Evidence map›Paper›PMID 31315312›Full record

ReviewMedicina (Kaunas, Lithuania)2019

Antihypertensive Treatment in Diabetic Kidney Disease: The Need for a Patient-Centered Approach.

Barbara Bonino, Giovanna Leoncini, Salvatore De Cosmo, Eulalia Greco, Giuseppina T Russo, Annalisa Giandalia, Francesca Viazzi, Roberto Pontremoli

Open access · goldAbstract readReview
In one paragraph

Review in Medicina (Kaunas, Lithuania), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 25% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Blood Pressure Control in Patients with Diabetic Kidney Disease.Electrolyte & blood pressure : E & BP · 2022
    Review
  4. Identifying pathophysiological bases of disease in COVID-19.Translational medicine communications · 2020
    Review
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

8 authors at 3 institutions in 1 country.

Barbara BoninoDepartment of Internal Medicine, University of Genoa and Ospedale Policlinico San Martino, Viale Benedetto XV 6, 16132 Genoa, Italy.
Giovanna LeonciniDepartment of Internal Medicine, University of Genoa and Ospedale Policlinico San Martino, Viale Benedetto XV 6, 16132 Genoa, Italy.
Salvatore De CosmoIRCCS Casa Sollievo della Sofferenza, Viale Cappuccini 1, 71013 San Giovanni Rotondo (FG), Italy.
Eulalia GrecoIRCCS Casa Sollievo della Sofferenza, Viale Cappuccini 1, 71013 San Giovanni Rotondo (FG), Italy.
Giuseppina T RussoDepartment of Clinical and Experimental Medicine, University of Messina, Piazza Pugliatti 1, 98122 Messina, Italy.
Annalisa GiandaliaDepartment of Clinical and Experimental Medicine, University of Messina, Piazza Pugliatti 1, 98122 Messina, Italy.
Francesca ViazziDepartment of Internal Medicine, University of Genoa and Ospedale Policlinico San Martino, Viale Benedetto XV 6, 16132 Genoa, Italy.
Roberto PontremoliDepartment of Internal Medicine, University of Genoa and Ospedale Policlinico San Martino, Viale Benedetto XV 6, 16132 Genoa, Italy. roberto.pontremoli@unige.it.
Ospedale Policlinico San Martino · ITCasa Sollievo della Sofferenza · ITUniversity of Messina · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetic kidney disease affects up to forty percent of patients with diabetes during their lifespan. Prevention and treatment of diabetic kidney disease is currently based on optimal glucose and blood pressure control. Renin-angiotensin aldosterone inhibitors are considered the mainstay treatment for hypertension in diabetic patients, especially in the presence of albuminuria. Whether strict blood pressure reduction entails a favorable renal outcome also in non-albuminuric patients is at present unclear. Results of several clinical trials suggest that an overly aggressive blood pressure reduction, especially in the context of profound pharmacologic inhibition of the renin-angiotensin-aldosterone system may result in a paradoxical worsening of renal function. On the basis of this evidence, it is proposed that blood pressure reduction should be tailored in each individual patient according to renal phenotype.

Indexed as

Antihypertensive AgentsBlood PressureDiabetes ComplicationsDiabetic NephropathiesHumansHypertensionAntihypertensive Agentsblood pressure targetcardiovascular outcomediabetesRAAS inhibitorsrenal outcomeSGLT-2 inhibitors

Identifiers

PMID31315312
PMCPMC6681235
OpenAlexW2961163679

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.