Evidence map›Paper›PMID 36874334›Full record

ReviewCureus2023

Lifestyle Modifications and Nutritional and Therapeutic Interventions in Delaying the Progression of Chronic Kidney Disease: A Review.

Lean Alkhatib, Lorena A Velez Diaz, Samyukta Varma, Arsh Chowdhary, Prachi Bapat, Hai Pan, Geetika Kukreja, Prasannalaxmi Palabindela, Sri Abirami Selvam, Kartik Kalra

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
9.2field-weighted citation impact, top 1% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

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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

10 authors at 8 institutions in 5 countries.

Lean AlkhatibInternal Medicine, Royal Medical Services, Amman, JOR.
Lorena A Velez DiazMedicine, Universidad de Guayaquil, Guayaquil, ECU.
Samyukta VarmaInternal Medicine, Madurai Medical College, Madurai, IND.
Arsh ChowdharyNephrology, Smt. Kashibai Navale Medical College and General Hospital, Pune, IND.
Prachi BapatGeneral Medicine, Smt. Kashibai Navale Medical College and General Hospital, Pune, IND.
Hai PanPathology, Tianjin University of Chinese Medicine, Tianjin, CHN.
Geetika KukrejaInternal Medicine and Hematology/Oncology, Henry Ford Health System, Clinton Township, USA.
Prasannalaxmi PalabindelaInternal Medicine, Jennie Stuart Health, Hopkinsville, USA.
Sri Abirami SelvamInternal Medicine, St. Mary Medical Center, Langhorne, USA.
Kartik KalraNephrology, Geisinger Medical Center, Danville, USA.
Tianjin University of Traditional Chinese Medicine · CNUniversity of Guayaquil · ECGeisinger Medical Center · USHenry Ford Health System · USHopkinsville Community College · USMadurai Medical College · INSmt. Kashibai Navale Medical College and General hospital · INSt. Mary Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic kidney disease (CKD) is a debilitating progressive illness that affects more than 10% of the world's population. In this literature review, we discussed the roles of nutritional interventions, lifestyle modifications, hypertension (HTN) and diabetes mellitus (DM) control, and medications in delaying the progression of CKD. Walking, weight loss, low-protein diet (LPD), adherence to the alternate Mediterranean (aMed) diet, and Alternative Healthy Eating Index (AHEI)-2010 slow the progression of CKD. However, smoking and binge alcohol drinking increase the risk of CKD progression. In addition, hyperglycemia, altered lipid metabolism, low-grade inflammation, over-activation of the renin-angiotensin-aldosterone system (RAAS), and overhydration (OH) increase diabetic CKD progression. The Kidney Disease: Improving Global Outcomes (KDIGO) guidelines recommend blood pressure (BP) control of <140/90 mmHg in patients without albuminuria and <130/80 mmHg in patients with albuminuria to prevent CKD progression. Medical therapies aim to target epigenetic alterations, fibrosis, and inflammation. Currently, RAAS blockade, sodium-glucose cotransporter-2 (SGLT2) inhibitors, pentoxifylline, and finerenone are approved for managing CKD. In addition, according to the completed Study of Diabetic Nephropathy with Atrasentan (SONAR), atrasentan, an endothelin receptor antagonist (ERA), decreased the risk of renal events in diabetic CKD patients. However, ongoing trials are studying the role of other agents in slowing the progression of CKD.

Indexed as

chronic kidney disease (ckd)ckd managementckd progressiondiabetic kidney disease (dkd)treatment options for diabetic nephropathy

Identifiers

PMID36874334
PMCPMC9981552
OpenAlexW4319161550

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.