Does intensive blood pressure control improve renal outcomes in nondiabetic patients with chronic kidney disease?
Intensive BP control does not significantly improve renal outcomes in nondiabetic CKD patients overall, though nonblack patients or those with higher proteinuria may benefit.
Targeting BP below the current standard did not provide additional benefit for renal outcomes compared with standard treatment during a follow-up of 3.3 years in patients with CKD without diabetes. However, nonblack patients or those with higher levels of proteinuria might benefit from the intensive BP-lowering treatments.
Tsai et al. (Mon,) studied this question.