Evidence map›Paper›PMID 32605278›Full record

ReviewJournal of clinical medicine2020

Exploring Sodium Glucose Co-Transporter-2 (SGLT2) Inhibitors for Organ Protection in COVID-19.

Beatriz Fernandez-Fernandez, Luis D'Marco, Jose Luis Górriz, Conxita Jacobs-Cachá, Mehmet Kanbay, Sergio Luis-Lima, Esteban Porrini, Pantelis Sarafidis, María José Soler, Alberto Ortiz

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 4% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
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  7. Use of chronic medications and risk of death due to COVID-19 in hospitalised patients.European journal of hospital pharmacy : science and practice · 2024
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  19. COVID-19 Precipitating Euglycaemic Diabetic Ketoacidosis with SGLT2 Inhibitor Use.European journal of case reports in internal medicine · 2020
    Article
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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 7 institutions in 3 countries.

Beatriz Fernandez-FernandezIIS-Fundación Jiménez Diaz, Department of Medicine, School of Medicine, Universidad Autónoma de Madrid, 28029 Madrid, Spain.
Luis D'MarcoDepartment of Nephrology, Hospital Clínico Universitario, INCLIVA, 46010 Valencia, Spain.ORCID 0000-0003-0148-891X
Jose Luis GórrizDepartment of Nephrology, Hospital Clínico Universitario, INCLIVA, 46010 Valencia, Spain.ORCID 0000-0002-1134-9051
Conxita Jacobs-CacháRed de Investigación Renal (REDINREN), Instituto Carlos III-FEDER, 28040 Madrid, Spain.ORCID 0000-0003-2518-7847
Mehmet KanbayDepartment of Medicine, Division of Nephrology, Koc University School of Medicine, 43010 Istanbul, Turkey.
Sergio Luis-LimaIIS-Fundación Jiménez Diaz, Department of Medicine, School of Medicine, Universidad Autónoma de Madrid, 28029 Madrid, Spain.
Esteban PorriniRed de Investigación Renal (REDINREN), Instituto Carlos III-FEDER, 28040 Madrid, Spain.
Pantelis SarafidisDepartment of Nephrology, Hippokration Hospital, Aristotle University of Thessaloniki, 54642 Thessaloniki, Greece.
María José SolerRed de Investigación Renal (REDINREN), Instituto Carlos III-FEDER, 28040 Madrid, Spain.
Alberto OrtizIIS-Fundación Jiménez Diaz, Department of Medicine, School of Medicine, Universidad Autónoma de Madrid, 28029 Madrid, Spain.ORCID 0000-0002-9805-9523
Federación Española de Enfermedades Raras · ESUniversitat Autònoma de Barcelona · ESAristotle University of Thessaloniki · GRHospital Clínico Universitario de Valencia · ESKoç University · TRUniversidad de La Laguna · ESUniversitat de València · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hospital admissions and mortality from the Coronavirus disease 2019 (COVID-19) pandemic are spreading throughout the world, and second and third waves are thought to be likely. Risk factors for severe COVID-19 include diabetes, chronic kidney disease and cardiovascular disease. Currently, there is no vaccine and no approved therapy. Therapeutic approaches are aimed at preventing viral replication and spread, limiting the impact of the inflammatory overdrive (cytokine storm), preventing thromboembolic complications and replacing or supporting organ function. However, despite organ support, mortality is currently 65% for those receiving advanced respiratory support and 78% for those requiring renal replacement therapies. Thus, efforts should be made to provide adjuvant organ protection therapy. This may imply novel therapies in clinical development (e.g., the Fas ligand trap asunercept), but uptake of repurposed drugs already in clinical use may be faster. In this regard, sodium glucose co-transporter-2 (SGLT2) inhibitors were recently shown to protect the heart and kidney both within and outside of a diabetic milieu context. Further, preclinical data support a beneficial effect for the lung. We now discuss the potential benefits and risks of SGLT2 inhibitors in COVID-19 and an ongoing clinical trial testing the impact of dapagliflozin on outcomes in COVID-19 patients with respiratory failure.

Indexed as

canagliflozincardiovascularchronic kidney diseaseCOVID-19dapagliflozindiabetesempagliflozinSGLT2

Identifiers

PMID32605278
PMCPMC7409231
OpenAlexW3037684074

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.