Evidence map›Paper›PMID 30168081›Full record

ArticleJournal of nephrology2018

The 2018 ESC/ESH hypertension guidelines: Should nephrologists always stop at the lower boundary?

Gianpaolo Reboldi, Giorgio Gentile, Fabio Angeli, Paolo Verdecchia

Open access · bronzeAbstract readEditorial
PubMed Publisher
In one paragraph

Article in Journal of nephrology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

3 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
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

4 authors at 3 institutions in 2 countries.

Gianpaolo ReboldiDepartment of Medicine, Unversity of Perugia Medical School, Piazza Lucio Severi, 1, 06132, Perugia, Italy. paolo.reboldi@unipg.it.
Giorgio GentileDepartment of Medicine, Unversity of Perugia Medical School, Piazza Lucio Severi, 1, 06132, Perugia, Italy.
Fabio AngeliStruttura Complessa di Cardiologia e Fisiopatologia Cardiovascolare, Ospedale S.Maria della Misericordia, Perugia, Italy.
Paolo VerdecchiaFondazione Umbra Cuore e Ipertensione-ONLUS e Struttura Complessa di Cardiologia, Ospedale S. Maria della Misericordia, Perugia, Italy.
Ospedale Santa Maria · ITRoyal Cornwall Hospital Trust · GBUniversity of Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In patients with chronic kidney disease (CKD), hypertension is a major challenge because of its high prevalence, the consequent increase in cardiovascular morbidity and mortality, and the risk it confers specifically to the progression of kidney disease. Hence, establishing evidence-based blood pressure targets and treatment strategies is a clinical priority of paramount importance. Over the last few years, different guidelines have advocated different blood pressure treatment thresholds and goals in CKD patients, including a target < 140/90 mmHg and a more intensive target-lower than 130/80 mmHg-in the presence of albuminuria ≥ 300 mg/daily. Aim of this article is to critically appraise the evidence base of the freshly released 2018 ESC/ESH European Guidelines, which recommend to lower systolic BP to a range 130 to < 140 mmHg in patients with diabetic or non-diabetic CKD, also in view of the 2017 US guidelines, which favor a more intensive strategy with a BP target lower than 130/80 mmHg.

Indexed as

Antihypertensive AgentsBlood PressureEvidence-Based MedicineGuideline AdherenceHumansHypertensionNephrologistsPractice Guidelines as TopicPractice Patterns, Physicians'Renal Insufficiency, ChronicAntihypertensive AgentsBlood pressure targetsChronic kidney diseaseGuidelinesHypertension

Identifiers

PMID30168081
OpenAlexW2888801455

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.