Evidence mapPaperPMID 36375469Full record

ReviewAnnual review of medicine2023

Primary Aldosteronism and the Role of Mineralocorticoid Receptor Antagonists for the Heart and Kidneys.

Jordana B Cohen, Irina Bancos, Jenifer M Brown, Harini Sarathy, Adina F Turcu, Debbie L Cohen

Open access · hybridAbstract readReview
In one paragraph

Review in Annual review of medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.0field-weighted citation impact, top 5% 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

17 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Bridging Global and Local Perspectives on Primary Aldosteronism.Endocrinology and metabolism (Seoul, Korea) · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Clinical value ofEJNMMI research · 2024
    Article
  11. Article
  12. Recent progress in unraveling cardiovascular complications associated with primary aldosteronism: a succinct review.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Review
  13. Review
  14. Review
  15. Review
  16. Article
  17. Gallium-68-Pentixafor PET/CT for Subtyping Diagnosis of Primary Aldosteronism: A Pictorial Essay.Indian journal of nuclear medicine : IJNM : the official journal of the Society of Nuclear Medicine, India
    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

6 authors at 5 institutions in 1 country.

Jordana B CohenRenal-Electrolyte and Hypertension Division, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA; email: jco@pennmedicine.upenn.edu, Debbie.Cohen@pennmedicine.upenn.edu.
Irina BancosDivision of Endocrinology, Metabolism and Nutrition, Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA; email: Bancos.Irina@mayo.edu.
Jenifer M BrownDivision of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA; email: jbrown35@bwh.harvard.edu.
Harini SarathyDivision of Nephrology, Department of Medicine, Zuckerberg San Francisco General Hospital, University of California San Francisco, San Francisco, California, USA; email: Harini.Sarathy@ucsf.edu.
Adina F TurcuDivision of Metabolism, Endocrinology, and Diabetes, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA; email: aturcu@med.umich.edu.
Debbie L CohenRenal-Electrolyte and Hypertension Division, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA; email: jco@pennmedicine.upenn.edu, Debbie.Cohen@pennmedicine.upenn.edu.
University of Pennsylvania · USHarvard University · USMayo Clinic · USSan Francisco General Hospital · USUniversity of Michigan–Ann Arbor · US

Funding

Scientific and Data Coordinating Center(SDCC) for the P*U01DK060990 · UNIVERSITY OF PENNSYLVANIA · 2001 to 2005
$12.7M
Prospective Renal Insufficiency Cohort Evaluation:PRICEU01DK060984 · UNIVERSITY OF PENNSYLVANIA · 2001 to 2025
$3.0M
Primary Aldosteronism Subtypes: Pathophysiology and Steroid SignaturesR01HL155834 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · 2022 to 2025
$2.7M
Informing optimal first-line antihypertensive therapy: A rigorous comparative effectiveness analysis of ARBs vs. ACEIs on long-term risk of dementia, cancer, heart disease, and quality of lifeR01AG074989 · NIA · UNIVERSITY OF PENNSYLVANIA · 2022 to 2025
$1.7M
Cardiovascular Risk, Vascular and Kidney Damage in COVID-19 SurvivorsR01HL157108 · NHLBI · UNIVERSITY OF PENNSYLVANIA · 2023 to 2025
$1.6M
Continuation of the Chronic Renal Insufficiency Cohort (CRIC)U24DK060990 · UNIVERSITY OF PENNSYLVANIA · 2025 to 2025
$1.1M
Home Blood Pressure in Hemodialysis (HOME-BP)R01DK123104 · UNIVERSITY OF WASHINGTON · 2025 to 2025
$628k
Cardiac Perfusion, Structure, and Function across the Primary Aldosteronism SpectrumK23HL159279 · BRIGHAM AND WOMEN'S HOSPITAL · 2025 to 2025
$268k
HeartShare: Next-Generation Phenomics to Define Heart Failure Subtypes and Treatment Targets - Clinical CentersU01HL160277 · UNIVERSITY OF PENNSYLVANIA · 2025 to 2025
$254k
Impact of menopause associated adrenal aging on cognitive function and Alzheimer dementia neuroimaging biomarkersR03AG071934 · NIA · MAYO CLINIC ROCHESTER · PI Irina Bancos · 2023 to 2023
$154k
NCATS NIH HHS U01 TR003734NCATS NIH HHS UL1 TR002541NHLBI NIH HHS K23 HL133843NHLBI NIH HHS K23 HL159279NHLBI NIH HHS R01 HL153646NHLBI NIH HHS R01 HL155834NHLBI NIH HHS R01 HL157108NHLBI NIH HHS U01 HL160277NIA NIH HHS R01 AG074989NIA NIH HHS R03 AG071934NIDDK NIH HHS K23 DK121888NIDDK NIH HHS R01 DK123104NIDDK NIH HHS U01 DK060984NIDDK NIH HHS U01 DK060990NIDDK NIH HHS U24 DK060990
6 · The paper itself

Abstract

Primary aldosteronism (PA) is the most common cause of secondary hypertension but is frequently underrecognized and undertreated. Patients with PA are at a markedly increased risk for target organ damage to the heart and kidneys. While patients with unilateral PA can be treated surgically, many patients with PA are not eligible or willing to undergo surgery. Steroidal mineralocorticoid receptor antagonists (MRAs) are highly effective for treating PA and reducing the risk of target organ damage. However, steroidal MRAs are often underprescribed and can be poorly tolerated by some patients due to side effects. Nonsteroidal MRAs reduce adverse renal and cardiovascular outcomes among patients with diabetic kidney disease and are bettertolerated than steroidal MRAs. While their blood pressure-lowering effects remain unclear, these agents may have a potential role in reducing target organ damage in patients with PA.

Indexed as

HyperaldosteronismHypertensionBlood PressureHumansKidneyMineralocorticoid Receptor AntagonistsMineralocorticoid Receptor Antagonistscardiovascular diseasechronic kidney diseasehypertensionmineralocorticoid receptor antagonistsprimary aldosteronism

Identifiers

PMID36375469
PMCPMC9892285
OpenAlexW4308946020

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.