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Spironolactone to prevent cardiovascular events in early-stage chronic kidney disease (STOP-CKD): study protocol for a randomized controlled pilot trial

Overview of attention for article published in Trials, May 2014
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Title
Spironolactone to prevent cardiovascular events in early-stage chronic kidney disease (STOP-CKD): study protocol for a randomized controlled pilot trial
Published in
Trials, May 2014
DOI 10.1186/1745-6215-15-158
Pubmed ID
Authors

Khai P Ng, Poorva Jain, Gurdip Heer, Val Redman, Odette L Chagoury, George Dowswell, Sheila Greenfield, Nick Freemantle, Jonathan N Townend, Paramjit S Gill, Richard J McManus, Charles J Ferro

Abstract

Chronic kidney disease is associated with increased arterial stiffness even in the early stages and this is thought to be a key mediator in the pathophysiology of the increased cardiovascular risk associated with this condition. The use of low-dose spironolactone has previously been shown to improve arterial stiffness and reduce left ventricular mass safely in early-stage chronic kidney disease in the context of careful monitoring at a university hospital. However, the majority of patients with chronic kidney disease are managed by their general practitioners in the community. It is not known whether similar beneficial effects can be achieved safely using spironolactone in the primary care setting. The aim of this study is to determine whether low-dose spironolactone can safely lower arterial stiffness in patients with stage 3 chronic kidney disease in the primary care setting.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 151 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Indonesia 1 <1%
United Kingdom 1 <1%
Argentina 1 <1%
Unknown 148 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 24 16%
Student > Bachelor 23 15%
Researcher 21 14%
Other 13 9%
Student > Ph. D. Student 9 6%
Other 22 15%
Unknown 39 26%
Readers by discipline Count As %
Medicine and Dentistry 53 35%
Nursing and Health Professions 17 11%
Agricultural and Biological Sciences 8 5%
Social Sciences 5 3%
Psychology 5 3%
Other 15 10%
Unknown 48 32%