Evidence map›Paper›PMID 32991065›Full record

ArticleDiabetes, obesity & metabolism2021

Sodium-glucose co-transporter-2 inhibitors and susceptibility to COVID-19: A population-based retrospective cohort study.

Christopher Sainsbury, Jingya Wang, Krishna Gokhale, Dionisio Acosta-Mena, Samir Dhalla, Nathan Byne, Joht Singh Chandan, Astha Anand, Jennifer Cooper, Kelvin Okoth and 15 more

Abstract read
In one paragraph

Article in Diabetes, obesity & metabolism, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 5 pooled it
–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.

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

24 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  16. Use of Novel Antidiabetic Agents in Patients with Type 2 Diabetes and COVID-19: A Critical Review.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2021
    Review
  17. Article
  18. Review
  19. Nonsteroidal Antiinflammatory Drugs and Susceptibility to COVID-19.Arthritis & rheumatology (Hoboken, N.J.) · 2021
    Article
  20. Article
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

25 authors.

Christopher SainsburyInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.ORCID 0000-0002-7984-5721
Jingya WangInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Krishna GokhaleInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Dionisio Acosta-MenaCegedim Health Data, Cegedim Rx, London, UK.
Samir DhallaThe Health Improvement Network (THIN), London, UK.
Nathan ByneCegedim Health Data, Cegedim Rx, London, UK.
Joht Singh ChandanInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Astha AnandInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Jennifer CooperInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Kelvin OkothInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Anuradhaa SubramanianInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Mansoor N BangashInstitute of Clinical Sciences, University of Birmingham, Birmingham, UK.
Thomas TavernerInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Wasim HanifInstitute of Metabolism and Systems Research, University of Birmingham, Birmingham, UK.
Sandip GhoshInstitute of Metabolism and Systems Research, University of Birmingham, Birmingham, UK.
Parth NarendranInstitute of Metabolism and Systems Research, University of Birmingham, Birmingham, UK.
Kar K ChengInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Tom MarshallInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Georgios GkoutosInstitute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK.
Konstantinos ToulisInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Neil ThomasInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Abd TahraniInstitute of Metabolism and Systems Research, University of Birmingham, Birmingham, UK.ORCID 0000-0001-9037-1937
Nicola J AdderleyInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Shamil HaroonInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Krishnarajah NirantharakumarInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.

Funding

Medical Research Council MR/S003878/1
6 · The paper itself

Abstract

Sodium-glucose co-transporter-2 (SGLT2) inhibitors are widely prescribed in people with type 2 diabetes. We aimed to investigate whether SGLT2 inhibitor prescription is associated with COVID-19, when compared with an active comparator. We performed a propensity-score-matched cohort study with active comparators and a negative control outcome in a large UK-based primary care dataset. Participants prescribed SGLT2 inhibitors (n = 9948) and a comparator group prescribed dipeptidyl peptidase-4 (DPP-4) inhibitors (n = 14 917) were followed up from January 30 to July 27, 2020. The primary outcome was confirmed or clinically suspected COVID-19. The incidence rate of COVID-19 was 19.7/1000 person-years among users of SGLT2 inhibitors and 24.7/1000 person-years among propensity-score-matched users of DPP-4 inhibitors. The adjusted hazard ratio was 0.92 (95% confidence interval 0.66 to 1.29), and there was no evidence of residual confounding in the negative control analysis. We did not observe an increased risk of COVID-19 in primary care amongst those prescribed SGLT2 inhibitors compared to DPP-4 inhibitors, suggesting that clinicians may safely use these agents in the everyday care of people with type 2 diabetes during the COVID-19 pandemic.

Indexed as

Disease SusceptibilityAgedCOVID-19Diabetes Mellitus, Type 2FemaleHumansMaleMiddle AgedPandemicsPropensity ScoreRetrospective StudiesSARS-CoV-2Sodium-Glucose Transporter 2 InhibitorsSodium-Glucose Transporter 2 Inhibitorsantidiabetic drugDPP-4 inhibitorpharmaco-epidemiologySGLT2 inhibitortype 2 diabetes

Identifiers

PMID32991065
PMCPMC7537530

What OpenQuestion holds

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LicenceCC BY-NC
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.