Evidence mapPaperPMID 41189867Full record

ReviewCureus2025

ACE Inhibitors and ARBs in Chronic Kidney Disease: A Systematic Review of Randomized Controlled Trials on Albuminuria Reduction, eGFR Decline, and Safety.

Anjali Avula, Loveleen K Johal, Fatima Ali, Saniya Amir, Sunil Yadav, Mohd Murtuza, Usman Zia, Fatima F Janjua, Ali Raza, Kirshan Lal and 2 more

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. 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

12 authors.

Anjali AvulaInternal Medicine, Guntur Medical College, Guntur, IND.
Loveleen K JohalInternal Medicine, St. George's University, St. George's, GRD.
Fatima AliAnesthesia and Critical Care, Ghurki Trust Teaching Hospital, Lahore, PAK.
Saniya AmirAccident and Emergency, Liaquat National Hospital and Medical College, Karachi, PAK.
Sunil YadavInternal Medicine, Nepalgunj Medical College, Kohalpur, NPL.
Mohd MurtuzaInternal Medicine, Government Medical College, Suryapet, IND.
Usman ZiaInternal Medicine, Akhtar Saeed Medical & Dental College, Lahore, PAK.
Fatima F JanjuaInternal Medicine, Fauji Foundation Hospital, Rawalpindi, PAK.
Ali RazaInternal Medicine, Bakhtawar Amin Medical College, Multan, PAK.
Kirshan LalPediatrics, Chandka Medical College Children Hospital, Larkana, PAK.
Momina AbidInternal Medicine, University Medical & Dental College, Faisalabad, PAK.
Riaz KhanCardiology, Rawalpindi Institute of Cardiology, Rawalpindi, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This article highlights the favorable renal outcomes achieved through optimized renin-angiotensin-aldosterone system (RAAS) blockade in an adult patient with chronic kidney disease (CKD) and significant proteinuria. Sustained therapy led to a marked reduction in albuminuria and stabilization of kidney function over the follow-up period, without clinically significant hyperkalemia or other adverse effects. The observation aligns with the antiproteinuric and renoprotective effects consistently reported in randomized controlled trials, while also underscoring the importance of individualized treatment adjustments to balance efficacy with safety. The clinical course supports the biological rationale that RAAS inhibition reduces intraglomerular pressure and mitigates ongoing renal injury, suggesting its continued relevance as a cornerstone in CKD management. This further emphasizes that optimal dosing, careful monitoring of electrolytes, and attention to comorbidities are key to maximizing therapeutic benefit in real-world practice, and it calls for future research to refine patient selection and long-term outcome strategies.

Indexed as

ace inhibitorsarbschronic kidney diseasehyperkalemia managementproteinuriaraas blockaderenal protection

Identifiers

PMID41189867
PMCPMC12580586

What Socratic holds

Textmetadata
LicenceCC BY
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.