Evidence mapPaperPMID 39470940Full record

ReviewInternational urology and nephrology2025

Mineralocorticoid receptor blockage in kidney transplantation: too much of a good thing or not?

Baris Afsar, Rengin Elsurer Afsar, Yasar Caliskan, Krista L Lentine

Abstract readReview
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In one paragraph

Review in International urology and nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Guideline
  2. Article
  3. Observational
  4. 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

4 authors.

Baris AfsarSchool of Medicine, Division of Nephrology, Saint Louis University, SSM Health Saint Louis University Hospital, St. Louis, MO, USA. afsarbrs@yahoo.com.
Rengin Elsurer AfsarSchool of Medicine, Division of Nephrology, Saint Louis University, SSM Health Saint Louis University Hospital, St. Louis, MO, USA.
Yasar CaliskanSchool of Medicine, Division of Nephrology, Saint Louis University, SSM Health Saint Louis University Hospital, St. Louis, MO, USA.
Krista L LentineSchool of Medicine, Division of Nephrology, Saint Louis University, SSM Health Saint Louis University Hospital, St. Louis, MO, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although, kidney transplantation (KT) is the best treatment option for patients with end-stage kidney disease, long-term complications including chronic kidney allograft disease (CKAD) and major adverse cardiovascular events (MACE) are common. To decrease these complications new therapeutic options are necessary. Mineralocorticoid receptor antagonists (MRAs) are one of the promising drugs in this context. In the general population, MRAs had favorable effects on blood pressure regulation, MACE, proteinuria and progression of chronic kidney disease. In the context of KT, there are limited studies showing beneficial effects such as reducing proteinuria and oxidative stress. In this review, we performed a narrative review to assess the use and impact of MRAs in kidney transplant recipients. We found that in KTRs, MRAs are safe and they have favorable or neutral impact on blood pressure, glomerular filtration rate, urinary protein/albumin excretion, and oxidative stress. No data was found regarding major cardiovascular adverse events.

Indexed as

Kidney Failure, ChronicKidney TransplantationMineralocorticoid Receptor AntagonistsPostoperative ComplicationsBlood PressureCardiovascular DiseasesHumansOxidative StressMineralocorticoid Receptor AntagonistsEplerenoneFinerenoneKidney transplantationMajor adverse cardiovascular eventsMineralocorticoid receptor antagonistsSpironolactone

Identifiers

What Socratic holds

Textmetadata
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.