Evidence map›Paper›PMID 37252566›Full record

ReviewCureus2023

Comparison of the Effectiveness and Safety of Chlorthalidone and Hydrochlorothiazide in Patients With Hypertension: A Meta-Analysis.

Raja Ram Khenhrani, Ijeoma Nnodebe, Anurag Rawat, Rahul Adwani, Ammara Ghaffar, Sapna Devi, Muhammad Sohaib Afzal, Muhammad Usama

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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Comparative efficacy and safety of chlorthalidoneWorld journal of cardiology · 2026
    Article
  3. Review
  4. 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 at 5 institutions in 4 countries.

Raja Ram KhenhraniInternal Medicine, Liaquat University of Medical and Health Sciences, Karachi, PAK.
Ijeoma NnodebeMedicine, Basingstoke and North Hampshire Hospital, Basingstoke, GBR.
Anurag RawatInterventional Cardiology, Himalayan Institute of Medical Sciences, Dehradun, IND.
Rahul AdwaniMedicine, Dow University of Health Sciences, Karachi, PAK.
Ammara GhaffarNeurology, King Edward Medical University, Lahore, PAK.
Sapna DeviInternal Medicine, Medical College, Liaquat University of Medical and Health Sciences, Karachi, PAK.
Muhammad Sohaib AfzalMedicine, Louisiana State University Health Sciences Center, Shreveport, USA.
Muhammad UsamaNeurology, Sheikh Zayed Medical College & Hospital, Rahim Yar Khan, PAK.
Himalayan Institute of Yoga Science and Philosophy · USShaikh Zayed Medical College and Hospital · PKKing Edward Medical University · PKLiaquat National Hospital · PKLouisiana State University Health Sciences Center Shreveport · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to compare the effectiveness and safety of chlorthalidone and hydrochlorothiazide in patients with hypertension. The present meta-analysis was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Our search for relevant articles was conducted on PubMed, Scopus, and CINAHIL databases from their inception until March 31, 2023. Keywords used to search for relevant articles included "hydrochlorothiazide," "chlortalidone," "hypertension," "cardiovascular," and "blood pressure." The outcomes assessed in this meta-analysis included changes in systolic blood pressure (SBP) and diastolic blood pressure (DBP). Myocardial infarction, stroke, and all-cause mortality were also assessed. For safety analysis, we evaluated the risk of hypokalemia between the two groups. Any disagreement between the two authors in the data extraction process was resolved through discussion. Eight studies fulfilled the inclusion criteria included in the present meta-analysis. Our analysis showed that chlorthalidone was superior to hydrochlorothiazide in controlling both SBP and DBP, with no significant heterogeneity reported. However, there was no significant difference between the two groups in terms of the risk of myocardial infarction, stroke, all-cause mortality, and hospitalization due to heart failure. The hypokalemia rate was reported to be higher with chlorthalidone compared to hydrochlorothiazide.

Indexed as

blood pressurechlorthalidonehydrochlorothiazidehypertensionmeta-analysis

Identifiers

PMID37252566
PMCPMC10220471
OpenAlexW4367182733

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.