Evidence map›Paper›PMID 28583425›Full record

ArticlePrimary care diabetes2017

Dapagliflozin therapy for type 2 diabetes in primary care: Changes in HbA1c, weight and blood pressure over 2 years follow-up.

J Wilding, C Bailey, U Rigney, B Blak, M Kok, C Emmas

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Primary care diabetes, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05418946 (Observational Retrospective Cohort Study to Evaluate the Benefits, Documented in Experimental Settings, of Treatment With DAPAGLIFLOZIN in Normal Clinical Practice, in Subjects With Type 2 Diabetes), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05418946 unknown statusstarted 2022, after this paper: background citation

Observational Retrospective Cohort Study to Evaluate the Benefits, Documented in Experimental Settings, of Treatment With DAPAGLIFLOZIN in Normal Clinical Practice, in Subjects With Type 2 Diabetes

Ran2022Enrolled1,400Registered outcomes7Posted comparisons0ConditionsType 2 DiabetesArmsDapagliflozin 10mg
PMID 34619106PMID 30415602PMID 30882238other papers from this trial
Open the trial in the graph
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. SGLT2 inhibitors and diabetic retinopathy progression.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
    Article
  2. Review
  3. Article
  4. Article
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  6. Article
  7. Article
  8. Article
  9. Review
  10. Observational
  11. Differential pharmacology and clinical utility of dapagliflozin in type 2 diabetes.Clinical pharmacology : advances and applications · 2019
    Article
  12. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

J WildingDiabetes and Endocrinology Research Group, Institute of Ageing and Chronic Disease, Clinical Sciences Centre, University Hospital Aintree, Liverpool, UK. Electronic address: J.P.H.Wilding@liverpool.ac.uk.
C BaileyLife and Health Sciences, Aston University, Birmingham, UK.
U RigneyAstraZeneca, 600 Capability Green, Luton, UK.
B BlakAstraZeneca, 600 Capability Green, Luton, UK.
M KokAstraZeneca, Louis Pasteurlaan 5, 2719 EE Zoetermeer, The Netherlands.
C EmmasAstraZeneca, 600 Capability Green, Luton, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo investigate prescribing patterns and effect of dapagliflozin among individuals with T2DM using UK primary care data.

methodsAdult patients with T2DM initiating dapagliflozin treatment were identified from the Clinical Practice Research Datalink. Changes in HbA1c, body weight and systolic blood pressure were assessed in subgroups defined by glucose lowering treatment at baseline and compliance with the Summary of Product Characteristics. Logistic regression examined the association of baseline characteristics with achievement of target HbA1c (≤53mmol/mol) and weight reduction (by ≥3.0%).

resultsAmong 5828 eligible individuals, HbA1c was reduced from a baseline mean of 80.0mmol/mol (SD 17.6) by -12.8 (95% CI -13.8, -11.8)mmol/mol at >12-24 months. The corresponding value for weight reduction (baseline mean 101.7kg) was -5.0 (-5.4, -4.5)kg, and for systolic blood pressure reduction (baseline mean 134.1mmHg) was -3.1 (-4.0, -2.2) mmHg. Lower baseline HbA1c values (<69; 69-85 versus ≥86mmol/mol) were positively associated with achievement of target HbA1c <53mmol/mol.

conclusionsTreatment with dapagliflozin in T2DM was associated with reductions in HbA1c, weight and systolic blood pressure over time periods up to 2 years. Changes in these parameters were consistent with those reported in RCTs.

Indexed as

Practice Patterns, Physicians'Primary Health CareAgedBenzhydryl CompoundsBiomarkersBlood GlucoseBlood PressureDatabases, FactualDiabetes Mellitus, Type 2Drug PrescriptionsFemaleFollow-Up StudiesGlucosidesGlycated HemoglobinHumansHypoglycemic AgentsBenzhydryl CompoundsBiomarkersBlood GlucosedapagliflozinGlucosidesGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic Agents

Identifiers

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.