Evidence map›Paper›PMID 33966601›Full record

SynthesisRenal failure2021

Effects of intensive blood pressure control on mortality and cardiorenal function in chronic kidney disease patients.

Yong Zhang, Jing-Jing Li, An-Jun Wang, Bo Wang, Shou-Liang Hu, Heng Zhang, Tian Li, Yan-Hong Tuo

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Renal failure, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Emerging role of PANoptosis in kidney diseases: molecular mechanisms and therapeutic opportunities.Apoptosis : an international journal on programmed cell death · 2025
    Review
  3. Article
  4. Article
  5. Therapeutic Drug Monitoring in Arterial Hypertension.Journal of personalized medicine · 2023
    Article
  6. Tight Blood Pressure Control in Chronic Kidney Disease.Journal of cardiovascular development and disease · 2022
    Review
  7. Article
  8. 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

8 authors at 5 institutions in 1 country.

Yong ZhangDepartment of Nephrology, Jianli People's Hospital, Jingzhou, China.
Jing-Jing LiDepartment of Ultrasonic Imaging, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
An-Jun WangDepartment of Nephrology, Jianli People's Hospital, Jingzhou, China.
Bo WangDepartment of Ultrasound, The First Medical Center, Chinese People's Liberation Army General Hospital, Beijing, China.
Shou-Liang HuDepartment of Nephrology, The First Affiliated Hospital of Yangtze University, Jingzhou, China.
Heng ZhangDepartment of Histology and Embryology, Xiang Ya School of Medicine, Central South University, Changsha, China.
Tian LiSchool of Basic Medicine, Fourth Military Medical University, Xi'an, China.
Yan-Hong TuoDepartment of Nephrology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Huazhong University of Science and Technology · CNAir Force Medical University · CNCentral South University · CNChinese People's Liberation Army · CNYangtze University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBlood pressure (BP) variability is highly correlated with cardiovascular and kidney outcomes in patients with chronic kidney disease (CKD). However, appropriate BP targets in patients with CKD remain uncertain.

methodsWe searched PubMed, Embase, and the Cochrane Library for randomized controlled trials (RCTs) of CKD patients who underwent intensive BP management. Kappa score was used to assess inter-rater agreement. A good agreement between the authors was observed to inter-rater reliability of RCTs selection (kappa = 0.77;

resultsTen relevant studies involving 20 059 patients were included in the meta-analysis. Overall, intensive BP management may reduce the incidence of cardiovascular disease mortality (RR: 0.69, 95% CI: 0.53 to 0.90,

conclusionIn patients with CKD, enhanced BP management is associated with reduced all-cause mortality, cardiovascular mortality, and incidence of composite cardiovascular events.

Indexed as

Antihypertensive AgentsCardiovascular DiseasesCause of DeathDisease ProgressionHumansRandomized Controlled Trials as TopicRenal DialysisRenal Insufficiency, ChronicAntihypertensive Agentscardiovascular outcomesChronic kidney diseaseintensive BP controlmeta-analysisrenal outcomes

Identifiers

PMID33966601
PMCPMC8118417
OpenAlexW3135470373

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.