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Record W2091805433 · doi:10.3810/pgm.2011.05.2289

The Role of Angiotensin Receptor Blockers in Diabetic Nephropathy

2011· review· en· W2091805433 on OpenAlex
Arya M. Sharma

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenuePostgraduate Medicine · 2011
Typereview
Languageen
FieldMedicine
TopicBlood Pressure and Hypertension Studies
Canadian institutionsRoyal Alexandra HospitalUniversity of Alberta
Fundersnot available
KeywordsMedicineNephropathyDiabetes mellitusInternal medicineOverweightDiabetic nephropathyDiseaseType 2 diabetesBlood pressureContext (archaeology)ObesityEndocrinology

Abstract

fetched live from OpenAlex

BACKGROUND: Hypertension and diabetes are common risk factors for nephropathy as well as for neuropathy, retinopathy, cardiovascular disease, and cerebrovascular disease. Diabetic nephropathy occurs in 20% to 40% of patients with type 2 diabetes mellitus and is the single most important cause of end-stage renal disease (ESRD) worldwide, accounting for 40% to 45% of new cases in the United States. The incidence of ESRD is predicted to increase as the prevalence of type 2 diabetes mellitus and obesity continue to increase. METHODS: Clinical data from the recent classes of antihypertensive agents are reviewed in the context of hypertension reduction guidelines and prevention of diabetic nephropathy. RESULTS: Numerous clinical trials have demonstrated that angiotensin receptor blockers (ARBs) are safe and effective antihypertensive treatments that slow the progression of renal disease in people with diabetes and/or hypertension, and macroalbuminuria. CONCLUSION: The tolerable adverse event profile of ARBs and their renoprotective benefits beyond blood pressure reduction make ARBs a useful first-line treatment in people with, or at risk of developing, renal disease. As the incidence of obesity-related cardiovascular disease and renal risk factors continues to grow, future studies are required to directly assess the renoprotective effects of ARBs in overweight or obese patient subgroups. Because renin angiotensin system (RAS) inhibitors target the key mechanisms underlying these conditions, they may be particularly beneficial for the prevention of ESRD in the growing group of patients with obesity-related hypertension and the metabolic syndrome.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.955
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0040.000
Bibliometrics0.0000.001
Science and technology studies0.0000.001
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.055
GPT teacher head0.303
Teacher spread0.249 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it