Evidence map›Paper›PMID 32166884›Full record

ArticleDiabetes, obesity & metabolism2020

Effectiveness of sodium-glucose co-transporter-2 inhibitors on ischaemic heart disease.

Yun Shen, Jian Zhou, Lizheng Shi, Elizabeth Nauman, Peter T Katzmarzyk, Eboni G Price-Haywood, Ronald Horswell, San Chu, Shengping Yang, Alessandra N Bazzano and 2 more

Open access · greenAbstract read
In one paragraph

Article in Diabetes, obesity & metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

7 citing papers in PubMed, 7 citations in OpenAlex.

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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

12 authors at 5 institutions in 2 countries.

Yun ShenPennington Biomedical Research Centre, Baton Rouge, Louisiana.
Jian ZhouPennington Biomedical Research Centre, Baton Rouge, Louisiana.ORCID 0000-0002-1534-2279
Lizheng ShiDepartment of Global Health Management and Policy, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana.
Elizabeth NaumanLouisiana Public Health Institute, New Orleans, Louisiana.
Peter T KatzmarzykPennington Biomedical Research Centre, Baton Rouge, Louisiana.
Eboni G Price-HaywoodOchsner Health System Center for Outcomes and Health Services Research, New Orleans, Louisiana.
Ronald HorswellPennington Biomedical Research Centre, Baton Rouge, Louisiana.
San ChuPennington Biomedical Research Centre, Baton Rouge, Louisiana.
Shengping YangPennington Biomedical Research Centre, Baton Rouge, Louisiana.
Alessandra N BazzanoBlue Cross and Blue Shield of Louisiana, Baton Rouge, Louisiana.
Somesh NigamBlue Cross and Blue Shield of Louisiana, Baton Rouge, Louisiana.
Gang HuPennington Biomedical Research Centre, Baton Rouge, Louisiana.ORCID 0000-0002-6172-8017
Pennington Biomedical Research Center · USBlue Cross and Blue Shield of Kansas City · USLouisiana Public Health Institute · USOchsner Health System · USTulane University · US

Funding

Tracking & Evaluation CoreU54GM104940 · NIGMS · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI Peter Todd Katzmarzyk · 2012 to 2026
$69.1M
Research BaseP30DK072476 · NIDDK · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI Peter Todd Katzmarzyk · 2005 to 2026
$26.5M
NIDDK NIH HHS P30 DK072476NIGMS NIH HHS U54 GM104940
6 · The paper itself

Abstract

aimTo compare the cardiovascular risks between users and non-users of sodium-glucose co-transporter-2 (SGLT2) inhibitors based on electronic medical record data from a large integrated healthcare system in South Louisiana. MATERIALS AND

methodsDemographic, anthropometric, laboratory and medication prescription information for patients with type 2 diabetes who were new users of SGLT2 inhibitors, either as initial treatments or as add-on treatments, were obtained from electronic health records. Mediation analysis was performed to evaluate the association of use of SGLT2 inhibitors and changes of metabolic risk factors with the risk of incident ischaemic heart disease.

resultsA total of 5338 new users of SGLT2 inhibitors were matched with 13 821 non-users. During a mean follow-up of 3.26 years, 2302 incident cases of ischaemic heart disease were defined. After adjusting for multiple confounding factors, patients using SGLT2 inhibitors had a lower risk of incident ischaemic heart disease compared to patients not using SGLT2 inhibitors (hazard ratio [HR] 0.63, 95% confidence interval [CI] 0.54-0.73). Patients using SGLT2 inhibitors also had a lower risk of incident ischaemic heart disease within 6 months (HR 0.36, 95% CI 0.25-0.44), 12 months (HR 0.40, 95% CI 0.32-0.49), 24 months (HR 0.53, 95% CI 0.43-0.60) and 36 months (HR 0.65, 95% CI 0.54-0.73), respectively. Reductions in systolic blood pressure partly mediated lowering risk of ischaemic heart disease among patients using SGLT2 inhibitors.

conclusionsThe real-world data in the present study show the contribution of SGLT2 inhibitors to reducing risk of ischaemic heart disease, and their benefits beyond glucose-lowering.

Indexed as

Diabetes Mellitus, Type 2Dipeptidyl-Peptidase IV InhibitorsMyocardial IschemiaSodium-Glucose Transporter 2 InhibitorsSymportersGlucoseHumansLouisianaSodiumDipeptidyl-Peptidase IV InhibitorsGlucoseSodiumSodium-Glucose Transporter 2 InhibitorsSymportersantidiabetic drugcardiovascular diseaseSGLT2 inhibitor

Identifiers

PMID32166884
PMCPMC7547648
OpenAlexW3011800285

What OpenQuestion holds

Textmetadata
LicenceTDM
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.