Evidence map›Paper›PMID 38090459›Full record

ReviewCureus2023

Antihypertensive Effects of Sacubitril/Valsartan Versus Olmesartan: An Updated Systemic Review and Meta-Analysis of Randomized Controlled Trials.

Roomi Raja, Sandhya Kumari, Muhammad Umer Khan, Araib Ayaz, Duaa Jaffar, Zain Mohamad, Muhammad Ali Muzammil, Nasira Sohail, Saad Ahmed Qureshi, Hamid Saeed and 6 more

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 68% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. 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

16 authors at 1 institution in 3 countries.

Roomi RajaMedicine, Ziauddin University, Karachi, PAK.
Sandhya KumariMedical College, Ziauddin University, Karachi, PAK.
Muhammad Umer KhanMedical College, Ziauddin University, Karachi, PAK.
Araib AyazMedicine, Ziauddin University, Karachi, PAK.
Duaa JaffarMedicine, Shaheed Mohtarma Benazir Bhutto Medical College Lyari, Karachi, PAK.
Zain MohamadMedicine, Dearborn High School, Dearborn, USA.
Muhammad Ali MuzammilInternal Medicine, Dow University of Health Sciences, Karachi, PAK.
Nasira SohailMedicine, Shaheed Mohtarma Benazir Bhutto Medical College Lyari, Karachi, PAK.
Saad Ahmed QureshiMedical College, Ziauddin University, Karachi, PAK.
Hamid SaeedMedicine, Shaheed Mohtarma Benazir Bhutto Medical College Lyari, Karachi, PAK.
Muhammad Fahad AminMedicine, Ziauddin University, Karachi, PAK.
Ansar JawadMedicine, Avicenna Medical and Dental College, Lahore, PAK.
Giustino VarrassiPain Medicine, Paolo Procacci Foundation, Rome, ITA.
Satesh KumarMedicine and Surgery, Shaheed Mohtarma Benazir Bhutto Medical College, Karachi, PAK.
Mahima KhatriMedicine and Surgery, Dow University of Health Sciences, Karachi, PAK.
Areeba MaryamEmergency Medicine, Holy Family Hospital, Rawalpindi, PAK.
CMH Lahore Medical College and Institute of Dentistry · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sacubitril/valsartan is a drug commonly prescribed for the management of hypertension. However, the complete understanding of its efficacy and safety as an antihypertensive agent remains a subject of ongoing investigation. To address this gap, a meta-analysis was conducted to assess and compare the efficacy and safety of sacubitril/valsartan in relation to olmesartan, an angiotensin receptor blocker (ARB). A thorough search of PubMed, Google Scholar, and Cochrane databases was performed to identify relevant randomized controlled trials (RCTs) and observational studies that could contribute to this meta-analysis. The selected studies were evaluated for their efficacy and safety parameters, including mean sitting and ambulatory blood pressure measurements, common side effects, adverse events, and drug discontinuation rates. A total of eight studies, involving 4488 hypertensive patients, were included in this analysis. Among the participants, 63.5% were administered sacubitril/valsartan, while 36.5% received olmesartan. The analysis revealed significant changes in mean sitting systolic blood pressure (MsSBP), mean sitting diastolic blood pressure (MsDBP), and mean sitting pulse pressure (MsPP) favoring sacubitril/valsartan, with p-values <0.00001, 0.07, and <0.00001, respectively. Additionally, sacubitril/valsartan demonstrated a significant reduction in mean ambulatory systolic blood pressure (MaSBP), mean ambulatory diastolic blood pressure (MaDBP), and mean ambulatory pulse pressure (MaPP) with p-values of 0.001, 0.001, and 0.02, respectively. However, it is important to note that safety outcomes indicated that sacubitril/valsartan was associated with slightly less favorable results compared to olmesartan. This meta-analysis highlights that sacubitril/valsartan exhibits superior efficacy in reducing blood pressure parameters compared to olmesartan in hypertensive patients. Nevertheless, its safety profile appears to be slightly less favorable. To reinforce these findings and provide more robust evidence, further studies with larger sample sizes should be conducted in the future. This comprehensive review serves as a valuable resource for healthcare professionals and researchers seeking to make informed decisions regarding antihypertensive treatment options.

Indexed as

anti-hypertensiveselderly populationhypotensionmeta-analysissacubitril/valsartan

Identifiers

PMID38090459
PMCPMC10715627
OpenAlexW4388608168

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.