Evidence map›Paper›PMID 39813230›Full record

SynthesisPloS one2025

Ultrasound renal denervation in hypertensive patients: A systematic review and meta-analysis.

Roy Novri Ramadhan, Derren David Christian Homenta Rampengan, Felicia Angelica Gunawan, Nathania, Sebastian Emmanuel Willyanto, Hiroyuki Yamada, Mochammad Thaha, Satriyo Dwi Suryantoro, Maulana Antiyan Empitu

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2025. 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
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.

  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

9 authors.

Roy Novri RamadhanMedical Program, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
Derren David Christian Homenta RampenganMedical Program, Faculty of Medicine, Universitas Sam Ratulangi, Manado, Indonesia.ORCID 0009-0002-5482-0613
Felicia Angelica GunawanMedical Program, Faculty of Medicine, Universitas Sam Ratulangi, Manado, Indonesia.ORCID 0009-0003-5016-9592
NathaniaMedical Program, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
Sebastian Emmanuel WillyantoMedical Program, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia.ORCID 0009-0009-8039-0574
Hiroyuki YamadaDepartment of Nephrology, Kyoto University Hospital, Kyoto, Japan.ORCID 0000-0002-5167-3147
Mochammad ThahaDepartment of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
Satriyo Dwi SuryantoroDepartment of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
Maulana Antiyan EmpituFaculty of Medicine, Airlangga University, Surabaya, Indonesia.ORCID 0000-0002-6448-7642

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHypertension is the leading noncommunicable disease case affecting 1.28 billion individuals worldwide, with most cases located in low- and middle-income countries. While there are numerous techniques for treating mild to moderate hypertension, properly controlling severe or resistant hypertension poses substantial challenges. Ultrasound-based renal denervation (uRDN) has emerged as a promising non-pharmacological approach. This study aims to investigate the safety and efficacy of uRDN in hypertensive patients.

methodsThe literature search across PubMed, ScienceDirect, BMJ Journals, ProQuest, and Springer databases yielded 419 articles. A total of 395 articles were filtered, leading to 24 articles assessed for eligibility and overall analysis, which resulted in eight included studies for quantitative synthesis. Quality appraisal used RoB 2.0, while meta-analysis used RevMan 5.4.

resultsOur analysis results indicated significant improvements in 24-hour, daytime, and home ambulatory blood pressure measurements, favoring the uRDN over control. The mean difference (MD) for 24-hour measurements was -0.84 mmHg [95% CI -1.14, -0.55; p < 0.00001], for daytime measurements -1.27 mmHg [95% CI -1.59, -0.95; p < 0.00001], and for home measurements -1.98 mmHg [95% CI -2.32, -1.64; p < 0.00001], with moderate heterogeneity observed. Office ambulatory measurements also favored the uRDN with a significant MD of -1.51 mmHg [95% CI -1.91; -1.10; p < 0.00001]. Funnel plots revealed some outliers, indicating true heterogeneity among the studies.

conclusionuRDN was associated with a significant reduction (-2.32 to -0.10 mmHg) in blood pressure of hypertensive patients.

Indexed as

DenervationHypertensionKidneySympathectomyBlood PressureHumansTreatment Outcome

Identifiers

PMID39813230
PMCPMC11734901

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Registered trials

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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.