Evidence map›Paper›PMID 25653099›Full record

ReviewJournal of the American Society of Nephrology : JASN2015

Assessment and management of hypertension in transplant patients.

Matthew R Weir, Ellen D Burgess, James E Cooper, Andrew Z Fenves, David Goldsmith, Dianne McKay, Anita Mehrotra, Mark M Mitsnefes, Domenic A Sica, Sandra J Taler

Open access · greenAbstract readReview
In one paragraph

Review in Journal of the American Society of Nephrology : JASN, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 4 pooled it
12.4field-weighted citation impact, top 1% 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

71 citing papers in PubMed, 4 syntheses or guidelines pooled it, 182 citations in OpenAlex.

  1. Pooled it
  2. Antihypertensive treatment for kidney transplant recipients.The Cochrane database of systematic reviews · 2024
    Pooled it
  3. Pooled it
  4. Guideline
  5. Trial
  6. Article
  7. Review
  8. Review
  9. New kidneys, old risks: cardiovascular challenges after transplantation.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026
    Review
  10. Review
  11. Review
  12. Blood pressure control after solid organ transplantation: opportunities for optimizing care.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article

11 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

10 authors at 10 institutions in 3 countries.

Matthew R WeirDivision of Nephrology, Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland; mweir@medicine.umaryland.edu.
Ellen D BurgessDivision of Renal Medicine, Department of Medicine, University of Calgary, Calgary, Alberta, Canada;
James E CooperDivision of Renal Disease and Hypertension, Department of Medicine, University of Colorado, Denver, Colorado;
Andrew Z FenvesDivision of Nephrology, Department of Medicine, Harvard Medical School and Massachusetts General Hospital, Boston, Massachusetts;
David GoldsmithDivision of Cardio-Renal Medicine, St. Thomas and Guy's Hospital, London, United Kingdom;
Dianne McKayDivision of Nephrology, Department of Medicine, University of California, San Diego, San Diego, California;
Anita MehrotraDivision of Nephrology, Department of Medicine, Mount Sinai School of Medicine, New York, New York;
Mark M MitsnefesDivision of Nephrology, Department of Pediatrics, University of Cincinnati, Cincinnati, Ohio;
Domenic A SicaDivision of Nephrology, Department of Medicine, Virginia Commonwealth University, Richmond, Virginia; and.
Sandra J TalerDivision of Nephrology and Hypertension, Department of Medicine, Mayo Clinic, Rochester, Minnesota.
Icahn School of Medicine at Mount Sinai · USMassachusetts General Hospital · USMayo Clinic · USSt. Thomas Hospital · CAUniversity of Calgary · CAUniversity of Cincinnati Medical Center · USUniversity of Colorado Denver · USUniversity of Maryland, Baltimore · USUniversity of San Diego · USVirginia Commonwealth University · US

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., KISSELA, BRETT M · 2015 to 2024
$37.5M
Cincinnati Center for Clinical and Translational Sciences and TrainingUL1TR000077 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., TSEVAT, JOEL · 2012 to 2014
$9.9M
NCATS NIH HHS UL1 TR000077NCATS NIH HHS UL1 TR001425
6 · The paper itself

Abstract

Hypertension in renal transplant recipients is common and ranges from 50% to 80% in adult recipients and from 47% to 82% in pediatric recipients. Cardiovascular morbidity and mortality and shortened allograft survival are important consequences of inadequate control of hypertension. In this review, we examine the epidemiology, pathophysiology, and management considerations of post-transplant hypertension. Donor and recipient factors, acute and chronic allograft injury, and immunosuppressive medications may each explain some of the pathophysiology of post-transplant hypertension. As observed in other patient cohorts, renal artery stenosis and adrenal causes of hypertension may be important contributing factors. Notably, BP treatment goals for renal transplant recipients remain an enigma because there are no adequate randomized controlled trials to support a benefit from targeting lower BP levels on graft and patient survival. The potential for drug-drug interactions and altered pharmacokinetics and pharmacodynamics of the different antihypertensive medications need to be carefully considered. To date, no specific antihypertensive medications have been shown to be more effective than others at improving either patient or graft survival. Identifying the underlying pathophysiology and subsequent individualization of treatment goals are important for improving long-term patient and graft outcomes in these patients.

Indexed as

AdultAge FactorsAntihypertensive AgentsBlood Pressure DeterminationChildFemaleGraft RejectionGraft SurvivalHumansHypertensionIncidenceKidney Failure, ChronicKidney TransplantationMalePrognosisRisk AssessmentAntihypertensive Agentsaldosteroneangiotensinblood pressurehypertensiontransplantation

Identifiers

PMID25653099
PMCPMC4446882
OpenAlexW2164936276

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.