Article
  8. Circadian Rhythms, Disease and Chronotherapy.Journal of biological rhythms · 2021
    Review
  9. Article
  10. Circadian rhythm as a therapeutic target.Nature reviews. Drug discovery · 2021
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Sleep-Time Ambulatory BP Is an Independent Prognostic Marker of CKD.Journal of the American Society of Nephrology : JASN · 2017
    Article
  17. Article
  18. The deadly line linking sympathetic overdrive, dipping status and vascular risk: critical appraisal and therapeutic implications.Hypertension research : official journal of the Japanese Society of Hypertension · 2016
    Article
  19. Review
  20. The Circadian Clock in the Regulation of Renal Rhythms.Journal of biological rhythms · 2015
    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

9 authors at 5 institutions in 3 countries.

Ramón C HermidaBioengineering & Chronobiology Laboratories, University of Vigo, Campus Universitario, Vigo 36310, Spain. rhermida@uvigo.es
Diana E Ayala
Michael H Smolensky
Artemio Mojón
José R Fernández
Juan J Crespo
Ana Moyá
María T Ríos
Francesco Portaluppi
Servicio Gallego de Salud · ESUniversidade de Vigo · ESThe University of Texas at Austin · USUniversity Hospital Complex Of Vigo · ESUniversity of Ferrara · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In patients with chronic kidney disease (CKD), the prevalence of increased blood pressure during sleep and blunted sleep-time-relative blood pressure decline (a nondipper pattern) is very high and increases substantially with disease severity. Elevated blood pressure during sleep is the major criterion for the diagnoses of hypertension and inadequate therapeutic ambulatory blood pressure control in these patients. Substantial, clinically meaningful ingestion-time-dependent differences in the safety, efficacy, duration of action and/or effects on the 24 h blood pressure pattern of six different classes of hypertension medications and their combinations have been substantiated. For example, bedtime ingestion of angiotensin-converting-enzyme inhibitors and angiotensin-receptor blockers is more effective than morning ingestion in reducing blood pressure during sleep and converting the 24 h blood pressure profile into a dipper pattern. We have identified a progressive reduction in blood pressure during sleep--a novel therapeutic target best achieved by ingestion of one or more hypertension medications at bedtime--as the most significant predictor of decreased cardiovascular risk in patients with and without CKD. Recent findings suggest that in patients with CKD, ambulatory blood pressure monitoring should be used for the diagnosis of hypertension and assessment of cardiovascular disease risk, and that therapeutic strategies given at bedtime rather than on awakening are preferable for the management of hypertension.

Indexed as

Antihypertensive AgentsBlood PressureChronotherapyCircadian RhythmHumansHypertension, RenalPrevalenceRenal Insufficiency, ChronicRisk FactorsAntihypertensive Agents

Identifiers

PMID23609565
OpenAlexW2123482647

What OpenQuestion holds

Textmetadata
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.