Evidence map›Paper›PMID 25114277›Full record

ArticleJournal of the American Society of Nephrology : JASN2014

Commentary on the 2014 BP guidelines from the panel appointed to the Eighth Joint National Committee (JNC 8).

Efrain Reisin, Raymond C Harris, Mahboob Rahman

2 registry-linked trialsOpen access · bronzeAbstract readComment
In one paragraph

Article in Journal of the American Society of Nephrology : JASN, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.9field-weighted citation impact, top 6% 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.

NCT03046420 completednot on this mapstarted 2017, after this paper: background citation

Hypertension Prevalence, Treatment Patterns and Outcomes in Long-Term Care Facilities

TypeobservationalSponsorLouisiana State University Health Sciences Center in New OrleansRan2017 to 2018Enrolled139ConditionsHypertensionArmsChart review
NCT03579108 unknown statusnot on this mapstarted 2018, after this paper: background citation

Hypertension Management and Outcomes in a Family Practice Setting

TypeobservationalSponsorLouisiana State University Health Sciences Center in New OrleansRan2018 to 2024Enrolled200ConditionsHypertensionArmsRetrospective Chart Review
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 39 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Assessment of Cardiovascular Risk Factors in Patients with Type 2 Diabetes in Upper Egypt Villages.Diabetes, metabolic syndrome and obesity : targets and therapy · 2020
    Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. BP Control and Long-Term Risk of ESRD and Mortality.Journal of the American Society of Nephrology : JASN · 2017
    Article
  10. Article
  11. The Relationship Between Cognitive Functioning and the JNC-8 Guidelines for Hypertension in Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2017
    Article
  12. Pragmatic Clinical Trials in CKD: Opportunities and Challenges.Journal of the American Society of Nephrology : JASN · 2016
    Review
  13. Role of Dietary Components in Modulating Hypertension.Journal of clinical & experimental cardiology · 2016
    Article
  14. Review
  15. Review
  16. BP Targets in Older Adults with CKD: Additional Evidence, but Uncertainty Continues.Clinical journal of the American Society of Nephrology : CJASN · 2015
    Article
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Efrain ReisinSection of Nephrology and Hypertension, Louisiana State University Health Science Center, New Orleans, Louisiana; ereisi@lsuhsc.edu.
Raymond C HarrisDivision of Nephrology, Vanderbilt University School of Medicine, Nashville, Tennessee; and.
Mahboob RahmanDivision of Nephrology and Hypertension, Case Western Reserve University, University Hospitals Case Medical Center, Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio.
Louisiana State University Health Sciences Center New Orleans · USUniversity Hospitals Case Medical Center · USVanderbilt University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The recently published article "2014 Evidence-based guideline for the management of high blood pressure in adults: Report from the panel members appointed to the Eighth Joint National Committee (JNC 8)" (James et al., JAMA 311: 507-520, 2014) has generated considerable controversy. In this commentary, we evaluate the document and compare the recommendations contained within it with those of the JNC 7 and other national and international guidelines. The evidence quality rating approach followed by the article "2014 Evidence-based guideline for the management of high blood pressure in adults: Report from the panel members appointed to the Eighth Joint National Committee (JNC 8)" (James et al., JAMA 311: 507-520, 2014) disqualified nearly 98% of previous studies from review; as a result, some of the key recommendations were on the basis of expert opinion alone. We are especially concerned that the recommendation to raise the systolic/diastolic BP levels at which treatment is initiated to ≥150/≥90 mmHg in adults≥60 years old may affect cardiovascular and renal health in these patients. Additionally, we recommend that hypertension guidelines should be updated every 3-4 years with a fresh approach to the definition of target BP levels, the use of modern technology in the diagnosis of hypertension, and the treatment of hypertension in special populations not addressed in earlier guidelines.

Indexed as

Antihypertensive AgentsHumansHypertensionAntihypertensive AgentsBPhypertensionkidney disease

Identifiers

PMID25114277
PMCPMC4214539
OpenAlexW2120250634

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.