{"doi":"10.7326/m23-3236","title":"Angiotensin-Converting Enzyme Inhibitors or Angiotensin-Receptor Blockers for Advanced Chronic Kidney Disease","abstract":"BACKGROUND: In patients with advanced chronic kidney disease (CKD), the effects of initiating treatment with an angiotensin-converting enzyme inhibitor (ACEi) or angiotensin-receptor blocker (ARB) on the risk for kidney failure with replacement therapy (KFRT) and death remain unclear. PURPOSE: To examine the association of ACEi or ARB treatment initiation, relative to a non-ACEi or ARB comparator, with rates of KFRT and death. DATA SOURCES: Ovid Medline and the Chronic Kidney Disease Epidemiology Collaboration Clinical Trials Consortium from 1946 through 31 December 2023. STUDY SELECTION: . DATA EXTRACTION: ), albuminuria (urine albumin-creatinine ratio <300 vs. ≥300 mg/g), and history of diabetes. DATA SYNTHESIS: for interaction > 0.05 for all). LIMITATION: Individual participant-level data for hyperkalemia or acute kidney injury were not available. CONCLUSION: Initiation of ACEi or ARB therapy protects against KFRT, but not death, in people with advanced CKD. PRIMARY FUNDING SOURCE: National Institutes of Health. (PROSPERO: CRD42022307589).","journal":"Annals of Internal Medicine","year":2024,"id":418208,"datarank":1.2144832675969044,"base_score":4.007333185232471,"endowment":4.007333185232471,"self_citation_contribution":0.6010999777848708,"citation_network_contribution":0.6133832898120336,"self_endowment_contribution":0.6010999777848708,"citer_contribution":0.6133832898120336,"corpus_percentile":null,"corpus_rank":null,"citation_count":54,"citer_count":52,"citers_with_citation_signal":26,"citers_with_endowment":26,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9612,"is_data_producer":true,"deposit_databanks":{"Dataset DOI":["NCT04364139"]},"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":19370,"name":"Lesley A. Inker","orcid":"0000-0003-2820-9482","position":1,"is_corresponding":false},{"id":267825,"name":"Hocine Tighiouart","orcid":"0000-0003-1448-327X","position":2,"is_corresponding":false},{"id":19019,"name":"Charles E. McCulloch","orcid":"0000-0002-1279-6179","position":3,"is_corresponding":false},{"id":1029294,"name":"Ogechi M. Adingwupu","orcid":"0009-0003-7475-4171","position":4,"is_corresponding":false},{"id":58433,"name":"Tom Greene","orcid":"0000-0002-3706-7570","position":5,"is_corresponding":false},{"id":1016632,"name":"Raymond O. Estacio","orcid":"0000-0003-0896-1845","position":6,"is_corresponding":false},{"id":925,"name":"Mark Woodward","orcid":"0000-0001-9800-5296","position":7,"is_corresponding":false},{"id":29444,"name":"Dick de Zeeuw","orcid":"0000-0003-3434-7777","position":8,"is_corresponding":false},{"id":258891,"name":"Julia B. Lewis","orcid":"0000-0002-1530-7115","position":9,"is_corresponding":false},{"id":1016637,"name":"Thierry Hannedouche","orcid":"0000-0002-8493-8260","position":10,"is_corresponding":false},{"id":364535,"name":"Tazeen H. Jafar","orcid":"0000-0001-7454-8376","position":11,"is_corresponding":false},{"id":1016630,"name":"Enyu Imai","orcid":"0000-0002-7018-7603","position":12,"is_corresponding":false},{"id":22760,"name":"Giuseppe Remuzzi","orcid":"0000-0002-6194-3446","position":13,"is_corresponding":false},{"id":232682,"name":"Hiddo J.L. Heerspink","orcid":"0000-0002-3126-3730","position":14,"is_corresponding":false},{"id":289676,"name":"Fan Fan Hou","orcid":"0000-0003-3117-7418","position":15,"is_corresponding":false},{"id":283029,"name":"Robert D. Toto","orcid":"0000-0001-9531-1749","position":16,"is_corresponding":false},{"id":246940,"name":"Philip Kam‐Tao Li","orcid":"0000-0001-9879-8388","position":17,"is_corresponding":false},{"id":323675,"name":"Mark J. Sarnak","orcid":"0000-0002-2457-6368","position":18,"is_corresponding":false},{"id":452815,"name":"Elaine Ku","orcid":"0000-0002-7774-2526","position":0,"is_corresponding":true}],"reference_count":41,"raw_metadata":null,"created_at":"2026-07-19T01:57:02.483590Z","pmid":"38950402","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}