Evidence map›Paper›PMID 34543687›Full record

Trial reportAmerican journal of kidney diseases : the official journal of the National Kidney Foundation2022

Kidney Disease, Hypertension Treatment, and Cerebral Perfusion and Structure.

Manjula Kurella Tamura, Sarah Gaussoin, Nicholas M Pajewski, Greg Zaharchuk, Barry I Freedman, Stephen R Rapp, Alexander P Auchus, William E Haley, Suzanne Oparil, Jessica Kendrick and 9 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of kidney diseases : the official journal of the National Kidney Foundation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01206062 (Systolic Blood Pressure Intervention Trial), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 34% 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.

NCT01206062 nacompletednot on this map

Systolic Blood Pressure Intervention Trial

TypeinterventionalSponsorNational Heart, Lung, and Blood Institute (NHLBI)Ran2010 to 2019Enrolled9,361ConditionsHypertensionArmsIntensive control of SBP, Standard control of SBP
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

19 authors at 11 institutions in 1 country.

Manjula Kurella TamuraGeriatric Research and Education Clinical Center, Palo Alto VA Health Care System, Palo Alto, CA; Division of Nephrology, Stanford University School of Medicine, Palo Alto, CA. Electronic address: mktamura@stanford.edu.
Sarah GaussoinDepartments of Biostatistics and Data Science, Wake Forest School of Medicine, Winston-Salem, NC.
Nicholas M PajewskiDepartments of Biostatistics and Data Science, Wake Forest School of Medicine, Winston-Salem, NC.
Greg ZaharchukDepartment of Radiology, Stanford University School of Medicine, Palo Alto, CA.
Barry I FreedmanDepartment of Internal Medicine, Section on Nephrology, Wake Forest School of Medicine, Winston-Salem, NC.
Stephen R RappPsychiatry & Behavioral Medicine, Wake Forest School of Medicine, Winston-Salem, NC.
Alexander P AuchusDepartment of Neurology, University of Mississippi Medical Center, Jackson, MS.
William E HaleyDepartment of Medicine, Division of Nephrology and Hypertension, Mayo Clinic, Jacksonville, FL.
Suzanne OparilDivision of Cardiovascular Disease, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL.
Jessica KendrickDepartment of Medicine, University of Colorado Anschutz Medical Campus, Denver, CO.
Christianne L RoumieVA Tennessee Valley Healthcare System Geriatrics Research and Education Clinical Center and Department of Medicine, Vanderbilt University Medical Center, Nashville, TN.
Srinivasan BeddhuDivision of Nephrology & Hypertension, Department of Internal Medicine, University of Utah and Veterans Affairs Salt Lake City Healthcare System, Salt Lake City, UT.
Alfred K CheungDivision of Nephrology & Hypertension, Department of Internal Medicine, University of Utah and Veterans Affairs Salt Lake City Healthcare System, Salt Lake City, UT.
Jeff D WilliamsonSticht Center for Healthy Aging and Alzheimer's Prevention, Wake Forest School of Medicine, Winston-Salem, NC.
John A DetreDepartments of Neurology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
Sudipto DoluiRadiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
R Nick BryanDepartment of Diagnostic Medicine Dell Medical School, University of Texas Austin Austin, TX.
Ilya M NasrallahRadiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
SPRINT Research Group
Wake Forest University · USUniversity of Pennsylvania · USUniversity of Utah · USUniversity of Colorado Anschutz Medical Campus · USUniversity of Alabama at Birmingham · USVA Tennessee Valley Healthcare System · USStanford University · USThe University of Texas at Austin · USUniversity of Mississippi Medical Center · USMayo Clinic in Florida · USVA Palo Alto Health Care System · US

Funding

INSTITUTIONAL CLINICAL AND TRANSLATIONAL SCIENCE AWARDUL1RR024134 · NCRR · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2006 to 2011
$70.4M
University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
Michigan Institute for Clinical and Health Research (MCHR)UL1TR000433 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MASHOUR, GEORGE ALEXANDER · 2012 to 2016
$49.9M
Stanford Center for Clinical & Translational Education and Research (Spectrum)UL1TR003142 · NCATS · STANFORD UNIVERSITY · PI O'HARA, RUTH M · 2019 to 2023
$45.0M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Institutional Clinical and Translational Science AwardUL1TR000003 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2012 to 2015
$38.9M
Clinical and Translational Science Collaborative of ClevelandUL1TR002548 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2018 to 2022
$35.5M
Tufts Clinical and Translational Research InstituteUL1TR001064 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2013 to 2017
$26.4M
University of Iowa Clinical and Translational Science Program (TL1)UL1RR025755 · NCRR · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2008 to 2011
$26.3M
Wake Forest University School of Medicine Alzheimer's Disease Research CenterP30AG072947 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI SUZANNE CRAFT · 2021 to 2026
$24.3M
Continuation of the Coordinating Center for the Chronic Renal Insufficiency Cohort (CRIC) StudyU24DK060990 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI Amanda Hyre Anderson, Laura M Dember · 2018 to 2026
$21.5M
NCATS NIH HHS UL1 TR000002NCATS NIH HHS UL1 TR000003NCATS NIH HHS UL1 TR000005NCATS NIH HHS UL1 TR000050NCATS NIH HHS UL1 TR000064NCATS NIH HHS UL1 TR000073NCATS NIH HHS UL1 TR000075NCATS NIH HHS UL1 TR000093NCATS NIH HHS UL1 TR000105NCATS NIH HHS UL1 TR000433NCATS NIH HHS UL1 TR000439NCATS NIH HHS UL1 TR000445NCATS NIH HHS UL1 TR001064NCATS NIH HHS UL1 TR002548NCATS NIH HHS UL1 TR003142NCRR NIH HHS UL1 RR024134NCRR NIH HHS UL1 RR025752NCRR NIH HHS UL1 RR025755NCRR NIH HHS UL1 RR025771NHLBI NIH HHS HHSN268200900040CNHLBI NIH HHS HHSN268200900046CNHLBI NIH HHS HHSN268200900047CNHLBI NIH HHS HHSN268200900048CNHLBI NIH HHS HHSN268200900049CNIA NIH HHS P30 AG072947NIA NIH HHS R01 AG055606NIA NIH HHS R03 AG063213NIDDK NIH HHS R01 DK092241NIDDK NIH HHS U24 DK060990NIGMS NIH HHS P30 GM103337NIH HHS S10 OD023495
6 · The paper itself

Abstract

RATIONALE &

objectiveThe safety of intensive blood pressure (BP) targets is controversial for persons with chronic kidney disease (CKD). We studied the effects of hypertension treatment on cerebral perfusion and structure in individuals with and without CKD. STUDY

designNeuroimaging substudy of a randomized trial. SETTING &

participantsA subset of participants in the Systolic Blood Pressure Intervention Trial (SPRINT) who underwent brain magnetic resonance imaging studies. Presence of baseline CKD was assessed by estimated glomerular filtration rate (eGFR) and urinary albumin-creatinine ratio (UACR).

interventionParticipants were randomly assigned to intensive (systolic BP <120 mm Hg) versus standard (systolic BP <140 mm Hg) BP lowering. OUTCOMES: The magnetic resonance imaging outcome measures were the 4-year change in global cerebral blood flow (CBF), white matter lesion (WML) volume, and total brain volume (TBV).

resultsA total of 716 randomized participants with a mean age of 68 years were enrolled; follow-up imaging occurred after a median 3.9 years. Among participants with eGFR <60 mL/min/1.73 m LIMITATIONS: Measurement variability due to multisite design.

conclusionsAmong adults with hypertension who have primarily early kidney disease, intensive versus standard BP treatment did not appear to have a detrimental effect on brain perfusion or structure. The findings support the safety of intensive BP treatment targets on brain health in persons with early kidney disease.

fundingSPRINT was funded by the National Institutes of Health (including the National Heart, Lung, and Blood Institute; the National Institute of Diabetes and Digestive and Kidney Diseases; the National Institute on Aging; and the National Institute of Neurological Disorders and Stroke), and this substudy was funded by the National Institutes of Diabetes and Digestive and Kidney Diseases.

trial registrationSPRINT was registered at ClinicalTrials.gov with study number NCT01206062.

Indexed as

HypertensionRenal Insufficiency, ChronicAgedAntihypertensive AgentsBlood PressureCerebrovascular CirculationFemaleGlomerular Filtration RateHumansMalePerfusionAntihypertensive Agentsalbuminuriablood pressure (BP)cerebral perfusionchronic kidney disease (CKD)Hypertensionintensive BP controlmagnetic resonance imaging (MRI)neuroimagingwhite matter injurywhite matter lesions

Identifiers

PMID34543687
PMCPMC8926938
OpenAlexW3201185701

What OpenQuestion holds

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Registered trials

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.