Evidence map›Paper›PMID 40130611›Full record

ReviewCurrent opinion in nephrology and hypertension2025

Impact of intensive blood pressure control on kidney outcomes.

Jia Xin Huang, Vanessa-Giselle Peschard, Elaine Ku

Abstract readReview
In one paragraph

Review in Current opinion in nephrology and hypertension, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

3 authors.

Jia Xin HuangDepartment of Pediatrics, Division of Critical Care, University of California San Francisco.
Vanessa-Giselle PeschardKidney Health Research Collaborative, San Francisco VA Healthcare System & University of California, San Francisco, San Francisco, California.
Elaine KuDepartment of Medicine and Pediatrics, Division of Nephrology, University of California San Francisco.

Funding

NRSA Training CoreTL1DK139565 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PHILIP A BEACHY, Chi-yuan Hsu · 2023 to 2026
$5.1M
Professional Development CoreU2CDK133488 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Marsha J Treadwell · 2023 to 2026
$4.1M
Acute declines in kidney function during blood pressure interventions in CKDR01DK121904 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KU, ELAINE, SARNAK, MARK J · 2020 to 2023
$2.9M
Cardiovascular risk reduction in adolescents and young adults with kidney diseaseK24HL171861 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Elaine Ku · 2024 to 2026
$378k
NHLBI NIH HHS K24 HL171861NIDDK NIH HHS R01 DK121904NIDDK NIH HHS TL1 DK139565NIDDK NIH HHS U2C DK133488
6 · The paper itself

Abstract

purpose of reviewHypertension has long been recognized as a modifiable risk factor for cardiovascular events. However, the role of intensive blood pressure (BP) control in preventing kidney disease progression continues to be debated. This review will provide a brief update on the evidence in support of or against the intensive control of BP on kidney outcomes in patient with chronic kidney disease (CKD), focusing particularly on trial-grade evidence. RECENT

findingsRecently, three large trials conducted in China compared the effects of intensive BP control in adults with cardiovascular risk factors. All three trials demonstrated that intensive BP control confers cardiovascular benefits, but mixed results were noted in terms of the risk of adverse kidney outcomes. In individual-level meta-analyses of six trials of different BP control strategies in patients with CKD, intensive BP control appeared to reduce the risk of kidney replacement therapy in those with CKD stage 4-5, but not in patients with CKD stage 3. SUMMARY: Most guidelines continue to recommend a systolic BP target of 120-130 mmHg for patients with CKD given the cardiovascular benefits observed in trials of intensive BP control, though there are some signals of potential risks to the kidney with this BP treatment strategy.

Indexed as

Antihypertensive AgentsBlood PressureHypertensionKidneyRenal Insufficiency, ChronicDisease ProgressionHumansRisk FactorsTreatment OutcomeAntihypertensive Agents

Identifiers

PMID40130611
PMCPMC11949411

What OpenQuestion holds

Textmetadata
LicenceTDM
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.