Evidence map›Paper›PMID 33532619›Full record

ArticleEndocrinology, diabetes & metabolism2021

Cardiovascular and renal effectiveness of empagliflozin in routine care in East Asia: Results from the EMPRISE East Asia study.

Yutaka Seino, Dae Jung Kim, Daisuke Yabe, Elise Chia-Hui Tan, Wook-Jin Chung, Kyoung Hwa Ha, Masaomi Nangaku, Koichi Node, Riho Klement, Atsutaka Yasui and 7 more

Erratum issuedOpen access · goldAbstract readComparative Study
In one paragraph

Article in Endocrinology, diabetes & metabolism, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
4.3field-weighted citation impact, top 5% 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

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
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  5. Article
  6. The Long-Term Cost-Effectiveness of Tirzepatide 5 mg versus Dulaglutide 0.75 mg for the Treatment of People with Type 2 Diabetes in Japan.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2025
    Article
  7. Kidney outcomes with SGLT2 inhibitor versus DPP4 inhibitor use in older adults with diabetes.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Article
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  16. Endocrinology, diabetes & metabolism · 2023
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4 · The record

Corrections and comments

  • Erratum issued
    2023
5 · Who and what money

Authors and funding

17 authors at 13 institutions in 7 countries.

Yutaka SeinoKansai Electric Power Medical Research Institute Kobe Japan.
Dae Jung KimDepartment of Endocrinology and Metabolism Ajou University School of Medicine Suwon Korea.ORCID 0000-0003-1025-2044
Daisuke YabeKansai Electric Power Medical Research Institute Kobe Japan.
Elise Chia-Hui TanNational Research Institute of Chinese Medicine Ministry of Health and Welfare Taipei Taiwan.
Wook-Jin ChungDepartment of Cardiovascular Medicine Gachon University Gil Medical Center Incheon Korea.
Kyoung Hwa HaDepartment of Endocrinology and Metabolism Ajou University School of Medicine Suwon Korea.
Masaomi NangakuDivision of Nephrology and Endocrinology The University of Tokyo Tokyo Japan.
Koichi NodeSaga University Saga Japan.ORCID 0000-0002-2534-0939
Riho KlementEPID Research Tartu Estonia.
Atsutaka YasuiNippon Boehringer Ingelheim Co., Ltd. Tokyo Japan.ORCID 0000-0003-4903-7210
Wei-Yu LeiBoehringer Ingelheim Taiwan Ltd. Taipei Taiwan.
Sunwoo LeeBoehringer Ingelheim Korea Ltd Seoul Korea.
Moe H KyawBoehringer Ingelheim Pharmaceuticals Inc Ridgefield CT USA.
Anouk Deruaz-LuyetBoehringer Ingelheim International GmbH Ingelheim Germany.ORCID 0000-0001-7396-7392
Kimberly G BrodoviczBoehringer Ingelheim Pharmaceuticals Inc Ridgefield CT USA.
Wayne H-H SheuDivision of Endocrinology and Metabolism Taichung Veterans General Hospital Taichung Taiwan.ORCID 0000-0002-8805-8340
EMPRISE East Asia study group
Ajou University · KRBoehringer Ingelheim (France) · FRKansai Electric Power (Japan) · JPBoehringer Ingelheim (Germany) · DEBoehringer Ingelheim (Japan) · JPBoehringer Ingelheim (South Korea) · KRBoehringer Ingelheim (Taiwan) · TWGachon University Gil Medical Center · KRNational Yang Ming Chiao Tung University · TWSaga University · JPTaichung Veterans General Hospital · TWThe University of Tokyo · JPUniversity of Tartu · EE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: To evaluate the effectiveness of empagliflozin in clinical practice in East Asia in the Empagliflozin Comparative Effectiveness and Safety (EMPRISE) East Asia study. Materials and methods: Data were obtained from the Medical Data Vision database (Japan), National Health Insurance Service database (South Korea) and National Health Insurance database (Taiwan). Patients aged ≥ 18 years with type 2 diabetes initiating empagliflozin or a dipeptidyl peptidase-4 (DPP-4) inhibitor were 1:1 propensity score (PS) matched into sequentially built cohorts of new users naïve to both drug classes. This design reduces confounding due to switching treatments, time lag and immortal time biases. Outcomes included hospitalization for heart failure (HHF), end-stage renal disease (ESRD) and all-cause mortality. Hazard ratios (HRs) and 95% CIs were estimated using Cox proportional models, controlling for > 130 baseline characteristics in each data source and pooled by random-effects meta-analysis. Results: Overall, 28 712 pairs of PS-matched patients were identified with mean follow-up of 5.7-6.8 months. Compared with DPP-4 inhibitors, the risk of HHF was reduced by 18% and all-cause mortality was reduced by 36% with empagliflozin (HR 0.82; 95% CI 0.71-0.94, and HR 0.64; 95% CI 0.50-0.81, respectively). Reductions were consistent across countries, and in patients with and without baseline cardiovascular disease. ESRD was also significantly reduced with empagliflozin versus DPP-4 inhibitors (HR 0.37; 95% CI 0.24-0.58). Conclusions: Empagliflozin treatment was associated with reduced risk for HHF, all-cause mortality and ESRD compared with DPP-4 inhibitors in routine clinical practice in Japan, South Korea and Taiwan.

Indexed as

AdolescentAdultAgedAged, 80 and overAsia, EasternBenzhydryl CompoundsData AnalysisDiabetes Mellitus, Type 2Dipeptidyl-Peptidase IV InhibitorsFemaleFollow-Up StudiesGlucosidesHeart FailureHumansKidney Failure, ChronicMaleBenzhydryl CompoundsDipeptidyl-Peptidase IV InhibitorsempagliflozinGlucosidesdatabase researchDPP‐IV inhibitorheart failureSGLT2 inhibitor

Identifiers

PMID33532619
PMCPMC7831226
OpenAlexW3087681641

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.