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Pharmacological blood pressure-lowering for prevention of cardiovascular disease and death across the full spectrum of chronic kidney disease severity: an individual participant data meta-analysis of 46 randomised controlled trials

Abstract:
Background:
Owing to safety concerns, individuals with chronic kidney disease (CKD), particularly those at more advanced stages, have been systematically underrepresented in randomised controlled trials (RCTs) of blood pressure (BP)-lowering treatment, leading to a persistent paucity of evidence for cardiovascular risk management in this high-risk group. We sought to investigate the effect of BP-lowering treatment on the risk of major cardiovascular disease and death acro... Expand abstract
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1016/S0140-6736(26)00367-3

Authors

More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Women's & Reproductive Health
Role:
Author
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Women's & Reproductive Health
Role:
Author
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Women's & Reproductive Health
Role:
Author
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Women's & Reproductive Health
Role:
Author

Contributors


More from this funder
Funder identifier:
https://ror.org/02wdwnk04
Grant:
FS/IPBSRF/22/27060
PG/18/65/33872


Publisher:
Elsevier
Journal:
Lancet More from this journal
Volume:
407
Issue:
10539
Pages:
1626-1638
Publication date:
2026-04-25
Acceptance date:
2026-02-18
DOI:
EISSN:
1474-547X
ISSN:
0140-6736


Language:
English
Pubs id:
2378911
Local pid:
pubs:2378911
Deposit date:
2026-02-19
ARK identifier:

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