Evidence map›Paper›PMID 39775051›Full record

ReviewNature reviews. Nephrology2025

Diuretics in patients with chronic kidney disease.

Rajiv Agarwal, Ashish Verma, Panagiotis I Georgianos

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Antihypertensive treatment effect of two dual therapies according to sodium sensitivity.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Trial
  2. Trial
  3. Review
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  5. Article
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  9. Review
  10. Review
  11. Article
  12. Article
  13. Microbiota-gut-kidney axis in health and renal disease.International journal of biological sciences · 2026
    Review
  14. Review
  15. Tailoring Sodium Restriction to Genetic Susceptibility.Clinical journal of the American Society of Nephrology : CJASN · 2025
    Article
  16. [Nephrotic syndrome].Innere Medizin (Heidelberg, Germany) · 2025
    Review
  17. Article
  18. 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.

Rajiv AgarwalDivision of Nephrology, Department of Medicine, Richard L. Roudebush Veterans Administration Medical Center, Indianapolis, IN, USA. ragarwal@iu.edu.ORCID http://orcid.org/0000-0001-8355-7100
Ashish VermaDivision of Nephrology, Department of Medicine, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.ORCID http://orcid.org/0000-0001-9497-6327
Panagiotis I GeorgianosAHEPA Hospital, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.ORCID http://orcid.org/0000-0001-7065-2096

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diuretic drugs act on electrolyte transporters in the kidney to induce diuresis and are often used in chronic kidney disease (CKD), given that nephron loss creates a deficit in the ability to excrete dietary sodium, which promotes an increase in plasma volume. This rise in plasma volume is exacerbated by CKD-induced systemic and intra-renal activation of the renin-angiotensin-aldosterone-system, which further limits urinary sodium excretion. In the absence of a compensatory decrease in systemic vascular resistance, increases in plasma volume induced by sodium retention can manifest as a rise in systemic arterial blood pressure. Management of sodium and volume overload in patients with CKD is therefore typically based on restriction of dietary sodium intake and the use of diuretic agents to enhance urinary sodium excretion. Thiazide and thiazide-type diuretics are foundational therapies for the management of hypertension, whereas loop diuretics are often needed for volume overload, which might also require combination therapies. Mineralocorticoid receptor antagonists have an important role in the management of diuretic-resistant volume overload or treatment-resistant hypertension. Additionally, diuretics can be used for the diagnosis of kidney diseases and in the management of hyperkalaemia or hypokalaemia, hyponatraemia, hypercalcaemia and hypomagnesaemia.

Indexed as

DiureticsRenal Insufficiency, ChronicHumansHypertensionMineralocorticoid Receptor AntagonistsDiureticsMineralocorticoid Receptor Antagonists

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.