Evidence map›Paper›PMID 36210196›Full record

ArticleMayo Clinic proceedings2022

Submaximal Angiotensin-Converting Enzyme Inhibitor and Angiotensin Receptor Blocker Dosing Among Persons With Proteinuria.

Chi D Chu, Neil R Powe, Michelle M Estrella, Michael G Shlipak, Ian E McCoy, Delphine S Tuot

Open access · hybridAbstract read
In one paragraph

Article in Mayo Clinic proceedings, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 20% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Optimizing Multidisciplinary Care of Patients with Chronic Kidney Disease and Type 2 Diabetes Mellitus.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2023
    Review
  7. Therapeutic potential ofFrontiers in pharmacology · 2023
    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

6 authors at 2 institutions in 1 country.

Chi D ChuDepartment of Medicine, University of California, San Francisco, CA; Kidney Health Research Collaborative, University of California, San Francisco, CA; Department of Medicine, Priscilla Chan and Mark Zuckerberg San Francisco General Hospital, San Francisco, CA; San Francisco VA Health Care System, San Francisco, CA. Electronic address: chi.chu@ucsf.edu.
Neil R PoweDepartment of Medicine, University of California, San Francisco, CA; Department of Medicine, Priscilla Chan and Mark Zuckerberg San Francisco General Hospital, San Francisco, CA.
Michelle M EstrellaDepartment of Medicine, University of California, San Francisco, CA; Kidney Health Research Collaborative, University of California, San Francisco, CA; San Francisco VA Health Care System, San Francisco, CA.
Michael G ShlipakDepartment of Medicine, University of California, San Francisco, CA; Kidney Health Research Collaborative, University of California, San Francisco, CA; San Francisco VA Health Care System, San Francisco, CA.
Ian E McCoyDepartment of Medicine, University of California, San Francisco, CA.
Delphine S TuotDepartment of Medicine, University of California, San Francisco, CA; Department of Medicine, Priscilla Chan and Mark Zuckerberg San Francisco General Hospital, San Francisco, CA.
San Francisco General Hospital · USUniversity of California, San Francisco · US

Funding

Towards improving recovery from dialysis-requiring acute kidney injuryK23DK128605 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Ian McCoy · 2022 to 2026
$1.0M
Evaluating the Impact of Guidelines on Physician Prescription Practices in Chronic Kidney DiseaseF32DK122629 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHU, CHI · 2019 to 2020
$157k
NIDDK NIH HHS F32 DK122629NIDDK NIH HHS K23 DK128605
6 · The paper itself

Abstract

For persons with proteinuria, angiotensin-converting enzyme inhibitors (ACEis) and angiotensin II receptor blockers (ARBs) are treatment mainstays for reducing kidney disease progression. Guidelines for managing hypertension and chronic kidney disease recommend titrating to the maximum ACEi/ARB dose tolerated. Using deidentified national electronic health record data from the Optum Labs Data Warehouse, we examined ACEi/ARB dosing among adults with proteinuria-defined as either a urine albumin to creatinine ratio of 30 mg/g or greater or a protein to creatinine ratio of 150 mg/g or greater-who were prescribed an ACEi/ARB medication between January 1, 2017, and December 31, 2018. Among 100,238 included patients (mean age, 65.1 years; 49,523 [49.4%] female), 29,883 (29.8%) were taking maximal ACEi/ARB doses. Among 74,287 patients without potential contraindications to dose escalation (systolic blood pressure <120 mm Hg, estimated glomerular filtration rate <15 mL/min per 1.73 m

Indexed as

Angiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsProteinuriaAcute Kidney InjuryAdultAgedAlbuminsCreatinineDisease ProgressionFemaleHumansMalePotassiumRenal Insufficiency, ChronicAlbuminsAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsCreatininePotassium

Identifiers

PMID36210196
PMCPMC10530644
OpenAlexW4303021194

What OpenQuestion holds

Textmetadata
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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.