Evidence map›Paper›PMID 36127661›Full record

Trial reportBMC nephrology2022

Effect of the combination of bumetanide plus chlorthalidone on hypertension and volume overload in patients with chronic kidney disease stage 4-5 KDIGO without renal replacement therapy: a double-blind randomized HEBE-CKD trial.

Fabio Solis-Jimenez, Lucia Monserrat Perez-Navarro, Ricardo Cabrera-Barron, Jesus Antonio Chida-Romero, Geovana Martin-Alemañy, Edgar Dehesa-López, Magdalena Madero, Rafael Valdez-Ortiz

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC nephrology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03923933 (Chlortalidone and Bumetanide in Advanced Chronic Kidney Disease), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

NCT03923933 phase2completednot on this map

Chlortalidone and Bumetanide in Advanced Chronic Kidney Disease: HEBE-CKD Trial

TypeinterventionalSponsorHospital General de México Dr. Eduardo LiceagaRan2019 to 2019Enrolled34ConditionsRenal Insufficiency, ChronicArmsChlorthalidone, Bumetanide
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Blood Pressure Control in Elderly Chronic Kidney Disease Patients.Electrolyte & blood pressure : E & BP · 2022
    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.

Fabio Solis-JimenezMaster and Doctorate Program in Health Sciences, Universidad Nacional Autónoma de México, Mexico City, Mexico.
Lucia Monserrat Perez-NavarroNephrology, Hospital General de México Dr. Eduardo Liceaga, Mexico City, Mexico.
Ricardo Cabrera-BarronMaster and Doctorate Program in Health Sciences, Universidad Nacional Autónoma de México, Mexico City, Mexico.
Jesus Antonio Chida-RomeroNephrology, Hospital General de México Dr. Eduardo Liceaga, Mexico City, Mexico.
Geovana Martin-AlemañyMaster and Doctorate Program in Health Sciences, Universidad Nacional Autónoma de México, Mexico City, Mexico.
Edgar Dehesa-LópezNephrology, Hospital Civil de Culiacán, Culiacán, Sinaloa, México.
Magdalena MaderoNephrology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico.
Rafael Valdez-OrtizMaster and Doctorate Program in Health Sciences, Universidad Nacional Autónoma de México, Mexico City, Mexico. rafavaldez@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe co-administration of loop diuretics with thiazide diuretics is a therapeutic strategy in patients with hypertension and volume overload. The aim of this study was to assess the efficacy and safety of treatment with bumetanide plus chlorthalidone in patients with chronic kidney disease (CKD) stage 4-5 KDIGO.

methodsA double-blind randomized study was conducted. Patients were randomized into two groups: bumetanide plus chlorthalidone group (intervention) and the bumetanide plus placebo group (control) to evaluate differences in TBW, ECW and ECW/TBW between baseline and 30 Days of follow-up. Volume overload was defined as 'bioelectrical impedance analysis as fluid volume above the 90th percentile of a presumed healthy reference population. The study's registration number was NCT03923933.

resultsThirty-two patients with a mean age of 57.2 ± 9.34 years and a median estimated glomerular filtration rate (eGFR) of 16.7 ml/min/1.73 m

conclusionIn CKD stage 4-5 KDIGO without renal replacement therapy, bumetanide in combination with chlorthalidone is more effective in treating volume overload and hypertension than bumetanide with placebo.

Indexed as

HypertensionRenal Insufficiency, ChronicWater-Electrolyte ImbalanceAgedBumetanideChlorthalidoneHumansMiddle AgedRenal Replacement TherapySodium Chloride Symporter InhibitorsSodium Potassium Chloride Symporter InhibitorsWaterBumetanideChlorthalidoneSodium Chloride Symporter InhibitorsSodium Potassium Chloride Symporter InhibitorsWaterBumetanideChlorthalidoneCKD stage 4–5 KDIGO

Identifiers

PMID36127661
PMCPMC9490943

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.