Evidence mapPaperPMID 39136305Full record

Trial reportJournal of the American Heart Association2024

Incorporating Individual-Level Treatment Effects and Outcome Preferences Into Personalized Blood Pressure Target Recommendations.

Simon B Ascher, Richard L Kravitz, Rebecca Scherzer, Jarett D Berry, James A de Lemos, Michelle M Estrella, Daniel J Tancredi, Anthony A Killeen, Joachim H Ix, Michael G Shlipak

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. 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

10 authors.

Simon B AscherDepartment of Internal Medicine, Kidney Health Research Collaborative San Francisco Veterans Affairs Health Care System and University of California San Francisco San Francisco CA.ORCID 0000-0003-3465-4208
Richard L KravitzDepartment of Internal Medicine University of California Davis Sacramento CA.ORCID 0000-0001-5575-529X
Rebecca ScherzerDepartment of Internal Medicine, Kidney Health Research Collaborative San Francisco Veterans Affairs Health Care System and University of California San Francisco San Francisco CA.ORCID 0000-0002-1579-5390
Jarett D BerryDepartment of Internal Medicine University of Texas at Tyler Health Science Center Tyler TX.ORCID 0000-0002-5004-8155
James A de LemosDivision of Cardiology, Department of Internal Medicine University of Texas Southwestern Medical Center Dallas TX.ORCID 0000-0003-2211-7261
Michelle M EstrellaDepartment of Internal Medicine, Kidney Health Research Collaborative San Francisco Veterans Affairs Health Care System and University of California San Francisco San Francisco CA.ORCID 0000-0002-8902-9576
Daniel J TancrediDepartment of Pediatrics University of California Davis Sacramento CA.ORCID 0000-0002-3884-7907
Anthony A KilleenDepartment of Laboratory Medicine and Pathology University of Minnesota Minneapolis MN.ORCID 0000-0003-1629-9468
Joachim H IxDivision of Nephrology-Hypertension University of California San Diego La Jolla CA.ORCID 0000-0002-8084-9869
Michael G ShlipakDepartment of Internal Medicine, Kidney Health Research Collaborative San Francisco Veterans Affairs Health Care System and University of California San Francisco San Francisco CA.ORCID 0000-0002-9559-204X

Funding

Institutional Career Development Core (KL2)KL2TR001859 · UNIVERSITY OF CALIFORNIA AT DAVIS · 2025 to 2025
$1.2M
Kidney Tubular Damage and Dysfunction Identify a Novel Axis of Chronic Kidney DiseaseR01DK098234 · NIDDK · VETERANS MEDICAL RESEARCH FDN/SAN DIEGO · PI Joachim H Ix, Michael G Shlipak · 2023 to 2023
$592k
NCATS NIH HHS KL2 TR001859NCATS NIH HHS UL1 TR000002NCATS NIH HHS UL1 TR000003NCATS NIH HHS UL1 TR000005NCATS NIH HHS UL1 TR000050NCATS NIH HHS UL1 TR000064NCATS NIH HHS UL1 TR000073NCATS NIH HHS UL1 TR000075NCATS NIH HHS UL1 TR000093NCATS NIH HHS UL1 TR000105NCATS NIH HHS UL1 TR000433NCATS NIH HHS UL1 TR000439NCATS NIH HHS UL1 TR000445NCATS NIH HHS UL1 TR001064NCATS NIH HHS UL1 TR001420NCRR NIH HHS UL1 RR024134NCRR NIH HHS UL1 RR025752NCRR NIH HHS UL1 RR025755NCRR NIH HHS UL1 RR025771NHLBI NIH HHS HHSN268200900040CNHLBI NIH HHS HHSN268200900046CNHLBI NIH HHS HHSN268200900047CNHLBI NIH HHS HHSN268200900048CNHLBI NIH HHS HHSN268200900049CNIDDK NIH HHS K24 DK110427NIDDK NIH HHS R01 DK098234NIGMS NIH HHS P30 GM103337
6 · The paper itself

Abstract

backgroundThere are no shared decision-making frameworks for selecting blood pressure (BP) targets for individuals with hypertension. This study addressed whether results from the SPRINT (Systolic Blood Pressure Intervention Trial) could be tailored to individuals using predicted risks and simulated preferences. METHODS AND

resultsAmong 8202 SPRINT participants, Cox models were developed and internally validated to predict each individual's absolute difference in risk from intensive versus standard BP lowering for cardiovascular events, cognitive impairment, death, and serious adverse events (AEs). Individual treatment effects were combined using simulated preference weights into a net benefit, which represents a weighted sum of risk differences across outcomes. Net benefits were compared among those above versus below the median AE risk. In simulations for which cardiovascular, cognitive, and death events had much greater weight than the AEs of BP lowering, the median net benefit was 3.3 percentage points (interquartile range [IQR], 2.0-5.7), and 100% of participants had a net benefit favoring intensive BP lowering. When simulating benefits and harms to have similar weights, the median net benefit was 0.8 percentage points (IQR, 0.2-2.2), and 87% had a positive net benefit. Compared with participants at lower risk of AEs from BP lowering, those at higher risk had a greater net benefit from intensive BP lowering despite experiencing more AEs (

conclusionsMost SPRINT participants had a predicted net benefit that favored intensive BP lowering, but the degree of net benefit varied considerably. Tailoring BP targets using each patient's risks and preferences may provide more refined BP target recommendations.

Indexed as

Antihypertensive AgentsBlood PressureHealth Planning GuidelinesHypertensionPrecision MedicineAgedDecision Making, SharedFemaleHumansMaleMiddle AgedPatient PreferenceRisk AssessmentTreatment OutcomeAntihypertensive Agentshypertensionpatient preferencesprecision medicinepredictionshared decision‐making

Identifiers

PMID39136305
PMCPMC11963924

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.