Evidence map›Paper›PMID 33582896›Full record

ReviewCurrent hypertension reports2021

Autonomic Cardiovascular Alterations in Chronic Kidney Disease: Effects of Dialysis, Kidney Transplantation, and Renal Denervation.

Fosca Quarti-Trevano, Gino Seravalle, Raffaella Dell'Oro, Giuseppe Mancia, Guido Grassi

Open access · hybridAbstract readReview
In one paragraph

Review in Current hypertension reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
3.9field-weighted citation impact, top 5% 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

33 citing papers in PubMed, 38 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Observational
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. The autonomic nervous system and bone health in chronic kidney disease.European journal of clinical investigation · 2025
    Review
  12. Article
  13. Multi-Organ Denervation: The Past, Present and Future.Journal of clinical medicine · 2025
    Review
  14. Autonomic Nervous System Dysregulation and Bone Health in Patients with CKD: Potential for Intervention.Clinical journal of the American Society of Nephrology : CJASN · 2025
    Article
  15. Autonomic Dysfunction and Inflammation in CKD: A High-Risk Pathway.Journal of the American Society of Nephrology : JASN · 2025
    Article
  16. Observational
  17. Review
  18. Review
  19. Article
  20. 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

5 authors at 1 institution in 1 country.

Fosca Quarti-TrevanoClinica Medica, Department of Medicine and Surgery, University Milano-Bicocca, Via Pergolesi 33, 20052, Monza, Italy.
Gino SeravalleClinica Medica, Department of Medicine and Surgery, University Milano-Bicocca, Via Pergolesi 33, 20052, Monza, Italy.
Raffaella Dell'OroClinica Medica, Department of Medicine and Surgery, University Milano-Bicocca, Via Pergolesi 33, 20052, Monza, Italy.
Giuseppe ManciaPoliclinico di Monza and University Milano-Bicocca, Milan, Italy.
Guido GrassiClinica Medica, Department of Medicine and Surgery, University Milano-Bicocca, Via Pergolesi 33, 20052, Monza, Italy. guido.grassi@unimib.it.ORCID 0000-0003-1922-6547
University of Milano-Bicocca · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewTo review the results of studies of the effects of dialysis and kidney transplantation on the autonomic nervous system alterations that occur in chronic kidney disease. RECENT

findingsVagal control of the heart mediated by arterial baroreceptors is altered early in the course of the renal disease. Sympathetic activation occurs, with increases in resting heart rate, venous plasma norepinephrine levels, muscle sympathetic nerve traffic, and other indirect indices of adrenergic drive. The magnitude of the changes reflects the clinical severity of the kidney disease. Both the sympathetic and parasympathetic alterations have a reflex origin, depending on the impairment in baroreflex and cardiopulmonary reflex control of the cardiovascular system. These alterations are partially reversed during acute hemodialysis, but the responses are variable depending on the specific type of dialytic treatment that is employed. Renal transplantation improves reflex cardiovascular control, resulting in sympathoinhibition following renal transplantation if the native kidneys are removed. Sympathoinhibitory effects have been also reported in renal failure patients after bilateral renal denervation. Assessment of autonomic nervous system responses to dialysis and renal transplantation provides information of clinical interest, given the evidence that autonomic alterations are involved in the development and progression of cardiovascular complications, as well as in the prognosis of chronic kidney disease.

Indexed as

HypertensionKidney TransplantationRenal Insufficiency, ChronicAutonomic Nervous SystemBaroreflexBlood PressureDenervationHeart RateHumansKidneyRenal DialysisSympathetic Nervous SystemBaroreflexCardiopulmonary reflexHemodialysisPrognosisRenal denervationRenal failureRenal transplantationSympathetic nervous system

Identifiers

PMID33582896
PMCPMC7882573
OpenAlexW3130998276

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.