Evidence map›Paper›PMID 30996305›Full record

SynthesisScientific reports2019

Renal Denervation for Resistant Hypertension in the contemporary era: A Systematic Review and Meta-analysis.

Pradyumna Agasthi, Justin Shipman, Reza Arsanjani, Moses Ashukem, Marlene E Girardo, Charan Yerasi, Nithin R Venepally, Floyd David Fortuin, Farouk Mookadam

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
1.6field-weighted citation impact, top 15% 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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Renal denervation for resistant hypertension.The Cochrane database of systematic reviews · 2021
    Pooled it
  4. Trial
  5. Trial
  6. Is Renal Denervation Effective in Treating Resistant Hypertension?Electrolyte & blood pressure : E & BP · 2024
    Review
  7. Review
  8. The Burden of Resistant Hypertension Across the World.Current hypertension reports · 2022
    Review
  9. Review
  10. Article
  11. Article
  12. 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

9 authors at 4 institutions in 1 country.

Pradyumna AgasthiDivision of Cardiovascular Diseases, Mayo Clinic Arizona, Phoenix, Arizona, USA. pradyumna_agasthi@hotmail.com.ORCID http://orcid.org/0000-0003-3067-6979
Justin ShipmanDivision of Cardiovascular Diseases, Mayo Clinic Arizona, Phoenix, Arizona, USA.
Reza ArsanjaniDivision of Cardiovascular Diseases, Mayo Clinic Arizona, Phoenix, Arizona, USA.ORCID http://orcid.org/0000-0001-7081-4286
Moses AshukemDivision of Cardiovascular Medicine, University of Arizona, Phoenix, Arizona, USA.
Marlene E GirardoDepartment of Health Sciences Research, Mayo Clinic Arizona, Scottsdale, Arizona, USA.
Charan YerasiDepartment of Cardiovascular Diseases, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.
Nithin R VenepallyDivision of Cardiovascular Diseases, Mayo Clinic Arizona, Phoenix, Arizona, USA.ORCID http://orcid.org/0000-0002-7156-1927
Floyd David FortuinDivision of Cardiovascular Diseases, Mayo Clinic Arizona, Phoenix, Arizona, USA.
Farouk MookadamDivision of Cardiovascular Diseases, Mayo Clinic Arizona, Phoenix, Arizona, USA.
Mayo Clinic Hospital · USMayo Clinic in Arizona · USSt. Joseph's Hospital and Medical Center · USUniversity of Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Renal denervation (RDN) is a catheter-based ablation procedure designed to treat resistant hypertension (RH). The objective of our study is to determine the effect of RDN on blood pressure and renal function in patients with RH in comparison to medical therapy alone. We performed an extensive literature search for randomized control trials (RCT) reporting office and 24 hr. blood pressure changes and estimated glomerular filtration rate (eGFR) at baseline and 6 months. We calculated a weighted standardized mean difference of blood pressure and renal outcomes between RDN and control groups using random effects models. Our search yielded 608 studies of which we included 15 studies for the final analysis. A total of 857 patients were treated with RDN and 616 patients treated with medical therapy ± sham procedure. Only 5 studies were double-blinded RCT with sham control. The adjusted standardized mean difference in the change in office based systolic and diastolic pressures (p = 0.18; p = 0.14); 24 hr. systolic and diastolic pressures (p = 0.20; p = 0.18); and eGFR (p = 0.20) from baseline to 6 months is statistically insignificant with significant heterogeneity. Subgroup analysis showed that among sham controlled trials, 24 hr. systolic blood pressure showed a modest but statistically significant benefit favoring renal denervation in patients with RH. Our meta-analysis of 15 RCTs showed no significant benefit of RDN on blood pressure control in patients with resistant hypertension. Subgroup analysis of sham control studies showed a modest benefit in 24 hr. systolic blood pressure at 6 months with RDN.

Indexed as

Blood PressureDenervationGlomerular Filtration RateHumansHypertensionKidneyRandomized Controlled Trials as TopicTreatment Outcome

Identifiers

PMID30996305
PMCPMC6470219
OpenAlexW2935918818

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.