Evidence map›Paper›PMID 28929577›Full record

Trial reportJournal of clinical hypertension (Greenwich, Conn.)2017

Salt intake and blood pressure response to percutaneous renal denervation in resistant hypertension.

Esther de Beus, Rosa L de Jager, Martine M Beeftink, Margreet F Sanders, Wilko Spiering, Evert-Jan Vonken, Michiel Voskuil, Michiel L Bots, Peter J Blankestijn, SYMPATHY study group

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical hypertension (Greenwich, Conn.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Renal denervation for resistant hypertension.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Trial
  3. Article
  4. Review
  5. Should we take renal denervation with a grain of salt?Journal of clinical hypertension (Greenwich, Conn.) · 2017
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Esther de BeusDepartment of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0001-7919-3877
Rosa L de JagerDepartment of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht, The Netherlands.
Martine M BeeftinkDepartment of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands.
Margreet F SandersDepartment of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht, The Netherlands.
Wilko SpieringDepartment of Vascular Medicine, University Medical Center Utrecht, Utrecht, The Netherlands.
Evert-Jan VonkenDepartment of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands.
Michiel VoskuilDepartment of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands.
Michiel L BotsJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.
Peter J BlankestijnDepartment of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0003-4289-632X
SYMPATHY study group
University Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The effect of lowering sympathetic nerve activity by renal denervation (RDN) is highly variable. With the exception of office systolic blood pressure (BP), predictors of the BP-lowering effect have not been identified. Because dietary sodium intake influences sympathetic drive, and, conversely, sympathetic activity influences salt sensitivity in hypertension, we investigated 24-hour urinary sodium excretion in participants of the SYMPATHY trial. SYMPATHY investigated RDN in patients with resistant hypertension. Both 24-hour ambulatory and office BP measurements were end points. No relationship was found for baseline sodium excretion and change in BP 6 months after RDN in multivariable-adjusted regression analysis. Change in the salt intake-measured BP relationships at 6 months vs baseline was used as a measure for salt sensitivity. BP was 8 mm Hg lower with similar salt intake after RDN, suggesting a decrease in salt sensitivity. However, the change was similar in the control group, and thus not attributable to RDN.

Indexed as

HypertensionKidneySympathectomySympathetic Nervous SystemAgedAntihypertensive AgentsBlood PressureBlood Pressure Monitoring, AmbulatoryDrug ResistanceFemaleHumansMaleMiddle AgedSodiumSodium Chloride, DietaryTreatment OutcomeAntihypertensive AgentsSodiumSodium Chloride, Dietarydietary sodiumhypertensionrenal denervationsalt sensitivitysodium intake

Identifiers

PMID28929577
PMCPMC8030930
OpenAlexW2755663235

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.