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January 1, 2002˜The œNephron journals/Nephron journals

16 patients (64%) had a >25% decrease in daily urinary protein excretion (mean decrease 57 +/- 17%, p < 0.05), and sitting systolic blood pressure decreased from 142 +/- 17 to 125 +/- 13 mm Hg (p < 0.05).

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Why the study?

Does losartan reduce urinary protein excretion and blood pressure in diabetic and nondiabetic patients with proteinuria?

Population

n=25 patients (11 diabetic and 14 nondiabetic) with a daily urinary protein excretion >500 mg

Design

Cohort

Follow-up

16 weeks

Authors

JLJyh‐Gang LeuCHChee-Ming HuangSKShang‐Jyh Kao

Discussion

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Member takes

Overview

Losartan was associated with proteinuria and BP reductions in this cohort; leaves open renoprotective effects on hard endpoints pending randomized trials.

Structured PICO

Does losartan reduce urinary protein excretion and blood pressure in diabetic and nondiabetic patients with proteinuria?

P
Population
n=25 patients (11 diabetic and 14 nondiabetic) with a daily urinary protein excretion >500 mg
I
Intervention
Losartan 25 mg or 50 mg once daily as monotherapy (without diuretics or other antihypertensive agents) for 16 weeks
O
Outcome
Change in daily urinary protein excretion at 16 weekssurrogate

Losartan monotherapy effectively reduces proteinuria, blood pressure, and serum uric acid in both diabetic and nondiabetic patients.

Cite This Study

Leu et al. (2002) studied this question.

synapsesocial.com/papers/6a85c6cf02a1bc3ea31e767ahttps://doi.org/10.1159/000064294
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Also Consider

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

  1. 1Antiproteinuric efficacy of losartan in comparison with amlodipine in non-diabetic proteinuric renal diseases: a double-blind, randomized clinical trial2003 · 58 citations
  2. 2The antiproteinuric effect of losartan is systemic blood pressure dependent2003 · 7 citations
  3. 3Effect of losartan on proteinuria and urinary angiotensinogen excretion in non-diabetic patients with chronic kidney disease2011 · 20 citations
  4. 4Optimal dose of losartan for renoprotection in diabetic nephropathy2002 · 70 citations
  5. 5Losartan in diabetic nephropathy2004 · 28 citations