Evidence map›Paper›PMID 31292190›Full record

ArticleHeart (British Cardiac Society)2019

Joint UK societies' 2019 consensus statement on renal denervation.

Melvin D Lobo, Andrew S P Sharp, Vikas Kapil, Justin Davies, Mark A de Belder, Trevor Cleveland, Clare Bent, Neil Chapman, Indranil Dasgupta, Terry Levy and 5 more

Open access · bronzeAbstract readConsensus Statement
In one paragraph

Article in Heart (British Cardiac Society), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 6% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Guideline
  2. Systematic review of renal denervation for the management of cardiac arrhythmias.Clinical research in cardiology : official journal of the German Cardiac Society · 2022
    Pooled it
  3. An Update on the Role of Renal Artery Denervation in the Treatment of Hypertension.Current treatment options in cardiovascular medicine · 2025
    Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Review
  10. Device-based therapies for arterial hypertension.Nature reviews. Cardiology · 2020
    Review
  11. Italian Society of Arterial Hypertension (SIIA) Position Paper on the Role of Renal Denervation in the Management of the Difficult-to-Treat Hypertensive Patient.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2020
    Review
  12. Review
  13. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 7 institutions in 1 country.

Melvin D LoboWilliam Harvey Research Institute, Centre for Clinical Pharmacology, NIHR Biomedical Research Centre at Barts, Queen Mary University London, London, UK.ORCID 0000-0002-1122-948X
Andrew S P SharpRoyal Devon and Exeter NHS Foundation Trust, Exeter, UK.
Vikas KapilWilliam Harvey Research Institute, Centre for Clinical Pharmacology, NIHR Biomedical Research Centre at Barts, Queen Mary University London, London, UK.
Justin DaviesDepartment of Cardiology, Imperial College Healthcare Trust, London, UK.
Mark A de BelderDepartment of Cardiology, James Cook University Hospital, Middlesborough, UK.
Trevor ClevelandSheffield Vascular Institute, Sheffield Teaching Hospitals NHSFT, Northern General Hospital, Sheffield, UK.
Clare BentDepartment of Interventional Radiology, The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust, Bournemouth, UK.
Neil ChapmanDepartment of Cardiology, Imperial College Healthcare Trust, London, UK.
Indranil DasguptaDepartment of Renal Medicine, Birmingham Heartlands Hospital, Birmingham, UK.
Terry LevyDepartment of Interventional Radiology, The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust, Bournemouth, UK.
Anthony MathurWilliam Harvey Research Institute, Centre for Clinical Pharmacology, NIHR Biomedical Research Centre at Barts, Queen Mary University London, London, UK.
Matthew MatsonDiagnostic Imaging, Barts Health NHS Trust, London, UK.
Manish SaxenaWilliam Harvey Research Institute, Centre for Clinical Pharmacology, NIHR Biomedical Research Centre at Barts, Queen Mary University London, London, UK.
Francesco P CappuccioWarwick Medical School, University of Warwick, Coventry, UK.
British & Irish Hypertension Society, the British Cardiovascular Society, the British Cardiovascular Intervention Society, the British Society of Interventional Radiology and the Renal Association
Barts Health NHS Trust · GBImperial College Healthcare NHS Trust · GBRoyal Bournemouth and Christchurch Hospitals NHS Foundation Trust · GBHeartlands Hospital · GBNorthern General Hospital · GBUniversity Hospitals Coventry and Warwickshire NHS Trust · GBUniversity of Exeter · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Improved and durable control of hypertension is a global priority for healthcare providers and policymakers. There are several lifestyle measures that are proven to result in improved blood pressure (BP) control. Moreover, there is incontrovertible evidence from large scale randomised controlled trials (RCTs) that antihypertensive drugs lower BP safely and effectively in the long-term resulting in substantial reduction in cardiovascular morbidity and mortality. Importantly, however, evidence is accumulating to suggest that patients neither sustain long-term healthy behaviours nor adhere to lifelong drug treatment regimens and thus alternative measures to control hypertension warrant further investigation. Endovascular renal denervation (RDN) appears to hold some promise as a non-pharmacological approach to lowering BP and achieves renal sympathectomy using either radiofrequency energy or ultrasound-based approaches. This treatment modality has been evaluated in clinical trials in humans since 2009 but initial studies were compromised by being non-randomised, without sham control and small in size. Subsequently, clinical trial design and rigour of execution has been greatly improved resulting in recent sham-controlled RCTs that demonstrate short-term reduction in ambulatory BP without any significant safety concerns in both medication-naïve and medication-treated hypertensive patients. Despite this, the joint UK societies still feel that further evaluation of this therapy is warranted and that RDN should not be offered to patients outside of the context of clinical trials. This document reviews the updated evidence since our last consensus statement from 2014 and provides a research agenda for future clinical studies.

Indexed as

SympathectomyClinical Trials as TopicHumansRadiofrequency AblationRenal ArterySocieties, MedicalUnited Kingdomhypertensioninterventional cardiology and endovascular procedures

Identifiers

PMID31292190
PMCPMC6817707
OpenAlexW2961614470

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.