Evidence map›Paper›PMID 25749608›Full record

ReviewCurrent hypertension reports2015

Thiazide Diuretics in Chronic Kidney Disease.

Arjun D Sinha, Rajiv Agarwal

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current hypertension reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

17 citing papers in PubMed, 39 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Structural bases for NaNature communications · 2024
    Article
  5. Article
  6. Article
  7. [Chlorthalidone in chronic kidney disease].Innere Medizin (Heidelberg, Germany) · 2023
    Article
  8. Structure of the human cation-chloride cotransport KCC1 in an outward-open state.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  9. Hydrochlorothiazide: A savior to the heart or a foe to the skin?Annals of medicine and surgery (2012) · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. KDOQI US Commentary on the 2017 ACC/AHA Hypertension Guideline.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2019
    Review
  15. Article
  16. Article
  17. 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

2 authors at 2 institutions in 1 country.

Arjun D SinhaDivision of Nephrology, Department of Medicine, Indiana University School of Medicine and Roudebush VA Medical Center, 1481 West 10th Street, 111N, Indianapolis, IN, 46202, USA.
Rajiv Agarwal
Indiana University School of MedicineRichard L. Roudebush VA Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Widely prevalent in the general population, chronic kidney disease (CKD) is frequently complicated with hypertension. Control of hypertension in this high-risk population is a major modifiable cardiovascular and renal risk factor but often requires multiple medications. Although thiazides are an attractive agent, guidelines have previously recommended against thiazide use in stage 4 CKD. We review the updated guidelines on thiazide use in advanced CKD, the antihypertensive mechanism of thiazides, and the clinical studies of thiazides in CKD. Older uncontrolled studies have shown that metolazone reduces blood pressure in CKD, but more recently small randomized controlled trials of hydrochlorothiazide in CKD have shown significant improvement in mean arterial pressure of 15 mmHg. Two recent uncontrolled studies of chlorthalidone including one that used ambulatory blood pressure monitoring found significant improvements in blood pressure. These findings all suggest that thiazides may be efficacious even in advanced CKD; however, electrolyte abnormalities were common in the studies reviewed so close monitoring is necessary during use. Adequately powered randomized trials are now needed before the routine use of thiazide diuretics in advanced CKD can be recommended.

Indexed as

AnimalsBlood PressureClinical Trials as TopicHumansHypertensionPractice Guidelines as TopicRenal Insufficiency, ChronicSodium Chloride Symporter InhibitorsSodium Chloride Symporter Inhibitors

Identifiers

PMID25749608
OpenAlexW2001107311

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.