Blood pressure target for hypertension in chronic kidney disease: One size does not fit all
Why the study?
American and European hypertension guidelines disagree regarding the optimal blood pressure target in patients with chronic kidney disease.
Does an intensive blood pressure target improve renal outcomes in patients with chronic kidney disease and hypertension?
Population
Patients with chronic kidney disease (CKD) and hypertension
Comparison
Intensive blood pressure target vs Standard blood pressure target
Design
Review
Authors
Discussion
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Member takes
Implication
Strict BP targets may benefit proteinuric CKD; leaves open optimal thresholds pending definitive trials.
Structured PICO
Does an intensive blood pressure target improve renal outcomes in patients with chronic kidney disease and hypertension?
P
Population
Patients with chronic kidney disease (CKD) and hypertension
I
Intervention
Intensive blood pressure target
C
Comparator
Standard blood pressure target
O
Outcome
Renal outcome
Blood pressure targets in CKD should be individualized based on the patient's proteinuric profile and tolerability rather than applying a universal intensive target.
Cite This Study
Κόλλιας et al. (2020) studied this question.