Evidence map›Paper›PMID 21415814›Full record

Trial reportBlood pressure monitoring2011

Short-term reproducibility of ambulatory blood pressure monitoring in autosomal dominant polycystic kidney disease.

Frederic F Rahbari-Oskoui, Dana C Miskulin, Marie C Hogan, Odicie Fielder, Vicente E Torres, James E Bost, Arlene Beth Chapman

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Blood pressure monitoring, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 3 pooled it
0.6field-weighted citation impact, top 28% 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

5 citing papers in PubMed, 3 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. A young patient with a family history of hypertension.Clinical journal of the American Society of Nephrology : CJASN · 2014
    Article
  5. Hypertension in autosomal dominant polycystic kidney disease.Advances in chronic kidney disease · 2010
    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

7 authors at 4 institutions in 1 country.

Frederic F Rahbari-OskouiRenal Division, Department of Medicine, Emory University School of Medicine Atlanta, Georgia 30322, USA. frahbar@emory.edu
Dana C Miskulin
Marie C Hogan
Odicie Fielder
Vicente E Torres
James E Bost
Arlene Beth Chapman
Emory University · USMayo Clinic · USTufts Medical Center · USUniversity of Pittsburgh · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025008 · NCRR · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2007 to 2011
$29.0M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
Polycystic Kidney Disease Clinical Trials NetworkU01DK062408 · NIDDK · EMORY UNIVERSITY · PI RAHBARI-OSKOUI, FREDERIC FARID · 2002 to 2013
$5.7M
NCATS NIH HHS UL1 TR000454NCRR NIH HHS UL1 RR025008NIDDK NIH HHS U01 DK062408NIDDK NIH HHS UO1-DK062408
6 · The paper itself

Abstract

BACKGROUND AND

objectivesNondipping, defined as a less than 10% decline in Night:Day (N:D) ratio of blood pressure using 24 h ambulatory blood pressure monitoring, is associated with poor cardiovascular outcomes. However, its reproducibility has been questioned in autosomal dominant polycystic kidney disease. MATERIALS AND

methodsTwenty-five of 29 recruited hypertensive or prehypertensive patients with autosomal dominant polycystic kidney disease completed ambulatory blood pressure monitoring on two occasions, 7-15 days apart, on a stable antihypertensive regimen. Daytime and night-time were defined as 6:00-21:59 h and 22:00-5:59 h, respectively. Correlation and concordance coefficients for systolic blood pressure (SBP), diastolic blood pressure (DBP), and heart rate were determined based on N:D and Asleep:Awake (A:A) ratios. Consistency of dipping was assessed by using Cohen's Kappa statistics.

resultsMean (±standard deviation) for age, estimated glomerular filtration rate, differences in daytime and night-time SBP and DBP were 43.12 years (8.55 years), 63.1 ml/min (20.5 ml/min), 11.74 mmHg (8.2 mmHg), and 10.82 mmHg (6.4 mmHg), respectively. Seventeen of 25 (68%) and 18 of 25 (72%) participants maintained the same dipping category based on D:N or A:A separation. Cohen's Kappa was 0.34 for D:N ratio and 0.38 for A:A ratio. Correlation and concordance coefficients were 0.89 and 0.88 for daytime SBP, 0.91 and 0.91 for daytime DBP, 0.79 and 0.78 for night-time SBP, 0.81 and 0.80 for night-time DBP, 0.58 and 0.56 for N:D ratio of SBP, and 0.56 and 0.53 for N:D ratio of DBP. Coefficients for A:A ratio were almost identical to N:D values except for A:A ratios of SBP (0.69 and 0.67) and DBP (0.48 and 0.45).

conclusionRepeated measures of SBP and DBP, 7-15 days apart, are highly correlative and concordant in the studied population, but nondipping, even though predominant, was found to be modestly reproducible.

Indexed as

Blood PressureAdultBlood Pressure Monitoring, AmbulatoryFemaleHumansHypertensionMaleMiddle AgedPolycystic Kidney, Autosomal DominantReproducibility of ResultsYoung Adult

Identifiers

PMID21415814
PMCPMC3061024
OpenAlexW2039159413

What Socratic 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 Socratic graph.