Evidence map›Paper›PMID 33395875›Full record

ArticleInternational journal of surgery case reports2020

Fournier's gangrene under SGLT-2 inhibitor therapy: A literature review and case report.

Lisa Ellegård, Mattias Prytz

Open access · goldAbstract readCase Reports
In one paragraph

Article in International journal of surgery case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.6field-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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  3. Review
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  5. Article
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  7. Review
  8. Review
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  10. Article
  11. Fournier's Gangrene under Sodium-Glucose Cotransporter-2 Inhibitors Therapy in Gynecological Patients.International journal of environmental research and public health · 2022
    Review
  12. 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

2 authors at 2 institutions in 1 country.

Lisa EllegårdDepartment of Surgery, NU Hospital Group, Trollhättan, Sweden. Electronic address: lisa.ellegard@vgregion.se.
Mattias PrytzDepartment of Surgery, NU Hospital Group, Trollhättan, Sweden; Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Research and Development, NU Hospital Group, Trollhättan, Sweden.
NU Hospital Group · SEUniversity of Gothenburg · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFournier's gangrene is a rare, life-threatening necrotizing infection of the perineum. In 2018, the U.S. Food and Drug Administration (FDA) issued a warning regarding a possible connection between Fournier's gangrene and new oral anti-diabetic drugs called SGLT-2 inhibitors. There are only a few published case reports of Fournier's gangrene in patients treated with SGLT-2 inhibitors and a total of 55 patients reported by the FDA to date. PRESENTATION OF CASE: We report a case of Fournier's gangrene in a patient with multiple risk factors, including diabetes type 2, smoking, obesity and immunosuppression. DISCUSSION: Further studies are needed to determine whether or not it is the SGLT-2 inhibitor itself that increases the risk of Fournier's gangrene, or the fact that the patients receiving this kind of drug is a subgroup of patients with multiple risk factors.

conclusionNew oral anti-diabetic drugs, SGLT-2 inhibitors, may be associated with Fournier's gangrene. Surgeons should become suspicious when patients with diabetes present with perineal symptoms.

Indexed as

Case reportDapagliflozinFournier’s gangreneSodium-glucose co-transporter-2 (SGLT-2) inhibitorSurgical debridation

Identifiers

PMID33395875
PMCPMC7711186
OpenAlexW3109958452

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.