Evidence map›Paper›PMID 30508892›Full record

SynthesisMedicine2018

Blood pressure lowering effect of calcium channel blockers on perioperative hypertension: A systematic review and meta-analysis.

Yu Lin, Lina Ma

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Perioperative Risk: Short Review of Current Approach in Non Cardiac Surgery.Journal of cardiovascular development and disease · 2025
    Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. 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

2 authors at 1 institution in 1 country.

Yu LinCardiovascular Department, Tianjin Nankai Hospital, Tianjin, China.
Lina Ma
Tianjin Nankai Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute perioperative hypertension has been associated with poor outcomes of surgery, and the role of calcium channel blockers (CCB) on controlling perioperative blood pressure (BP) remains controversial. Thus, this meta-analysis was designed to assess the efficacy and safety of CCB in treating perioperative hypertension compared with other antihypertensive agents.

methodsPubMed, Medline, Cochrane, and EMABSE databases was systematically searched up to January 2018 for randomized control trials (RCTs) or other control studies comparing the efficacy of CCB versus other antihypertensive medicines for perioperative hypertension modulation. The efficacy and safety of CCB in treating perioperative hypertension were assessed through pooling mean difference (MD) with its 95% confidence interval (CI) or risk ratio (RR) with its 95% CI.

resultsIn total, 14 studies were included in the meta-analysis. There is no significant difference regarding successful treatment (RR = 2.64, 95% CI: 0.95, 7.29; I = 97%, P <.05), systolic blood pressure (SBP) (MD = -7.05, 95% CI: -16.27, 2.17; I = 78%, P <.05), overall adverse events (RR = 0.88, 95% CI: 0.66, 1.16; I = 54%, P = .02), atrial fibrillation (RR = 0.80, 95% CI: 0.60, 1.07; I = 32%, P = .20) and heart rates (MD = -1.05, 95% CI: -7.81, 5.71; I = 84%, P < .05) between patients treated by CCB and other drugs. In the subgroup analysis, statistical significance can be observed regarding successful treatment (RR = 3.46, 95%CI: 1.67, 7.18; I = 84%, P <.05) and postoperative SBP (MD = -9.98, 95%CI: -20.03, 0.08; I = 97%, P <.05) in the RCTs subgroup.

conclusionCCB was highly effective and well tolerated for treating perioperative hypertension.

Indexed as

Perioperative PeriodAntihypertensive AgentsBlood PressureCalcium Channel BlockersClinical Trials as TopicHumansHypertensionPostoperative ComplicationsAntihypertensive AgentsCalcium Channel Blockers

Identifiers

PMID30508892
PMCPMC6283187
OpenAlexW2903411846

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.