Evidence map›Paper›PMID 30945402›Full record

ArticleDiabetes, obesity & metabolism2019

Liraglutide use and evaluation of pancreatic outcomes in a US commercially insured population.

Donnie Funch, Kathleen Mortimer, Najat J Ziyadeh, John D Seeger, Ling Li, Heather Norman, Atheline Major-Pedersen, Heidrun Bosch-Traberg, Helge Gydesen, David D Dore

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Diabetes, obesity & metabolism, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 15% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Drugs for Non-alcoholic Steatohepatitis (NASH): Quest for the Holy Grail.Journal of clinical and translational hepatology · 2021
    Review
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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

10 authors at 3 institutions in 3 countries.

Donnie FunchOptum Epidemiology, Boston, Massachusetts.ORCID 0000-0003-3462-2716
Kathleen MortimerOptum Epidemiology, Boston, Massachusetts.
Najat J ZiyadehOptum Epidemiology, Boston, Massachusetts.ORCID 0000-0002-7191-9140
John D SeegerOptum Epidemiology, Boston, Massachusetts.
Ling LiOptum Epidemiology, Boston, Massachusetts.
Heather NormanOptum Epidemiology, Boston, Massachusetts.
Atheline Major-PedersenGlobal Safety, Novo Nordisk A/S, Copenhagen, Denmark.
Heidrun Bosch-TrabergGlobal Development, Novo Nordisk A/S, Copenhagen, Denmark.
Helge GydesenEpidemiology, Novo Nordisk A/S, Copenhagen, Denmark.
David D DoreOptum Epidemiology, Boston, Massachusetts.
New England College of Optometry · USNovo Nordisk (Denmark) · DKRhode Island Department of Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsBoth acute pancreatitis (AP) and pancreatic cancer (PC) have been areas of focus for studies of incretin drugs. This 5-year prospective cohort study aimed to quantify possible associations between liraglutide and risk of AP and PC as compared to other antidiabetic drugs (ADs). MATERIALS AND

methodsPatients initiating liraglutide or other ADs who were enrolled in a US health plan (2010-2014) were included. Comparisons of AP and PC incidence rates were made between matched cohorts of liraglutide initiators and initiators of other ADs. Adjudicated AP cases and algorithm-based PC cases were identified. Propensity score-matched intention-to-treat (ITT) and time-on-drug (TOD) analyses were completed using Poisson regression. A latency analysis was performed for PC.

resultsMedian follow-up was 405 days for AP cohorts (9995 liraglutide, 1:1 matched to all comparators) and 503 days for PC cohorts (35 163 liraglutide, 1:1 matched to all comparators). In the primary AP analysis, "current" use of liraglutide was not significantly associated with elevated risk across comparators (all comparators relative risk [RR] = 1.2; 95% confidence interval [CI], 0.6-2.3). ITT results were similar where, in the primary analysis, no RRs were significantly associated with PC (all comparators RR = 0.7; 95% CI, 0.3-1.4); latency and TOD analyses did not alter findings. There was no evidence of a dose-response effect.

conclusionsLiraglutide was not associated with an increased risk of AP or PC, although risk estimates were more variable for AP, and numbers of cases for both outcomes were limited because of the rarity of outcomes.

Indexed as

Acute DiseaseAdultDatabases, FactualFemaleHumansHypoglycemic AgentsIncretinsInsurance, HealthLiraglutideMaleMiddle AgedPancreatic NeoplasmsPancreatitisProspective StudiesUnited StatesHypoglycemic AgentsIncretinsLiraglutide

Identifiers

PMID30945402
PMCPMC6772183
OpenAlexW2925901874

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.