Evidence map›Paper›PMID 36052518›Full record

ArticleJournal of hypertension2022

Renal denervation in the antihypertensive arsenal - knowns and known unknowns.

Franz H Messerli, Chirag Bavishi, Jana Brguljan, Michel Burnier, Stephan Dobner, Fernando Elijovich, Keith C Ferdinand, Sverre Kjeldsen, Cheryl L Laffer, C Venkata S Ram and 11 more

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Journal of hypertension, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
3.4field-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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Efficacy and Safety of Ultrasound Renal Denervation on Office Blood Pressure of Patients with Resistant Arterial Hypertension: A Systematic Review and Meta-analysis.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2024
    Pooled it
  3. Article
  4. Review
  5. Article
  6. Review
  7. Medical Measures in Hypertensives Considered Resistant.American journal of hypertension · 2024
    Article
  8. Review
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 18 institutions in 12 countries.

Franz H MesserliDepartment of BioMedical Research, University of Bern, Bern, Switzerland.
Chirag BavishiDepartment of Cardiology, University of Missouri, Columbia, Missouri, USA.
Jana BrguljanUniversity Medical Centre Ljubljana, Department of Hypertension, Medical University Ljubljana, Slovenia.
Michel BurnierUniversity of Lausanne. Faculty of Biology and Medicine, Lausanne, Switzerland.
Stephan DobnerDepartment of Cardiology, Bern University Hospital University of Bern, Bern, Switzerland.
Fernando ElijovichDivision of Clinical Pharmacology, Department of Medicine, Vanderbilt University, USA.
Keith C FerdinandTulane University School of Medicine, New Orleans, Los Angeles, USA.
Sverre KjeldsenDepartment of Cardiology, University of Oslo Hospital, Oslo, Norway.
Cheryl L LafferDivision of Clinical Pharmacology, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
C Venkata S RamApollo Hospitals and Medical College, Hyderabad, Telangana, India.
Emrush RexhajDepartment of Cardiology, Bern University Hospital, University of Bern, Bern, Switzerland.
Luis M RuilopeCardiorenal Translational Laboratory and Hypertension Unit, Institute of Research i+12, CIBER-CV, Hospital Universitario 12 de Octubre, Madrid, Spain.
Evgeniya V ShalaevaDivision of Public Health Science, Westminster International University in Tashkent, Tashkent, Uzbekistan.
George C M SiontisDepartment of Cardiology, Bern University Hospital, University of Bern, Bern, Switzerland.
Jan A StaessenNPO Research Institute Alliance for the Promotion of Preventive Medicine, Mechelen, Belgium.
Stephen C TextorDivision of Hypertension and Nephrology, Mayo Clinic, Rochester, Minnesota, USA.
Wanpen VongpatanasinHypertension Section, Cardiology Division, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Liffert VogtDepartment of Internal Medicine, section Nephrology, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Massimo VolpeDepartment of Clinical and Molecular Medicine, University of Rome Sapienza, Rome, Italy.
Jiguang WangThe Shanghai Institute of Hypertension, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Bryan WilliamsInstitute of Cardiovascular Science, University College London, London, United Kingdom.
University of Bern · CHVanderbilt University · USApollo Hospitals · INHospital Universitario 12 De Octubre · ESJagiellonian University · PLLjubljana University Medical Centre · SIMayo Clinic · USOslo University Hospital · NOSapienza University of Rome · ITShanghai Institute of Hypertension · CNThe University of Texas Southwestern Medical Center · USTulane University · USUniversity College London · GBUniversity Hospital of Bern · CHUniversity of Amsterdam · NLUniversity of Lausanne · CHUniversity of Missouri · USWestminster International University in Tashkent · UZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Even though it has been more than a decade since renal denervation (RDN) was first used to treat hypertension and an intense effort on researching this therapy has been made, it is still not clear how RDN fits into the antihypertensive arsenal. There is no question that RDN lowers blood pressure (BP), it does so to an extent at best corresponding to one antihypertensive drug. The procedure has an excellent safety record. However, it remains clinically impossible to predict whose BP responds to RDN and whose does not. Long-term efficacy data on BP reduction are still unconvincing despite the recent results in the SPYRAL HTN-ON MED trial; experimental studies indicate that reinnervation is occurring after RDN. Although BP is an acceptable surrogate endpoint, there is complete lack of outcome data with RDN. Clear indications for RDN are lacking although patients with resistant hypertension, those with documented increase in activity of the sympathetic system and perhaps those who desire to take fewest medication may be considered.

Indexed as

Antihypertensive AgentsHypertensionBlood PressureDenervationHumansKidneySympathectomyTreatment OutcomeAntihypertensive Agents

Identifiers

PMID36052518
PMCPMC10010701
OpenAlexW4294224095

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.