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September 1, 1997Annals of Internal Medicine

Effect of Angiotensin-Converting Enzyme Inhibitors on the Progression of Nondiabetic Renal Disease

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Why the study?

Do ACE inhibitors reduce the development of end-stage renal disease in patients with nondiabetic renal disease compared to other antihypertensive agents?

Population

1,594 patients from 10 randomized studies with nondiabetic renal disease

Comparison

Angiotensin-converting enzyme (ACE) inhibitors vs Other antihypertensive agents

Design

Meta-analysis

Follow-up

at least 1 year

Authors

IGIoannis Giatras

Discussion

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Overview

ACE inhibitors should be prioritized to reduce ESRD risk in nondiabetic renal disease; reinforces first-line role from pooled RCT data.

Structured PICO

Do ACE inhibitors reduce the development of end-stage renal disease in patients with nondiabetic renal disease compared to other antihypertensive agents?

P
Population
1,594 patients from 10 randomized studies with nondiabetic renal disease (excluding diabetic renal disease and renal transplants)
I
Intervention
Angiotensin-converting enzyme (ACE) inhibitors
C
Comparator
Other antihypertensive agents
O
Outcome
Development of end-stage renal diseasehard clinical

ACE inhibitors are more effective than other antihypertensive agents in reducing the progression to end-stage renal disease in patients with nondiabetic renal disease.

Limitations

  • Could not determine whether the beneficial effect is due to greater decline in blood pressure or other effects of ACE inhibition

Cite This Study

Ioannis Giatras (1997) studied this question.

synapsesocial.com/papers/6a7cdebee54b2084843e15f0https://doi.org/10.7326/0003-4819-127-5-199709010-00001
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Angiotensin-Converting Enzyme Inhibitors and Progression of Nondiabetic Renal Disease2001 · 1,115 citations
  2. 2Angiotensin Converting Enzyme Inhibitors and Progressive Renal Insufficiency1989 · 158 citations
  3. 3Angiotensin-converting enzyme inhibitors and progression of nondiabetic chronic renal disease1993 · 31 citations
  4. 4Review: angiotensin-converting enzyme inhibitors reduce the progression of non-diabetic renal disease2002 · 4 citations
  5. 5Effects of angiotensin converting enzyme inhibitors on the progression of diabetic nephropathy1995 · 12 citations