Evidence map›Paper›PMID 25211055›Full record

ArticleJournal of human hypertension2014

Diabetes and CVD risk during angiotensin-converting enzyme inhibitor or angiotensin II receptor blocker treatment in hypertension: a study of 15,990 patients.

L P Hasvold, J Bodegård, M Thuresson, J Stålhammar, N Hammar, J Sundström, D Russell, S E Kjeldsen

Abstract readComparative Study
In one paragraph

Article in Journal of human hypertension, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Assessing Covariate Balance with Small Sample Sizes.medRxiv : the preprint server for health sciences · 2025
    Article
  4. Article
  5. Review
  6. Observational
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Opposing tissue-specific roles of angiotensin in the pathogenesis of obesity, and implications for obesity-related hypertension.American journal of physiology. Regulatory, integrative and comparative physiology · 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

8 authors.

L P Hasvold1] The Faculty of Medicine, University of Oslo, Oslo, Norway [2] AstraZeneca, Nordic-Baltic, Norway.
J Bodegård1] AstraZeneca, Nordic-Baltic, Norway [2] Department of Cardiology, Ullevaal Hospital, Oslo, Norway.
M ThuressonStatisticon AB, Uppsala, Sweden.
J StålhammarDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
N Hammar1] Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden [2] AstraZeneca R&D, Mölndal, Sweden.
J SundströmDepartment of Medical Sciences and Uppsala Clinical Research Center, Uppsala University, Uppsala, Sweden.
D RussellDepartment of Neurology, Rikshospitalet, University of Oslo, Oslo, Norway.
S E KjeldsenDepartment of Cardiology, Ullevaal Hospital, University of Oslo, Oslo, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Differences in clinical effectiveness between angiotensin-converting enzyme inhibitors (ACEis) and angiotensin receptor blockers (ARBs) in the primary treatment of hypertension are unknown. The aim of this retrospective cohort study was to assess the prevention of type 2 diabetes and cardiovascular disease (CVD) in patients treated with ARBs or ACEis. Patients initiated on enalapril or candesartan treatment in 71 Swedish primary care centers between 1999 and 2007 were included. Medical records data were extracted and linked with nationwide hospital discharge and cause of death registers. The 11,725 patients initiated on enalapril and 4265 on candesartan had similar baseline characteristics. During a mean follow-up of 1.84 years, 36,482 patient-years, the risk of new diabetes onset was lower in the candesartan group (hazard ratio (HR) 0.81, 95% confidence interval (CI) 0.69-0.96, P=0.01) compared with the enalapril group. No difference between the groups was observed in CVD risk (HR 0.99, 95% CI 0.87-1.13, P=0.86). More patients discontinued treatment in the enalapril group (38.1%) vs the candesartan group (27.2%). In a clinical setting, patients initiated on candesartan treatment had a lower risk of new-onset type 2 diabetes and lower rates of drug discontinuation compared with patients initiated on enalapril. No differences in CVD risk were observed.

Indexed as

AgedAngiotensin-Converting Enzyme InhibitorsAngiotensin II Type 1 Receptor BlockersBenzimidazolesBiphenyl CompoundsBlood PressureCardiovascular DiseasesDiabetes Mellitus, Type 2EnalaprilFemaleHumansHypertensionIncidenceMaleMiddle AgedPrimary Health CareAngiotensin-Converting Enzyme InhibitorsAngiotensin II Type 1 Receptor BlockersBenzimidazolesBiphenyl CompoundscandesartanEnalaprilTetrazoles

Identifiers

PMID25211055
PMCPMC4191159

What OpenQuestion holds

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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.